Post-Sexual Abdominal Pain in Women: Causes and Solutions

Abdominal pain after sexual intercourse in a female partner?

Hello Dr.
Tsao,
I have researched some information online, but I still have some questions, so I am reaching out to consult with you.
My girlfriend experienced abdominal pain after sexual intercourse today.
She mentioned that she has occasionally felt pain after sex in the past as well.
The pain gradually diminishes over time but persists until the day after the sexual activity before it completely resolves.
Online explanations suggest that insufficient experience or overly frequent and vigorous intercourse could lead to post-coital abdominal pain, which typically resolves quickly.
However, if the pain lasts for two to three days, it could indicate some conditions, such as endometriosis or tumors.

I would like to ask if I can determine the cause of her abdominal pain.
My girlfriend feels that her symptoms do not warrant medical attention.
Is it possible for me to modify our approach during our next sexual encounter and observe whether her abdominal pain is due to a medical condition or simply the result of improper sexual activity?

Mr. Wu, 20~29 year old female. Ask Date: 2016/07/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to diagnose based on the described symptoms.
It may be due to frequent and intense sexual activity.
If discomfort persists, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/07/30

More Info

Understanding post-sexual abdominal pain in women can be complex, as it may stem from various causes, ranging from benign to more serious medical conditions. In your girlfriend's case, experiencing abdominal pain after sexual intercourse could be attributed to several factors, including anatomical issues, hormonal changes, or underlying medical conditions.

Common Causes of Post-Sexual Abdominal Pain
1. Muscle Strain: Engaging in sexual activity can sometimes lead to muscle strain, particularly if the positions used are strenuous or if there is a lack of adequate foreplay. This can result in discomfort or pain in the abdominal area.

2. Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs that can cause significant pain, especially after sexual intercourse. PID can arise from sexually transmitted infections (STIs) and may require medical treatment.

3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside of it, leading to severe pain during menstruation and potentially during or after sex. If your girlfriend's pain persists or worsens, this could be a condition to consider.

4. Ovarian Cysts: These fluid-filled sacs on the ovaries can cause pain, especially if they rupture. The pain may be felt in the lower abdomen and can sometimes be triggered by sexual activity.

5. Uterine Fibroids: These non-cancerous growths in the uterus can lead to discomfort during sex and may cause abdominal pain afterward.

6. Allergic Reactions: In some cases, an allergic reaction to latex in condoms or lubricants can lead to irritation and pain after sex.

7. Psychological Factors: Anxiety or stress related to sexual performance or past experiences can also manifest as physical pain.

Recommendations for Management
1. Observation: Since your girlfriend's pain seems to resolve within a few days, it may be beneficial to monitor her symptoms. Keeping a diary of when the pain occurs, its intensity, and any accompanying symptoms can help identify patterns.

2. Communication: Discussing comfort levels and preferences during sexual activity can help reduce discomfort. Ensuring adequate foreplay and using lubrication can also minimize pain.

3. Position Adjustment: Experimenting with different sexual positions may help alleviate discomfort. Some positions may place less strain on the pelvic area.

4. Consultation with a Healthcare Provider: If the pain persists, worsens, or is accompanied by other symptoms such as abnormal bleeding, fever, or unusual discharge, it is crucial for her to see a healthcare provider. A thorough examination can rule out serious conditions like PID, endometriosis, or ovarian cysts.

5. Pain Management: Over-the-counter pain relief, such as ibuprofen or acetaminophen, can be used to manage discomfort after sexual activity.

6. Regular Check-ups: Encourage her to have regular gynecological check-ups, especially if she has a history of painful periods or other reproductive health issues.

Conclusion
While occasional post-sexual abdominal pain can be normal, especially if it resolves quickly, persistent or severe pain warrants further investigation. It’s essential to approach the situation with care, ensuring that your girlfriend feels comfortable discussing her symptoms and seeking medical advice if necessary. Open communication and a supportive approach can help both of you navigate this issue effectively.

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