Tailbone (Coccyx) Pain Intercourse for some women

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Pain during Intercourse for Some Women as a Symptom of Coccyx Damage

The coccyx is the small triangular shaped bone located in the lower back below the lumbar and sacrum spines, referred to as the tailbone. Though not prone to most conditions that affect other parts of the spine, the coccyx can become damaged as the result of an accident or hard fall. When this occurs, it can make sexual intercourse painful for some women.

Coccyx Pain Symptoms –Pain During Intercouse

Coccyx damage is rare but prevalent in women due to the differences in spinal anatomy than their male counterparts. Pain in the coccyx can be exacerbated by a difficult labor and delivery in childbirth or from an accident or fall. Sometimes this damage can translate to pain during intercourse.

Is Pain During Intercourse a Symptom of Coccyx Damage?

The coccyx consists of multiple bones fused to the sacrum by a vestigial disc and ligaments. The triangular shaped bone has limited movement so most damage to it comes in the form of trauma from accidents or falls. When the coccyx is damaged, the ligaments attached to it can become inflamed. A difficult labor and delivery during childbirth can result in coccyx pain, also known as coccydynia.

A woman’s anatomy makes her more susceptible to coccyx damage. The female pelvis is wider than a man’s and tilts forward allowing more pressure on the coccyx when sitting. The pelvic floor muscles attach to the coccyx. If the coccyx has been damaged, the pain may affect these pelvic floor muscles as well, resulting in pain, tightness, and pressure during sexual intercourse. As the pelvic floor muscles tighten in response to the coccyx damage, the coccyx may shift as a reaction, worsening the pain.

A physician should be consulted when pain is present during intercourse to confirm it is a result of coccyx damage on not the result of another medical concern. The coccyx will usually heal on its own, but the process can be slower-than-desired, painful and frustrating for some patients. Over-the-counter medications, like ibuprofen or naproxen, may be ordered by your spine health expert for relief from mild pain. Both of these medications are NSAIDS (non-steroidal anti-inflammatory drugs) and can aid in decreasing inflammation and pain. If the pain is severe, the physician may prescribe prescription pain medications, particularly a muscle relaxer to release tension in the pelvic floor muscles, thus alleviating the pain during intercourse as a result of the coccyx damage.

Physical therapy should also be considered if the pain persists. A physical therapist can recommend exercises to alleviate coccyx pain and the symptom of pain during intercourse that may be accompanying it.

At-a-Glance: Pain during Intercourse in Some Women with Coccyx Damage

  • The Microdiscectomy surgery incision measures less than 1” wide
  • Muscles are not dissected during the surgical process so that healing can be quicker and less painful
  • Minimally invasive microdiscectomy surgery recovery time is usually quicker than traditional open spine surgeries for most patients
  • As a sciatica pain treatment, microdiscectomy surgery is an outpatient procedure

Health Tips For Coccyx Damage

  • Consult a physician to determine the precise diagnosis of your pain
  • After a coccyx pain diagnosis is confirmed talk openly with your physician about the pain during intercourse and the best way to minimize it
  • Consider an over-the-counter NSAID medication (non-steroidal anti-inflammatory drug) like ibuprofen or naproxen
  • If coccyx pain is severe, your physician may prescribe a prescription pain medication and suggest avoiding sexual activity until the area has had more time to heal
  • Consider physical therapy treatments
  • Changing positions may help to alleviate coccyx pressure and pain

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