Lower Abdominal Pain After Intercourse: Causes and Concerns

Lower abdominal pain after intercourse?

1.
On March 13th, after being intimate with my girlfriend (there was no pain during the process), she mentioned experiencing pain in her lower abdomen afterward, and that bending her body slightly alleviated the discomfort.

2.
The pain felt like gas that couldn't be released; she felt the urge to pass gas but couldn't.
The next day, upon waking, the pain had lessened, but it was still present, and any contraction of the uterus would trigger pain.

3.
Previously, after intimacy, she had a sensation of bloating in her abdomen, but applying pressure helped release the gas.

4.
She has symptoms of uterine prolapse and has not had her period for 44 days.
I would like to ask the doctor what these symptoms might indicate.

Niming, 30~39 year old female. Ask Date: 2019/03/14

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
After having intercourse with my girlfriend on March 13th (there was no pain during the process), she mentioned experiencing lower abdominal pain afterward, which only slightly alleviated when she bent her body.
2.
The pain felt like gas that couldn't be released; she felt the urge to pass gas but couldn't.
The next day, upon waking, the pain had lessened but was still present, and it would hurt whenever her uterus contracted.
3.
Previously, she had experienced a feeling of bloating in her abdomen after intercourse, but pressing on her stomach helped release the trapped gas.
4.
She has symptoms of uterine prolapse and has not had her period for 44 days.
I would like to ask the doctor what these symptoms indicate.
Answer: A medical examination is necessary to determine the cause.

Reply Date: 2019/03/14

More Info

Lower abdominal pain after intercourse can be concerning and may arise from various causes. In your girlfriend's case, the symptoms you described, including pain that feels like gas pressure and the need to bend her body to alleviate discomfort, warrant a closer examination. Here are some potential causes and considerations regarding her symptoms:
1. Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted infections (STIs). PID can lead to abdominal pain, especially after intercourse, and may be accompanied by other symptoms such as unusual discharge, fever, or painful urination.

2. Ovarian Cysts: These fluid-filled sacs on the ovaries can cause pain, especially during or after intercourse. If a cyst ruptures, it can lead to sudden and severe pain. The sensation of pressure or bloating can also be associated with ovarian cysts.

3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside of it, often leading to significant pain, particularly during menstruation or intercourse. Symptoms can include chronic pelvic pain, painful periods, and pain during intercourse.

4. Uterine Fibroids: These benign tumors in the uterus can cause discomfort and pressure, particularly during sexual activity. They can also lead to heavy menstrual bleeding and other symptoms.

5. Gas and Digestive Issues: The sensation of needing to pass gas but being unable to can be related to gastrointestinal issues. Bloating and discomfort can occur after eating certain foods or due to digestive disorders, which may be exacerbated by physical activity, including sexual intercourse.

6. Uterine Prolapse: Since you mentioned that your girlfriend has symptoms of uterine prolapse, this could contribute to her discomfort. Prolapse occurs when the uterus descends into the vaginal canal, which can lead to pressure, pain, and discomfort during various activities, including intercourse.

7. Pregnancy: Given that your girlfriend has not had her period for 44 days, it is essential to consider the possibility of pregnancy. Early pregnancy can sometimes cause cramping and discomfort, and if there is a concern about ectopic pregnancy (where the embryo implants outside the uterus), this could be a medical emergency.

Given these potential causes, it is crucial for your girlfriend to consult with a healthcare provider for a thorough evaluation. A gynecological examination, possibly including an ultrasound, may be necessary to determine the underlying cause of her symptoms. Additionally, if she is experiencing significant pain, unusual discharge, or any other concerning symptoms, she should seek medical attention promptly.

In the meantime, it may be helpful for her to keep track of her symptoms, including the timing of pain in relation to her menstrual cycle, any changes in her discharge, and any other associated symptoms. This information can assist her healthcare provider in making an accurate diagnosis.

In conclusion, while lower abdominal pain after intercourse can stem from various benign causes, it is essential to rule out any serious conditions, especially given the symptoms of uterine prolapse and the absence of menstruation. Seeking medical advice is the best course of action to ensure her health and well-being.

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