Urogynecology Expert Forum
Rectal pain after normal intercourse
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Rectal pain after normal intercourse

After my husband and I had intercourse last night (normal intercourse), my rectum was screaming in pain. I could not get up off the couch without my eyes tearing up. This morning I had a bowel movement (painful, but not as bad as last night), but when I wiped, there was a streak of purplish red stuff on the toilet paper. Could he have bruised my rectum through my uterus last night from the angle we were having intercourse?
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Assuming this was vaginal intercourse, and you have not had this problem before, you should get an evaluation by a gynecologist, who should do a gynecologic plus rectal exam and check for blood in the stool. If positive for blood, you need an evaluation by a colorectal expert. If you have had the problem of pain with intercourse before, and your gynecologic workup is negative for masses, infections, tumors, then you chould consider an evaluation by a qualified pelvic floor physical therapist, who may be able to diagnose pelvic muscle trigger points and treat you with physical therapy.
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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