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Why Does Sex Hurt During Ovulation?

Ovulation pain, also called dyspareunia, occurs in about 20% of menstruating women. While it’s uncomfortable, it can help you determine when you are ovulating. This is helpful if you are trying to conceive, as it allows you to have sex during your most fertile window.

However, pain that lasts more than a few hours and is accompanied by fever and unusual vaginal discharge should be evaluated by your doctor.

Ovarian follicles

If you feel pain during sex or around the time of your menstrual cycle, it may be ovulation pain. This pain occurs when the dominant follicle ruptures and releases its egg after a surge of luteinizing hormone (LH). The follicle fills with fluid as it bursts, which can cause discomfort. The pain is similar to cramps. It can also be caused by pelvic inflammatory disease (PID), which can cause inflammation of the uterus and fallopian tubes. If you have PID, see a doctor right away. Untreated PID can lead to scarring of the cervix and infertility.

Most women don’t experience ovulation pain, and when they do, it is typically mild. But if you’re trying to get pregnant, the pain can be frustrating. It’s important to have sex during your fertile window to increase the chance of conception.

Ovulation pain isn’t as severe as the pain you can experience with other pelvic conditions, such as endometriosis or pelvic inflammatory disease. You can try taking over-the-counter painkillers, or you can talk to a health care professional about a holistic approach to treating the pain. For example, they may suggest stretching exercises, reevaluation of your posture, or herbal remedies like magnesium or boswellia. They might recommend a pelvic exam, as well. Depending on the severity of your pain, they might refer you to a reproductive specialist.

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Pelvic floor muscles

If you’re a woman, pelvic floor muscles can cause pain during ovulation. These muscles are part of a group of muscles that runs through your pelvis, from the front to the back. They support organs such as your bladder and uterus. They also provide the foundation for a healthy, functional spine and core.

Pelvic floor muscle dysfunction is a common problem, and can be caused by poor posture, childbirth or accidents. It can also be caused by a medical condition, such as endometriosis or vulvodynia.

Symptoms of pelvic floor muscle dysfunction include pain when sitting, urinating or having a bowel movement. They can also affect your mobility and quality of life. It is important to see a doctor if you experience these symptoms.

When you’re ovulating, the level of a hormone called luteinizing hormone (LH) increases quickly in your body. This causes a follicle (fluid filled sac) in your ovary to release an egg. This is when you feel ovulation pain, also known as mittelschmerz.

Pain during ovulation can be frustrating, especially if you’re trying to get pregnant. It can make you avoid sex during your fertile window, which can lead to missed opportunities for conception. It can also cause you to miss out on pleasure and orgasms. The good news is that the pain usually only lasts 48 hours, so you can have sex again soon.

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Endometriosis

The pain that comes with ovulation may be caused by endometriosis. This is an autoimmune condition where rogue tissue grows outside the uterus. It can lead to pelvic pain, sex problems and infertility. It also causes severe pain during sex known as deep dyspareunia. This pain can feel like a sharp, stabbing sensation in the vagina or as an intense cramp. It is important to communicate about the sexual pain you experience to your partner so you can both learn how to cope with the discomfort.

If you have endometriosis, it is important to talk to your doctor about it. He or she can help you find treatments that make sex less painful for you and your partner. These may include pelvic floor physiotherapy, medications or hormones. It is also important to be aware of when you are most fertile so you can plan sex around this time.

The good news is that ovulation pain usually lasts no more than 48 hours. This is why it is sometimes called Mittelschmerz (mid-cycle pain). It is not the same as menstrual cramps, which can feel much more severe. In fact, if the pain you have during ovulation is prolonged, it could be a sign that you have an underlying health problem, such as pelvic inflammatory disease or chlamydia. This can impact future fertility, so it is important to get tested and treated as soon as possible.

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Pelvic inflammatory disease

A bacterial infection can cause pelvic pain during ovulation. This condition is called Pelvic Inflammatory Disease, or PID. This pain occurs when harmful bacteria from the vagina travel through the cervix and into the fallopian tubes and ovaries. If not treated promptly, this bacteria can lead to a life-threatening infection. PID can also cause abscesses, or pockets of pus, to form in the fallopian tubes and ovaries.

A doctor may prescribe antibiotics to treat this condition. These pills are taken by mouth, and typically last for 14 days. Your doctor will check on you a few days after starting the medicine to ensure that your symptoms are going away and that the treatment is working.

Severe pelvic pain that doesn’t go away, or that lasts more than 48 hours, is not normal and should be evaluated by a medical professional. Usually, this will involve a pelvic exam to rule out a serious illness.

Despite painful sex, it’s important to try to have sex during the fertile window if you want to become pregnant. This is because sperm can live for up to seven days in the vagina, and it’s crucial to have sex during the fertile period to increase your chances of conception. If sex is too painful to have during the fertile period, you can use over-the-counter NSAIDs (nonsteroidal anti-inflammatory drugs) that are safe for you and your partner.