Low-Dose 'Pill' Linked to Pain During Orgasm
Women on low-estrogen formulations report more pain overall, and during sex
"You can only say there is an association [between the low-dose pills and pelvic pain]," he said. "You can't say it's cause and effect."
However, "it's certainly something people should be knowledgeable about," he added. The proposed mechanism -- that the lower estrogen somehow is linked with the pain -- is plausible, he said.
"We have observed people who have bladder pain say they often have flare-ups in the premenstrual period, which is the lowest estrogen level of the whole menstrual cycle," Payne said. However, some women also report pain in other parts of the cycle, he said.
"This information could help clinicians be aware there could be a connection between a woman's hormone level and her hormone therapy and their pain," Payne said.
However, he and other pain specialists see a subgroup of women -- those who have pain problems. Many women on the low-dose pills could be experiencing no problems at all with the lower estrogen levels, Payne said.
Women using low-dose pills who do experience pain might ask their doctor about switching to another contraceptive or using a higher dose, Rosenblum said. However, higher-dose pills are linked with other risk factors, such as blood clots and strokes, so women should discuss the pros and cons with their doctor.
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