Pelvic Pain After Intercourse: Causes and Concerns

After having intercourse with my girlfriend, she feels pain?

Recently, after having intercourse with my new girlfriend, she mentioned that she has been feeling pain in her lower region.
Three days after we had sex, she told me that she feels discomfort in her pelvic area and wants to know if this could be caused by our sexual activity.
My girlfriend had not engaged in sexual intercourse for over a year after breaking up with her previous boyfriend, but during our encounter, she initially experienced some pain due to my larger size, although the discomfort subsided as we continued.

A couple of years ago, I underwent STI screening and tested borderline positive for Chlamydia, but I completed the medication prescribed by the doctor and did not experience any further discomfort or symptoms afterward.
I am wondering if I could have been cured.
However, my girlfriend is concerned that her pelvic pain might be due to my infection not being completely resolved, or if it could be related to her lack of sexual activity combined with my size causing her discomfort.
I would appreciate your insights on this matter.
Thank you.

Yi Yi, 20~29 year old female. Ask Date: 2016/04/12

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended to consult with a urologist and an obstetrician-gynecologist to determine if there is an infection or other underlying causes that require treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/04/12

More Info

Pelvic pain after intercourse can be a concerning issue for both partners, and understanding the potential causes is essential for addressing the discomfort. In your girlfriend's case, several factors could contribute to her pelvic pain following sexual activity.

Firstly, it's important to consider the possibility of physical discomfort due to the size of the male partner's genitalia, especially if your girlfriend has not been sexually active for an extended period. After a long hiatus from sexual activity, the vaginal and pelvic muscles may not be accustomed to penetration, leading to discomfort or pain during or after intercourse. This is particularly true if there was any initial discomfort during penetration, which could have caused her to tense up, further exacerbating the pain.

Additionally, if your girlfriend experienced pain during intercourse, it could indicate insufficient lubrication, which is common, especially if she was nervous or not fully aroused. Lack of lubrication can lead to friction and discomfort, which may linger after the act. Encouraging her to communicate openly about her comfort levels and ensuring adequate foreplay can help alleviate this issue in the future.

Another critical aspect to consider is the potential for underlying medical conditions. Conditions such as pelvic inflammatory disease (PID), endometriosis, or even ovarian cysts can cause pelvic pain, particularly after sexual activity. If your girlfriend continues to experience discomfort, it would be wise for her to consult a healthcare provider for a thorough evaluation. This may include a pelvic exam and possibly imaging studies to rule out any serious conditions.

Regarding your previous chlamydia infection, it is essential to note that while you may have completed treatment, there is a possibility of reinfection or complications if the infection was not entirely cleared. Chlamydia can lead to PID if left untreated, which can cause chronic pelvic pain. If your girlfriend is concerned about this, she should also consider getting tested for sexually transmitted infections (STIs), including chlamydia, to ensure that both of you are healthy.

In summary, the pelvic pain your girlfriend is experiencing could be attributed to a combination of factors, including physical discomfort from penetration, potential underlying medical conditions, and concerns about past infections. It is crucial for her to communicate her feelings and discomfort with you and to seek medical advice if the pain persists. Open dialogue about sexual health and comfort can significantly enhance both partners' experiences and ensure that any underlying issues are addressed promptly.

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