Dear Dr. Kate, My G-Spot Gives Me Cramps, Nausea and Pain!

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Dr. Kate is an OB/GYN at one of the largest teaching hospitals in New York City and she answers your medical questions every few weeks on EMandLO.com. To ask her your own question, click here.

Dear Dr. Kate,

Every time my boyfriend tries to give me a G-spot orgasm, it feels really good for about a minute. Then I get intense menstrual-like cramps and nausea and he has to stop so I can lay in the fetal position for a while till I can move again. The cramps dont stop for at least a few hours and I feel so stupid when it happens. Please help me!

— G-Whiz

Dear GW,

You’re not the only one who gets pain after orgasm. Called dysorgasmia by some, the pain is caused by intense muscle cramping that can spread to your back or even your rectum, and can last for minutes to hours. Nausea and even vomiting aren’t uncommon with the pain as well. I don’t know how widespread a problem like dysorgasmia is, because it doesn’t appear in the medical texts or literature – I’ve learned more about it from the internet and my patients than anywhere else. For some women it’s a sign of endometriosis, and suppressing their menstrual cycles helps. For others, reducing caffeine and taking an anti-inflammatory (high-dose ibuprofen or naproxen) two hours before sex seems to help. And some women have had to change their birth control method altogether to find relief. If the pain comes anyway, try heat – a heating pad, hot water bottle or soaking in a really hot bath as soon as the pain starts. If none of these measures work, please see your gyno.

— Dr. Kate

Dr. Kate is an OB/GYN at one of the largest teaching hospitals in New York City. She also lectures nationally on women’s health issues and conducts research on reproductive health. She generously shares her medical wisdom with EM & LO readers every few weeks. Check out more of her advice and ask her a question at Gynotalk.com.


  1. Why every my G spot is touched even ever so slightly I get really nauseous and if it’s continued to be touched I throw up. There no pain and no orgasm at all. I have no clue why.

  2. I have started experiencing this after orgasm thru mastrubation,I’m 62,no ovaries,uterus, etc..last year I had a colon resection and then 6 months later,a hernia repair with mesh. I am wondering if the mesh is the problem? I also have bad discs in my lower back,any suggestions? Thanks 😉

  3. I find that if I am 1-2 weeks away from my period I get period cramps after I orgasm. They are not severe though.

  4. I echo what Jenna says and add one more: I’ve found that the closer I get towards my period, the more likely my partner will hit my cervix too hard (or ovary – not sure which, either way it’s deep) and I’ll get the same cramps, nausea and have to sit in fetal for a while.

    I’ve learned that for me, I have to go into shallow positions only if I’m less than a week away from my period.

    My OB/Gyn says it’s likely the cervix since the cervix will drop lower in the vaginal canal the further through your cycle you are due to how much content the uterus is carrying (basic gravity).

  5. As an extension of what Figleaf mentioned, is it possible that he is hitting your cervix by accident? Just suggesting it because, lately, I have been getting menstrual like cramps and nausea if my man hits my cervix too hard by mistake. If you want to keep trying the g spot thing (although figleaf makes an excellent case for not) maybe you should adjust the angel and not use too much pressure too quickly.

  6. For me I’d say the first thing to do is ask your boyfriend to stop trying to stimulate your g-spot! I mean, how often does he do this?!?

    Second of all, even if his theory (his theory, right) about the way to produce your g-spot orgasms was right, just a minute of stimulation probably wouldn’t be long enough.

    So! He’s doing something that really hurts you and it’s not orgasmic for you either.

    Based just on the published text, while I think Dr. Kate’s recommendation for treating dysorgasmia is spot on I don’t think that’s what’s happening to you.

    One way to tell would be to ask whether you have orgasms from other kinds of stimulation. And whether those orgasms give you the same awful symptoms. Have you had these symptoms with other partners? With just yourself? If not then maybe it’s something about him and not you?

    I’m going to go out on a limb and say the symptoms you describe sound very similar to what men feel when our testicles get thumped — the famous “kicked in the balls” feeling. The clue is nausea and feeling like cramps.

    Based on some of the… um… vigorous methods for g-spot “stimulation” you can find on the internet I wonder if your boyfriend isn’t similarly thumping one of your ovaries.

    Again, Dr. Kate is way more an expert than I am, and I know it’s not common for ovaries to be “reachable” by internal stimulation. And so this is all just speculation on my part. But a partner in my past had an ovary located where she had to be careful about which positions she had intercourse in. And her symptoms when her ovary got bumped was pretty similar to what you describe.

    So. I dunno. Whether its ovaries or something else there’s something that’s even more important. The anterior wall of your vagina isn’t a GameBoy controller. Making you “squirt” isn’t going to unlock all the canisters in “Asteroid Chase!” Your partner needs to f-ing stop trying to “give” you g-spot orgasms! You need to tell him to stop trying.

    He’s doesn’t know something you don’t know about “how to make love to a woman.”

    One last thing, even if this is just a one-situation phenomenon with one partner it’s probably a good idea to see an OB/GYN about it. Nothing about sex (this part anyway) should hurt like that.

    Good luck!


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