Post-Intercourse Abdominal Discomfort: Causes and Solutions for Women

Q: Post-Intercourse Abdominal Discomfort: Causes and Solutions for Women

Hello, Ms. <br>Sanbao： It is quite common to experience lower abdominal discomfort the day after sexual intercourse. <br>If the symptoms resolve on their own after some time, it is likely not a cause for concern. <br>These symptoms, which you may not have experienced before, coul

Abdominal discomfort after sexual intercourse?

Hello, I am 33 years old and gave birth to my third child naturally at the beginning of February.
Since giving birth, the frequency of sexual intercourse with my husband has decreased even more.
One reason is my lack of desire, and another is that I feel discomfort in my lower abdomen the day after intercourse, which I did not experience before.
I would like to know what could be the cause of this.
Due to the pandemic, I have not been able to visit a hospital for a check-up.
I hope to receive a response from a doctor.
Thank you.

San Bao Ma, 30~39 year old female. Ask Date: 2021/06/06

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello, Ms.
Sanbao: It is quite common to experience lower abdominal discomfort the day after sexual intercourse.
If the symptoms resolve on their own after some time, it is likely not a cause for concern.
These symptoms, which you may not have experienced before, could be due to decreased physical strength postpartum, combined with the demands of caring for three children.
Additionally, hormonal changes during breastfeeding can lead to vaginal dryness, which may also contribute to discomfort after sexual activity.

Reply Date: 2021/06/06

More Info

Post-intercourse abdominal discomfort in women can be attributed to various factors, especially after childbirth. Given your recent experience with a natural delivery, it is essential to consider both physiological and psychological aspects that might contribute to your discomfort.

1. Physical Changes Post-Delivery: After giving birth, a woman's body undergoes significant changes. The uterus contracts back to its normal size, which can cause cramping and discomfort. Additionally, hormonal fluctuations can lead to changes in vaginal lubrication and sensitivity, which may contribute to discomfort during or after intercourse. If you are experiencing abdominal discomfort, it could be due to residual uterine contractions or even pelvic floor muscle tension.

2. Pelvic Floor Dysfunction: The pelvic floor muscles support the bladder, uterus, and rectum. After childbirth, these muscles can become weakened or overly tense, leading to discomfort during intercourse. If the pelvic floor muscles are not functioning optimally, they may not relax properly during sexual activity, resulting in pain or discomfort.

3. Infections or Inflammation: Postpartum women are at risk for infections, such as urinary tract infections (UTIs) or pelvic inflammatory disease (PID), which can cause abdominal discomfort. If you notice any unusual discharge, fever, or persistent pain, it is crucial to seek medical attention to rule out infections.

4. Endometriosis or Adenomyosis: Conditions like endometriosis, where tissue similar to the uterine lining grows outside the uterus, or adenomyosis, where the tissue grows into the uterine wall, can cause pain during or after intercourse. If you have a history of painful periods or pelvic pain, these conditions might be worth discussing with your healthcare provider.

5. Psychological Factors: Your willingness to engage in sexual activity may be influenced by psychological factors, including anxiety or stress related to motherhood or changes in your body image post-delivery. It is not uncommon for women to experience a decrease in libido after childbirth, which can lead to discomfort during intercourse if there is a lack of arousal or relaxation.

6. Hormonal Changes: After childbirth, hormonal levels fluctuate significantly, which can affect vaginal lubrication and sensitivity. Insufficient lubrication can lead to discomfort during intercourse. Using water-based lubricants can help alleviate this issue.

Recommendations:
- Consult a Healthcare Provider: It is essential to discuss your symptoms with a healthcare provider, especially since you have experienced discomfort after intercourse. They can conduct a thorough examination to rule out any underlying conditions and provide personalized advice.

- Pelvic Floor Therapy: If pelvic floor dysfunction is suspected, consider consulting a physical therapist specializing in pelvic health. They can provide exercises and techniques to strengthen or relax the pelvic floor muscles.

- Open Communication with Your Partner: Discuss your discomfort with your partner. Open communication can help alleviate anxiety and improve intimacy, making the experience more comfortable for both of you.

- Gradual Reintroduction to Intercourse: If you are hesitant about sexual activity, consider gradually reintroducing intimacy in a way that feels comfortable for you. This might include non-penetrative activities that can help you reconnect with your partner without discomfort.

- Monitor Symptoms: Keep track of your symptoms, including when they occur and their intensity. This information can be helpful for your healthcare provider in diagnosing any underlying issues.

In conclusion, while post-intercourse abdominal discomfort can be common after childbirth, it is essential to address it with a healthcare professional to ensure that there are no underlying medical concerns. Taking proactive steps to understand and manage your symptoms can lead to a more comfortable and fulfilling sexual experience.

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