Pain During Sex and Extreme Sharp Pains/Cramping Daily

[jamnavywife]

I am 24 and have always had really bad pain with my period. When I became sexually active (18) I started having extreme cramping for weeks at a time every month. That quickly turned in everyday. It hurts during sex (sometimes only in a certain position and sometimes in any). The pain stopped while I was pregnant and quickly returned after. It has become more and more uncomfortable during sex and I just want to figure this out. Its been almost 4years of constant pain. Ive seen numerous doctors who have gotten me nowhere except hating to go to them. The first couple of doctors though it was gas related (which I could easily tell them was not it). The next couple thought Endometriosis. But after 3 ultra sounds and 4 MRI's they decided it wasnt and off I went to another doctor. The last doctor I saw was last November and he thought it was something to do with my bladder(i forgot the name) but after tests also decided it wasnt the case. He told me to try greek yogurt for a while. Seriously, its like when they dont know what to do they throw the most random things at you! If anyone has experienced this and found an answer or if anyone has any ideas PLEASE let me know!!!!

[Dr. Kokil Mathur]

Hi! Since everything else has been ruled out for you, consult a neurologist to rule out Pudendal nerve entrapment (PNE) in which the pudendal nerve (located in the pelvis) is entrapped or compressed. Diagnosis is by diagnostic block, MRI, CT scan, and Pudendal Nerve Motor Latency Test (PNMLT).
If you google search this many symptoms may come up, all of which you may not have. But pain during sex, unexplained by other causes should be investigated for this.
Hope this helps. Take care!

[jamnavywife]

I really wish that would help us but we dont do quite a few that we know will for sure cause the pain, but its with any position now and I dont know what to do. Its more frustrating at this point just not being able to figure it out, then it is dealing with the pain.

[PrincessandthePea2B]

I have problems with severe pain during intercourse as well. My GYNO said that the pain in the lower abdomen is more than likely that his "thing" was hitting my uterus. For some this is enjoyable, but for others its severely painful. Her way of explaining it to my husband and I was, "Imagine a guy being kicked in the balls. Its equivalent to that, very painful." We removed positions for our activities that give deeper penetration and it has helped a lot. Hope this helps you out!

[jamnavywife]

It is a pain deeper in the pelvic area. The cramps and sharp pains are in the lower abdominal area (around where the ovaries are). As stated above, I have had so many PAP tests and ultra sounds, and MRI's. Everything showed up completely normal. It was never a UTI or any other infection. How can every test show things being normal but I have this ongoing and constant excruciating pain?

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Usually pain during the initial stages of penetration is due to UTI and vaginal infection or vaginitis, a tight vaginal wall, sores at the mouth of vagina or vestibulitis, vulvodynia or a dry vagina (frictional injury), thrush or fungal infection. Pain on deep penetration is due to pelvic inflammatory disease, endometriosis (ruled out in your case), irritable bowel syndrome, pelvic tumors, cervical and uterine infections and tumors. Depending on the site of pain during penetration, diagnosis can be made. This can be further confirmed by clinical examination, ultrasound abdomen or CT scan, PAP smear and a STD panel as required. It is difficult to comment beyond this at this stage.  Do discuss this with your gynecologist. Please let me know if there is any thing else and do keep me posted. Take care!