Pain During Intercourse: When to Seek Medical Advice - Obstetrics and Gynecology

More Info

---

Experiencing pain during intercourse can be a concerning issue, and it’s important to address it appropriately. Based on your description, it seems that you are experiencing localized pain in the lower abdomen, particularly around the area just above the pubic bone, which may be accompanied by a sensation of fullness or pressure. This type of discomfort can arise from various causes, and understanding these can help determine whether further medical evaluation is necessary.

Firstly, it’s important to note that pain during intercourse, known medically as dyspareunia, can stem from a variety of factors. These can include physical conditions such as pelvic inflammatory disease, endometriosis, ovarian cysts, or even issues related to the bladder or intestines. Given that you mentioned a previous examination by a gynecologist, it’s reassuring that your uterus was found to be normal. However, there are other structures in the pelvic region that could be contributing to your discomfort.

The sensation of wanting to have a bowel movement and the localized pain when pressing on the left side could suggest a few possibilities. One potential cause could be related to gastrointestinal issues, such as irritable bowel syndrome (IBS) or constipation, which can manifest as abdominal pain that may be exacerbated during sexual activity. Another possibility could be related to the pelvic floor muscles, which can become tense or dysfunctional, leading to pain during intercourse.

Given that this pain is not a frequent occurrence but does happen, it would be prudent to monitor the situation. If the pain persists, worsens, or begins to occur more frequently, it would be advisable to seek further medical evaluation. In terms of which specialist to consult, a gynecologist would be the most appropriate choice, as they can evaluate for any gynecological conditions that may not have been apparent during your last visit. Additionally, if gastrointestinal issues are suspected, a consultation with a gastroenterologist may also be beneficial.

When you visit a healthcare provider, it’s important to provide a detailed account of your symptoms, including when the pain occurs, its intensity, any associated symptoms (such as changes in bowel habits, menstrual cycle irregularities, or urinary symptoms), and any other relevant medical history. This information can help the physician make a more accurate diagnosis and recommend appropriate treatment options.

In summary, while your previous examination showed no issues with your uterus, the symptoms you are experiencing warrant further investigation if they persist or worsen. Consulting with a gynecologist would be a good first step, and they may refer you to other specialists if necessary. Remember, it’s always better to err on the side of caution when it comes to your health, especially when it involves pain during sexual activity.