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Horrible abdominal cramping after orgams caused by erotic dreams at night?

The pain occurs in the luteal phase of my cycle, from ovulation until my period, sometimes a few days before when I feel the hormone shift. The pain event is almost always the same although the severity increases as I get closer to my period. The pain is triggered by orgasm, especially after I have an erotic dream in my sleep & orgasm from it...….almost right away the horrible pain starts building. Makes me afraid to sleep!  The pain is also caused by arousal or vigorous sex & lasts for about 25 minutes, usually I have to poop, get sweaty, a few times have even felt like I was going to throw up. It goes away after about 25 minutes & I feel totally normal, almost even better than I did before, like something has relaxed. I also get "the pain" after my first morning pee, sometimes after a bowel movement & sometimes after getting up from sitting  for a while and moving around, but again, only in the luteal phase. I also feel the same pain after exercising before my period as well. I only have light/medium bleeding during my period, so I don't think endometriosis is very likely.  I did find that sitting up in bed at night with my feet elevated helps prevent the pain....which makes me wonder if this is some type of blood flow problem? I have no idea what this condition is but I have had it since my teens,  I am now in my late 40's and am FED UP!!
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Avatar universal
I usually only have ONE week where this pain doesn't occur at all. Its so frustrating.
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134578 tn?1614729226
COMMUNITY LEADER
The thing about the second half of the cycle is that it is when there is more lining in the uterus, even if it is not unusually thick it is as thick as it gets for you. I assume you have been checked for uterine scar tissue (not endometriosis) and for fibroids? Have you ever had an abdominal MRI? They can find all kinds of soft-tissue things that are aggravated by the endometrial build-up before a period.
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