Conversation: The conversation between human and AI assistant.
[|Human|] My husband and I had intercourse and I was on top. I came down too hard and instead of penetrating me straight in his penis went in at an angle toward the back of my vaginal wall causing excruciating pain in my rectum and tailbone. Since then I have terrible pain in my tailbone especially when sitting or changing position from sitting to standing. It isnt getting better even with NSAIDS and intermittent ice to area. Is it possible that I couldve fractured my coccyx? Even having a bowel movement hurts the coccyx area. Im too embarrassed to go to the doctor and explain what happened.
[|AI|]  Hello, I have studied your case. There can be coccyx bone injury or there can be rectal mucosa injury along with vaginal wall injury. For resistant coccydynia sacral local block injection may be helpful. Phototherapy [local injection] may also work for sacral pain. Consult your doctor for further investigation and clinical examination and injection. Physiotherapy like ultrasound and inferential therapy will give relief. I will advise checking your it B12 and it D3 level. Continue site bath and use of ring cushion. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.