Clinical Conundrum: A 33-Year-Old With Pain Post-Orgasm and a History of Endometriosis
1Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC; BC Women's Centre for Pelvic Pain and Endometriosis, Vancouver, BC.
Abstract:
A 33-year-old with a history of endometriosis presented with pain post-orgasm, accompanied by breakthrough bleeding, nausea, sweatiness, and exhaustion. History and examination suggested a gynaecologic component, likely related to the uterus itself. After several therapeutic trials, a clinical response was obtained with the use of a gonadotropin-releasing hormone antagonist, elagolix. The case is discussed with respect to dysorgasmia and post-orgasm illness syndrome. Post-orgasm pain in women has not been well studied, and it is recommended that such periorgasm phenomena be the topic of future research.
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