OpenHealth Q&A

Experiencing nausea during vaginal intercourse can be distressing and may stem from a variety of factors, including psychological or physical influences.

Explanation

There are several potential reasons you might feel nauseous during intercourse:

1. Psychological Factors: Given your history of mental health challenges, including depression and OCD, it’s possible that anxiety or stress around sex could be a contributing factor. Even if you're not consciously anxious, your body’s response might still trigger nausea.

2. Hormonal Fluctuations: Hormones can affect an individual’s physical responses during sexual activity. You may be experiencing heightened sensitivity or changes in hormones, which could lead to feelings of nausea.

3. Medications: Sertraline, while effective for treating depression and anxiety, can have side effects that include gastrointestinal discomfort or nausea, which might be exacerbated during sexual activity.

4. Physical Factors: Although you mentioned that you don’t typically experience pain or bleeding, it’s important to consider that any physical sensitivity in the area could cause discomfort and associated nausea.

Next Steps

Here are prioritized steps you can take to manage this issue:

1. Track Your Symptoms: Keep a diary of when you experience nausea, noting any patterns or triggers, such as timing in relation to your menstrual cycle, stress levels, or dietary habits.

2. Modify Approach: Consider trying different positions or practices that might reduce any discomfort. Communicate openly with your partner about your feelings and experiences, as this might help alleviate anxiety.

3. Manage Anxiety: Techniques such as deep breathing, mindfulness, or progressive muscle relaxation may help reduce anxiety around sexual activity. You might also find it beneficial to discuss these feelings with a mental health professional who understands sexual health and anxiety.

4. Consult about Medications: If the nausea persists, consult with your prescribing doctor about the possibility that your medication might be contributing to this reaction or to explore alternative treatments.

5. Evaluate Physical Health: While you may not currently experience physical pain, consider discussing this issue with a healthcare provider for a full evaluation, especially if it continues or worsens. They can help rule out any underlying conditions and support you better.

These steps can help you understand and hopefully alleviate the nausea you're experiencing during vaginal intercourse. Please remember that it’s important to approach this topic sensitively and to take care of your mental and emotional well-being throughout the process.