Question
I sometimes experience extreme pain near the anal area after intercourse. It feels like something is contracting there. For your information, I have never engaged in anal sex. The pain gets so bad until I have to hold my breath and remain still until it goes away. The strange thing is that I don’t feel any of this kind of pain during sex. What’s wrong with me?

Answer
During sexual intercourse there is a lot of muscle contraction to facilitate genital control. The vagina is kept contracted by the woman throughout penile movement and in doing so the anal sphincter is automatically kept on contracted mode. Through sexual intercourse all these events are taking place and in some women the muscle can go into spasm right after cessation of intercourse and occasionally the spasm follows after climax. Keeping still is probably the best solution. However if this persists lovemaking can be very challenging to the woman. Doing regular pelvic floor exercise namely the Kegel exercise (similar to holding back urine or flatus) might be helpful in the long run. Try to do about 50-100 times a day.