Right-Sided Pain During Intercourse: Causes and Solutions - Obstetrics and Gynecology

More Info

---

Experiencing right-sided pain during intercourse can be concerning and may stem from various causes. Given your history of normal gynecological examinations, including Pap smears and ultrasounds, it is reassuring that no significant abnormalities have been detected. However, the pain you describe during intercourse, particularly when pressure is applied to the right side, warrants further exploration.

One potential cause of your symptoms could be related to ovulation. Since you mentioned that you are currently in your ovulation period, it is possible that you are experiencing mittelschmerz, which is a type of pain some women feel during ovulation. This pain typically occurs on one side of the abdomen and can be sharp or cramp-like. It is usually mild and resolves on its own, but in some cases, it can be more pronounced and may cause discomfort during sexual activity.

Another possibility is the presence of ovarian cysts. While many ovarian cysts are benign and asymptomatic, some can cause pain, especially if they rupture or if there is pressure on them during intercourse. Although your recent ultrasounds did not show any abnormalities, it might be worth discussing with your healthcare provider whether a follow-up ultrasound is necessary, especially if the pain persists or worsens.

Additionally, conditions such as endometriosis could also be a factor. Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, often leading to pain during intercourse, particularly if the tissue is located near the ovaries or other pelvic structures. While your previous examinations did not indicate endometriosis, it can sometimes be challenging to diagnose without a laparoscopy, a surgical procedure that allows for direct visualization of the pelvic organs.

Pelvic inflammatory disease (PID) is another condition that could cause pain during intercourse. PID is an infection of the reproductive organs that can lead to scarring and chronic pain. However, this is often accompanied by other symptoms such as unusual discharge, fever, or pelvic tenderness, which you have not reported.

Given that you experience pain only during intercourse and not at other times, it may also be related to muscle tension or pelvic floor dysfunction. Stress and anxiety can lead to tightening of the pelvic floor muscles, which may cause discomfort during sexual activity. Engaging in relaxation techniques, pelvic floor physical therapy, or even discussing your concerns with a therapist may help alleviate some of this tension.

In terms of next steps, it would be advisable to keep a symptom diary noting when the pain occurs, its intensity, and any associated symptoms. This information can be invaluable for your healthcare provider in determining the underlying cause. If the pain persists or worsens, or if you develop new symptoms such as fever, abnormal bleeding, or significant changes in your menstrual cycle, it would be prudent to seek further evaluation.

In summary, while your symptoms may be related to normal physiological processes such as ovulation, it is essential to remain vigilant and consult with your healthcare provider if the pain continues. They may recommend additional imaging studies, blood tests, or a referral to a specialist if necessary. Open communication with your partner about your discomfort is also crucial, as it can help both of you navigate this experience together.