What causes pain after sex?

WE got married four months ago. My wife gets serious pains lasting about three minutes after sex. It only happens when she is about a week to her periods. Is this the reason she is not conceiving?

We got married four months ago. My wife gets serious pains lasting about three minutes after sex. It only happens when she is about a week to her periods. Is this the reason she is not conceiving?
DC


Dear DC,
Pain during or after sex for a woman usually means a problem in the deep organs. You describe specific pain coming at a specific time, one week to the periods. Around this time, a woman ovulates (releases the egg). The pain could be related to this.

The best advice is to see a doctor to rule out anything serious.

Although a man is ‘fertile’ all his adult life, a woman is only fertile 4-5 days in her month. You may not have been having sex on those fertile days. For this reason, doctors start investigating infertility if a couple has been having sex regularly for at least a year without conceiving.

Doctors investigate a couple because even a man may be infertile. But, from what you write, we have no reason to investigate you.


Last year, I got swelling in one testes and it went down. But now when I have sex I don’t produce semen but I get orgasms. What can I do to have children?
Fred


Dear Fred,
Sperms are made in testes. They flow from the testes through tubes. Other fluids are added to them before they come out as ejaculate (semen).

It’s possible the swelling affected both testes and stopped them producing sperms.

Or it may have led to blockage of the tubes in which case sperms are produced, but cannot get out of the body.

It is also possible the sperms and semen are ejected into the urinary bladder (it’s called retrograde ejaculation) and then come out with urine.

Orgasm is a reaction from the brain and that is ok. It’s your system that pushes out sperms that has problems.

You need to see a urologist, a specialist in these problems. They will investigate, make a diagnosis and advise what to do.


Questions answered by Dr. Paul Semugoma