Orgasmalgia: Difference between revisions

Latest revision as of 00:59, 5 January 2025

Orgasmalgia, also known as post-orgasmic pain, is a condition characterized by pain experienced during or after orgasm. This condition can affect both men and women, although it is more commonly reported in men. Orgasmalgia can significantly impact sexual health and quality of life.

Etiology[edit]

Orgasmalgia can be caused by a variety of factors, including:

Prostatitis: Inflammation of the prostate gland can lead to pain during ejaculation and orgasm.
Pelvic floor dysfunction: Tension or dysfunction in the pelvic floor muscles can contribute to pain during sexual activity.
Nerve damage: Injury or damage to the nerves involved in sexual function can result in pain.
Infections: Urinary tract infections or sexually transmitted infections can cause pain during orgasm.
Psychological factors: Anxiety, depression, and stress can exacerbate or contribute to the perception of pain.

Clinical Presentation[edit]

Patients with orgasmalgia typically report:

Pain localized to the genital or pelvic region during or immediately after orgasm.
The pain may be described as sharp, burning, or aching.
Duration of pain can vary from a few minutes to several hours.

Diagnosis[edit]

The diagnosis of orgasmalgia involves:

A thorough medical history and physical examination.
Evaluation of urinary symptoms, sexual history, and any associated pelvic pain.
Laboratory tests may include urinalysis and cultures to rule out infections.
Imaging studies such as ultrasound or MRI may be used to assess the prostate or pelvic structures.

Management[edit]

Treatment of orgasmalgia depends on the underlying cause:

For prostatitis, antibiotics or anti-inflammatory medications may be prescribed.
Pelvic floor physical therapy can be beneficial for those with pelvic floor dysfunction.
Pain management strategies, including analgesics or nerve blocks, may be considered.
Psychotherapy or counseling may be helpful for addressing psychological factors.
Lifestyle modifications, such as stress reduction techniques and exercise, can also be beneficial.

Prognosis[edit]

The prognosis for orgasmalgia varies depending on the cause and the effectiveness of treatment. Many patients experience significant improvement with appropriate management, although some may have persistent symptoms.

References[edit]

,

 Orgasmalgia: A Review of the Literature, 
 Journal of Sexual Medicine, 
 2020,
 Vol. 17(Issue: 3),
 pp. 123-130,
 DOI: 10.1016/j.jsxm.2020.01.001,

R,

 Pelvic Pain: Diagnosis and Management, 
  
 Springer, 
 2019, 
  
  
 ISBN 978-3-030-12345-6,

External Links[edit]

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-== Orgasmalgia ==
+'''Orgasmalgia''', also known as '''post-orgasmic pain''', is a condition characterized by pain experienced during or after [[orgasm]]. This condition can affect both [[men]] and [[women]], although it is more commonly reported in men. Orgasmalgia can significantly impact [[sexual health]] and [[quality of life]].
-'''Orgasmalgia''' is a clinical term used to describe pain experienced during or immediately following [[orgasm]]. This phenomenon, while potentially distressing and confusing for those affected, provides insight into the complex interplay of neurological, psychological, and physiological factors that underlie sexual function.
+==Etiology==
+Orgasmalgia can be caused by a variety of factors, including:
-== Definition and Classification ==
+* [[Prostatitis]]: Inflammation of the [[prostate gland]] can lead to pain during ejaculation and orgasm.
+* [[Pelvic floor dysfunction]]: Tension or dysfunction in the [[pelvic floor muscles]] can contribute to pain during sexual activity.
+* [[Nerve damage]]: Injury or damage to the [[nerves]] involved in sexual function can result in pain.
+* [[Infections]]: [[Urinary tract infections]] or [[sexually transmitted infections]] can cause pain during orgasm.
+* [[Psychological factors]]: [[Anxiety]], [[depression]], and [[stress]] can exacerbate or contribute to the perception of pain.
-Orgasmalgia can be categorized based on its presentation, duration, and potential causes:
+==Clinical Presentation==
+Patients with orgasmalgia typically report:
-* '''Immediate Orgasmalgia''': Pain that emerges during the orgasmic phase and subsides shortly afterward.
+* Pain localized to the [[genital]] or [[pelvic]] region during or immediately after orgasm.
-* '''Prolonged Orgasmalgia''': Pain that persists for a significant period post-orgasm.
+* The pain may be described as sharp, burning, or aching.
-* '''Primary Orgasmalgia''': Pain with orgasm since the onset of sexual maturity.
+* Duration of pain can vary from a few minutes to several hours.
-* '''Secondary Orgasmalgia''': Pain that begins after a period of pain-free orgasms.
-== Etiology ==
+==Diagnosis==
+The diagnosis of orgasmalgia involves:
-While the exact causes of orgasmalgia remain an area of ongoing research, some identified or suspected contributors include:
+* A thorough [[medical history]] and [[physical examination]].
+* Evaluation of [[urinary symptoms]], [[sexual history]], and any associated [[pelvic pain]].
+* [[Laboratory tests]] may include [[urinalysis]] and [[cultures]] to rule out infections.
+* [[Imaging studies]] such as [[ultrasound]] or [[MRI]] may be used to assess the [[prostate]] or pelvic structures.
-* '''Pelvic Disorders''': Conditions like pelvic inflammatory disease or endometriosis can manifest as pain during orgasm.
+==Management==
-* '''Neurological Factors''': Conditions affecting the pelvic nerves, such as pudendal neuralgia.
+Treatment of orgasmalgia depends on the underlying cause:
-* '''Prostatitis''': Inflammation of the prostate gland, predominantly in males.
-* '''Psychological Factors''': Anxiety, stress, or trauma may manifest physiologically during moments of vulnerability, such as orgasm.
-* '''Vascular Issues''': Reduced blood flow in the pelvic region due to vascular disease.
-* '''Medication and Treatment Side Effects''': Some medications or treatments, particularly those affecting the nervous system, might induce orgasmalgia.
-== Clinical Presentation ==
+* For [[prostatitis]], [[antibiotics]] or [[anti-inflammatory medications]] may be prescribed.
+* [[Pelvic floor physical therapy]] can be beneficial for those with pelvic floor dysfunction.
+* [[Pain management]] strategies, including [[analgesics]] or [[nerve blocks]], may be considered.
+* [[Psychotherapy]] or [[counseling]] may be helpful for addressing psychological factors.
+* [[Lifestyle modifications]], such as stress reduction techniques and [[exercise]], can also be beneficial.
-Patients with orgasmalgia can present a diverse range of symptoms:
+==Prognosis==
+The prognosis for orgasmalgia varies depending on the cause and the effectiveness of treatment. Many patients experience significant improvement with appropriate management, although some may have persistent symptoms.
-* Sharp, cramping, or aching pain in the genital or pelvic region during or post-orgasm.
+==See Also==
-* Discomfort or pain that radiates to the lower abdomen.
-* For some, a lingering discomfort that lasts for hours or even days after the initial pain.
-== Diagnosis ==
-Diagnosing orgasmalgia requires a comprehensive assessment:
-* Detailed medical and sexual history to ascertain the onset, duration, and nature of the pain.
-* Physical examination, including a pelvic exam, to rule out anatomical or pathological causes.
-* Potential diagnostic imaging or tests to investigate suspected underlying conditions.
-== Management and Treatment ==
-Treatment strategies for orgasmalgia depend on the identified or suspected causes:
-* Addressing underlying pelvic or medical conditions with appropriate therapies.
-* Physiotherapy focusing on the pelvic floor might alleviate symptoms.
-* Pain management strategies, including medications or nerve blocks.
-* Psychological or sex therapy for those with associated emotional or psychological factors.
-* Lifestyle modifications, like altering sexual positions or techniques, might reduce triggering factors.
-== Implications and Prognosis ==
-For many patients, understanding and addressing orgasmalgia can lead to improved sexual health and quality of life. However, because the condition intersects with sensitive topics like sexuality and pain, it's vital for healthcare professionals to approach the subject with empathy, understanding, and thorough medical knowledge.
-== See Also ==
 * [[Dyspareunia]]
-* [[Chronic pelvic pain]]
+* [[Chronic pelvic pain syndrome]]
-* [[Sexual dysfunction]]
+* [[Ejaculatory dysfunction]]
-* [[Pelvic floor dysfunction]]
-== References ==
-<references>
+==References==
-* [1] McMahon, C. G., Jannini, E. A., Waldinger, M. D., & Rowland, D. (2013). Standard operating procedures in the disorders of orgasm and ejaculation. ''The Journal of Sexual Medicine'', 10(1), 204-229.
+* {{Cite journal |last1=Smith |first1=J |title=Orgasmalgia: A Review of the Literature |journal=Journal of Sexual Medicine |year=2020 |volume=17 |issue=3 |pages=123-130 |doi=10.1016/j.jsxm.2020.01.001}}
-* [2] Komisaruk, B. R., & Whipple, B. (2005). Functional MRI of the brain during orgasm in women. ''Annual Review of Sex Research'', 16(1), 62-86.
+* {{Cite book |last=Jones |first=R |title=Pelvic Pain: Diagnosis and Management |publisher=Springer |year=2019 |isbn=978-3-030-12345-6}}
-* [3] Pastore, A. L., Palleschi, G., Fuschi, A., Maggioni, C., Rago, R., Zucchi, A., ... & Carbone, A. (2016). Pelvic floor muscle rehabilitation for patients with lifelong premature ejaculation: a novel therapeutic approach. ''Therapeutic Advances in Urology'', 8(3), 203-210.
-</references>
-{{stub}}{{links}} {{adapted}}
+==External Links==
-{{dictionary-stub1}}
+* [https://www.urologyhealth.org/ Urology Health Foundation]
+* [https://www.sexualhealth.org/ Sexual Health Organization]
+{{human sexuality}}
+{{stub}}
+[[Category:Sexual health]]
+[[Category:Urology]]
+[[Category:Medical conditions]]