Pain During Intercourse: Causes and When to Seek Help - Obstetrics and Gynecology

More Info

---

Experiencing abdominal pain after intercourse can be concerning, and it’s important to understand the potential causes and when to seek medical help. There are several factors that could contribute to this discomfort, and they can range from benign to more serious conditions.

1. Physical Factors: One common reason for abdominal pain during or after intercourse is related to the physical activity involved. If the intercourse was particularly vigorous or deep, it could lead to muscle strain or discomfort in the abdominal area. This is especially true if there was a lack of adequate lubrication, which can cause friction and discomfort.
2. Positioning: Certain sexual positions can put pressure on the abdomen or pelvic area, leading to discomfort. If a position causes deep penetration, it might also lead to pain, especially if the partner has a sensitive cervix or if there is any underlying condition affecting the reproductive organs.

3. Infections: Another possibility is the presence of a pelvic infection, such as pelvic inflammatory disease (PID), which can occur due to sexually transmitted infections (STIs). Symptoms of PID can include abdominal pain, fever, and unusual discharge. If your girlfriend has any additional symptoms such as fever, unusual discharge, or persistent pain, it’s important to seek medical attention.

4. Ovarian Issues: Conditions such as ovarian cysts can also cause pain during or after intercourse. If the cyst is large or ruptures, it can lead to significant discomfort. Other ovarian issues, such as endometriosis, can also cause pain during sexual activity.

5. Gastrointestinal Issues: Sometimes, the pain may not be directly related to the reproductive system. Gastrointestinal issues, such as gas, bloating, or constipation, can also manifest as abdominal pain after intercourse.
6. Psychological Factors: Anxiety or stress related to sexual activity can also lead to physical symptoms, including abdominal pain. If there is any emotional distress or anxiety surrounding the sexual experience, it could contribute to discomfort.


When to Seek Help
If the pain is mild and subsides within a few hours, it may not be a cause for concern. However, if the pain persists, worsens, or is accompanied by other symptoms such as fever, vomiting, unusual discharge, or significant changes in menstrual cycles, it is crucial to seek medical attention.
In general, it’s advisable to consult a healthcare provider if:
- The pain is severe or persistent.

- There are additional symptoms such as fever, chills, or unusual discharge.

- There is a history of STIs or pelvic inflammatory disease.

- The pain affects daily activities or quality of life.


Conclusion
In summary, while abdominal pain after intercourse can sometimes be attributed to physical factors such as vigorous activity or positioning, it can also indicate underlying medical conditions that require attention. It’s important to monitor the symptoms and seek medical advice if there are any concerning signs. Open communication with your partner about discomfort and any symptoms is also essential for both physical and emotional well-being.