I was on bio identical testosterone pellets for about 9 months and had been loving it. It evened out my terrible mood swings and pulled me out of deep depression, plus helped my libido. Then, I started cramping up when I’d orgasm. Not bad at first, like bad period cramps, but then got REALLY bad after my third pellet insertion. It felt like child birth contractions (I have 2 kids, and remember that sensation. Yikes!). I also had a few really bad cramps like this after the last testosterone pellet just out of nowhere (not related to orgasm).

The only thing I could find researching it was that Trans men would often have this side effect when on prolonged really high doses of T. And they’d get hysterectomy to stop it!!! Anyway, I didn’t get my last pellet last month because I was freaked out. And the cramping has subsided to only feeling like period cramps occasionally now when I orgasm. But… I am missing the positive affect of trt on my mood and libido. I’m curious if anyone has gone through something similar or has any insight or advice.

Edit to add my gyn did a transvaginal ultrasound and everything was fine. No fibroids or scar tissue. Everything was normal.