"It's absolutely possible to be experiencing pelvic pain due to orgasm. Firstly, you live in your body full time, and you're present for every orgasm you have, so I'm inclined to trust the pattern you're seeing. Secondly, I've known more than one person who enjoys sex but actively avoids orgasms for the exact same reason as you."
"Between how complicated autoimmune disorders tend to be, the incredible amount of things we know we don't yet understand about hormones, and the fact that funding for studies of how these factors affect genitals and sexuality remains insufficient, you're probably not going to find an easy, certain answer about whether hormones are involved or the cause. That said, if you're using hormones as part of your transition, do talk to the doctor who is prescribing those about whether your current mix might be exacerbating the pain you experience or increasing sensi"
Orgasm can cause pelvic pain, and pelvic pain from orgasm is a real and reportable experience. Autoimmune disorders can complicate pain patterns and make causation unclear. Hormonal influences are uncertain because research on hormones, genitals, and sexuality is limited and underfunded. If using gender-affirming hormones, consult the clinician who prescribes them to evaluate whether the hormone regimen might worsen pain or sensitivity. Managing orgasm-related pain may require medical evaluation, symptom-specific strategies, and coordination with specialists familiar with autoimmune and sexual-health interactions.
Read at Slate Magazine
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