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Urogynecology (Expert Forum)
Pain on right side only during intercourse
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. 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.
Pain on right side only during intercourse
by Monkey04, Feb 19, 2007 12:00AM
During intercource with my fiance there is a sharp pain on the right side that feels very deep (like a pulled muscle or a tear). It goes from the opening of vagina straight up to just below my right hip bone in a diagnol direction. It only hurts during intercourse, and sitting still I can feel a pressure or tightness along that line. It started 3 weeks ago. After the first time it hurt we let a week go by before we tried anything and it was still excrutaitingly painful. So then we waited 2 weeks before we attempted intercourse again and everything was fine the first night, then the night the pain nearly sent me through the roof with searing deep pain in the same area as if I had pulled the muscle or torn it again inside. I can find the exact place with my finger if I push on it. It is absolutely horrible. I went to the doc and was tested for STD's and my test came back clean, then they did an ultrasound and that came back normal. What could it possibly be? PLease help me....
Doctor's Answer
by Lennox Hoyte, M.D., Feb 20, 2007 12:00AM
, Feb 20, 2007 12:00AM
This sounds exactly like myofascial pain with active trigger points in the pelvic floor muscles. This can occur commonly in women. Please get evaluated by a gynecologist. If the workup is negative for std, pregnancy, pelvic masses, etc, then please see a pelvic floor physical therapist for an evaluation. If you do have a trigger point issue, the physical therapist can usually offer therapy which can cure it.
April
Find the nearese academic medical center, ask for the division of urogynecology in the dept of ob/gyn. Ask to see a urogynecologist and request a referral to a pelvic floor specialist.