Orgasmic pain is an infrequently reported but distressing problem for the patients who experience it. No consensus exists as to its etiology however bladder neck/pelvic floor spasm may play a role. This analysis was conducted to assess the effect of the alpha-blocking medication, tamsulosin on post-orgasmic pain.
In a prospective, non-placebo controlled study, patients with orgasmic pain were interviewed and administered tamsulosin 0.4
98 patients were enrolled. Pain was located predominantly in the penis (72%), with other sites including testis, rectum and abdomen. Most patients (52%) experienced pain for less than 5
Tamsulosin decreases orgasmic pain intensity in patients with orgasmic pain. These data support the hypothesis that orgasmic pain is related to bladder neck and/or pelvic floor muscle spasm.
Keywords: Orgasm, Pain, Alpha-blocker, Tamsulosin.
a Department of Urology, Weill Medical College of Cornell University, New York Presbyterian Hospital, 525 E 68th Street, Starr 900, NY 10021, USA
b Department of Urology, Loyola University Medical Center, Stritch School of Medicine, Maywood, IL, USA
Corresponding author. Tel. +1 212 746 5653; Fax: +1 212 746 0403.
© 2004 Published by Elsevier B.V.