Uterine Pain After Intercourse: When to Seek Medical Attention - Obstetrics and Gynecology

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Uterine pain


Hello doctor, my girlfriend is experiencing discomfort in her uterus and noticeable pain three days after intercourse.
What could be the possible reasons for this? Does she need to seek medical attention immediately?

Yīshī nín hǎo, 20~29 year old female. Ask Date: 2016/04/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is advisable to seek a physician's diagnosis and treatment if you notice any abnormal symptoms.
Thank you! Wishing you safety and good health.
Dr.
Zhang

Reply Date: 2016/04/14

More Info


Experiencing uterine pain after intercourse can be concerning, and it's important to understand the potential causes and when to seek medical attention. There are several reasons why your girlfriend might be feeling discomfort or pain in the uterus after sexual activity.

1. Normal Post-Intercourse Discomfort: It's not uncommon for some women to experience mild discomfort after intercourse, especially if there was vigorous activity or if there was insufficient lubrication. This discomfort usually resolves on its own within a short period.

2. Infection: One of the more serious causes of uterine pain after intercourse could be an infection, such as pelvic inflammatory disease (PID) or a urinary tract infection (UTI). These infections can cause significant pain and may be accompanied by other symptoms such as fever, unusual discharge, or painful urination.

3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside the uterus, leading to pain during or after intercourse. Endometriosis can cause chronic pelvic pain and may require medical intervention.

4. Fibroids or Polyps: Uterine fibroids or polyps can also lead to discomfort during or after intercourse. These growths can cause pressure and pain, and they may require monitoring or treatment depending on their size and symptoms.

5. Cervical Issues: Conditions affecting the cervix, such as cervical inflammation or cervical ectropion, can lead to pain during or after intercourse. This pain may be more pronounced if there is any trauma to the cervix during intercourse.

6. Ovulation Pain: If your girlfriend is near the time of ovulation, she may experience mittelschmerz, which is a type of pain that occurs during ovulation. This pain can sometimes be mistaken for uterine pain.

Given that your girlfriend is experiencing significant discomfort three days after intercourse, it is advisable to seek medical attention, especially if the pain is severe, persistent, or accompanied by other symptoms such as fever, abnormal bleeding, or unusual discharge. A healthcare provider can perform a thorough evaluation, which may include a pelvic examination, ultrasound, or other diagnostic tests to determine the underlying cause of the pain.

In summary, while some discomfort after intercourse can be normal, significant or persistent pain warrants a medical evaluation to rule out infections or other serious conditions. It’s always better to err on the side of caution when it comes to health concerns, especially those involving reproductive health. Encourage your girlfriend to consult with a healthcare professional for a proper assessment and appropriate treatment if necessary.

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