{"id":2398,"date":"2021-06-02T14:47:21","date_gmt":"2021-06-02T14:47:21","guid":{"rendered":"https:\/\/www.toplinemd.com\/echavarria-obgyn\/?page_id=2398"},"modified":"2021-06-29T08:01:51","modified_gmt":"2021-06-29T08:01:51","slug":"painful-periods-or-sex","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/echavarria-obgyn\/painful-periods-or-sex\/","title":{"rendered":"Painful Periods or Sex"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling PC2-single-serv-sec1\" style=\"--awb-background-position:center bottom;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:45px;--awb-background-color:#eeeeee;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/echavarria-obgyn\/wp-content\/uploads\/sites\/149\/2021\/06\/Painful-Periods-or-Sex.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first fusion-no-small-visibility\" style=\"--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;width:16.6666666667%;width:calc(16.6666666667% - ( ( 0 + 0 ) * 0.166666666667 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-two-third fusion-animated hero-service\" style=\"--awb-bg-size:cover;--awb-margin-top:90px;--awb-margin-bottom:90px;width:66.6666666667%;width:calc(66.6666666667% - ( ( 0 + 0 ) * 0.666666666667 ) );margin-right: 0px;\" data-animationType=\"zoomIn\" data-animationDuration=\"0.9\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h1 class=\"h1-60\" style=\"text-align: center;color: #fff;margin-bottom: 0\">Painful Periods or Sex<\/h1>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last fusion-no-small-visibility\" style=\"--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;width:16.6666666667%;width:calc(16.6666666667% - ( ( 0 + 0 ) * 0.166666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-section-separator section-separator big-half-circle fusion-section-separator-1 service-hero-separator\" style=\"--awb-spacer-height:99px;--awb-svg-margin-left:0;--awb-svg-margin-right:0;--awb-divider-height:99px;--awb-spacer-padding-top:inherit;--awb-sep-padding:0;--awb-svg-padding:0;\"><div class=\"fusion-section-separator-svg\"><svg class=\"fusion-big-half-circle-candy\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.1\" width=\"100%\" height=\"100\" viewBox=\"0 0 100 100\" preserveAspectRatio=\"none\" fill=\"rgba(255,255,255,1)\"><path d=\"M0 100 C40 0 60 0 100 100 Z\"><\/path><\/svg><\/div><div class=\"fusion-section-separator-spacer\"><div class=\"fusion-section-separator-spacer-height\"><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling maybe-hide\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:50px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: center;max-width: 800px;margin: 0 auto\">Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Risus commodo viverra maecenas accumsan lacus vel facilisis.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-padding-bottom:3%;--awb-background-color:#f6f8fb;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last list-column\" style=\"--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h3 style=\"color: #3c3f47;margin-bottom: 0;font-weight: 600\">Painful Periods or Sex<\/h3>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-clearfix\" style=\"float:left;margin-top:20px;margin-bottom:30px;width:100%;max-width:8%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#019ddc;border-color:#019ddc;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-4\"><p>Are sharp pains in the lower abdomen. Many women have menstrual cramps just before or during their menstrual periods.<\/p>\n<p>For some women, the discomfort is barely painful. For others, menstrual cramps may be severe enough to interfere with daily activities for a few days each month.<\/p>\n<p>Some diseases, such as endometriosis or uterine fibroids, can cause menstrual cramps. Treating the cause is essential to reducing pain. Menstrual cramps that are not caused by another illness usually decrease with age and often improve after giving birth.<\/p>\n<p><strong>Symptoms<\/strong><br \/>\nSymptoms of menstrual cramps include the following:<\/p>\n<ul>\n<li>Throbbing pain or cramps, which may be severe, in the lower abdomen<\/li>\n<li>Pain that begins 1 to 3 days before your period, peaks 24 hours after your period starts, and subsides in 2 to 3 days<\/li>\n<li>Continuous dull pain<\/li>\n<li>Pain that extends to the lower back and thighs<\/li>\n<\/ul>\n<p>Some women also present:<\/p>\n<ul>\n<li>Nausea<\/li>\n<li>Soft stools<\/li>\n<li>Headache<\/li>\n<li>Dizziness<\/li>\n<\/ul>\n<p><strong>When to see a doctor<\/strong><br \/>\nIf menstrual cramps negatively affect your life every month, if your symptoms get progressively worse, or if you started having heavy menstrual cramps after age 25, see your doctor.<\/p>\n<p><strong>Causes<\/strong><br \/>\nDuring your period, your uterus contracts to help expel its lining. Hormone-like substances (prostaglandins) involved in pain and inflammation trigger uterine muscle contractions. Higher levels of prostaglandins are related to more intense menstrual cramps.<\/p>\n<p>Menstrual cramps may be caused by the following factors:<\/p>\n<ul>\n<li>Endometriosis. The tissue lining the uterus is implanted outside the uterus, most often in the fallopian tubes, ovaries, or tissue lining the pelvis.<\/li>\n<li>Uterine fibroids. These noncancerous growths in the wall of the uterus can cause pain.<\/li>\n<li>Adenomyosis. The tissue lining the uterus begins to grow in the muscular walls of the uterus.<br \/>\npelvic inflammatory disease. This infection of the female reproductive organs is usually caused by sexually transmitted bacteria.<br \/>\ncervical stenosis. In some women, the opening of the cervix is so small that it prevents menstrual flow, causing a painful increase in pressure inside the uterus.<\/li>\n<\/ul>\n<p><strong>Risk Factors<\/strong><br \/>\nYou may be at risk for menstrual cramps if you have the following:<\/p>\n<ul>\n<li>You are under 30 years of age<\/li>\n<li>You started puberty early, at age 11 or younger<\/li>\n<li>Have heavy periods (menorrhagia)<\/li>\n<li>Have irregular menstrual bleeding (metrorrhagia)<\/li>\n<li>Have a family history of menstrual cramps (dysmenorrhea)<\/li>\n<li>Smoking<\/li>\n<\/ul>\n<p><strong>Complications<\/strong><br \/>\nMenstrual cramps do not cause other medical complications but can interfere with school, work, and social activities.<\/p>\n<p>However, certain illnesses related to menstrual cramps may have complications. For example, endometriosis can cause fertility problems. Pelvic inflammatory disease can injure the fallopian tubes, increasing the risk of implantation of a fertilized egg outside the uterus (ectopic pregnancy).<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns PC2-request-sec\" style=\"--awb-background-position:right top;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:60px;--awb-padding-bottom:60px;--awb-background-color:#17254b;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-animated\" style=\"--awb-padding-top:2%;--awb-bg-blend:overlay;--awb-bg-size:cover;\" data-animationType=\"zoomIn\" data-animationDuration=\"1.0\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">REQUEST AN APPOINTMENT<\/span><\/p><\/h3><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator\" style=\"margin-left: auto;margin-right: auto;margin-top:35px;margin-bottom:35px;width:100%;max-width:25%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#ffffff;border-color:#ffffff;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-5\"><p style=\"color: #ffffff; text-align: center;\">Interested in scheduling an appointment with one of our providers? 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