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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Tailbone Pain After Intercourse?

My husband and I had intercourse and I was on top. I came down too hard and instead of penetrating me straight in his penis went in at an angle toward the back of my vaginal wall causing excruciating pain in my rectum and tailbone. Since then I have terrible pain in my tailbone especially when sitting or changing position from sitting to standing. It isn't getting better even with NSAIDS and intermittent ice to area. Is it possible that I could've fractured my coccyx? Even having a bowel movement hurts the coccyx area. I'm too embarrassed to go to the doctor and explain what happened.
Fri, 28 Aug 2015
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

There can be coccyx bone injury or there can be rectal mucosa injury along with vaginal wall injury.

For resistant coccydynia sacral local block injection may be helpful.
Prolotherapy [local injection] may also work for sacral pain.

Consult your doctor for further investigation and clinical examination and injection.

Physiotherapy like ultrasound and interferential therapy will give relief.
I will advise to check your vit B12 and vit D3 level.
Continue sitz bath and use of ring cushion.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Causes Severe Tailbone Pain After Intercourse?

Hello, I have studied your case. There can be coccyx bone injury or there can be rectal mucosa injury along with vaginal wall injury. For resistant coccydynia sacral local block injection may be helpful. Prolotherapy [local injection] may also work for sacral pain. Consult your doctor for further investigation and clinical examination and injection. Physiotherapy like ultrasound and interferential therapy will give relief. I will advise to check your vit B12 and vit D3 level. Continue sitz bath and use of ring cushion. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.