After Orgasm Have Severe Pain In Genital Tract. Goes After Using Clingen And Evalon. Suggest?
 
                                    
                                    
                                                
                                                Wed, 25 Sep 2013
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Fri, 18 Oct 2013
                                                
                                                
                                                Last reviewed on
                                             
                                            CLITORAL PRIAPISM LIKELY
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us with your health concern.
What you describe sounds very much like priapism.
This is a state of continued orgasmic state, and is mostly seen in males, and rarely in females.
Basically during orgasm, the blood supply to the genital tract, particularly the clitoris, gets increased.
After orgasm is over, the blood vessels reduce in size and stop engorging, also the contractions of the muscles of the genital tract gradually stop.
In some women, due to unknown reason, the engorgement and contractions persist for hours or even days, leading to intense and unbearable pain.
Please consult a gynecologist to confirm this diagnosis.
It is treated with painkillers, drugs called alpha adrenergic agonists, ice packs.
Sometimes, painkillers or antispasmodics have to be taken prophylactically ( for prevention ) before sexual activity.
ANother possibility in your case is endometriosis.
This is a condition where there is presence of endometrial tissue ( the tissue that lines the uterus ) OUTSIDE the uterus, in the tubes, ovaries and pelvic surfaces - and causes extreme pain during periods, during intercourse, orgasm , bowel movement etc.
However, you have not mentioned any pain during periods or during intercourse - only during orgasm, so this diagnosis seems less likely.
You should have a thorough XXXXXXX examinatino - per vaginum and per speculum ( preferably during the acute episode ) to have a proper confirmation.
All the best.
Please feel free to ask further follow up questions.
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