Lower Abdominal Pain After Sexual Activity: Causes and Concerns

Q: Lower Abdominal Pain After Sexual Activity: Causes and Concerns

Hello： There are many possible causes for your lower abdominal pain. <br>Please visit a clinic for an examination to determine the source of the problem.

Lower abdominal pain?

Hello, I would like to ask, I have sexual intercourse with my boyfriend once a week, but last week we had intercourse for two consecutive days, which resulted in discomfort and pain in my lower abdomen, similar to premenstrual symptoms.
In the past, this pain would disappear within a day or two, but now it has been three days and I am still experiencing pain.
Could this be due to uterine issues? Additionally, I am feeling a bit dizzy and nauseous; could this indicate pregnancy? (We used a condom.) My last menstrual period started on March 29, and I had intercourse on March 3, March 9, and March 10.
My cycle is approximately 31 days.
Every time my boyfriend penetrates, I experience pain as if it were my first time; what could be the reason for this? I apologize for asking so many questions, and I appreciate your help.
Thank you!

VICKEY, 30~39 year old female. Ask Date: 2005/04/13

Dr. Dai Qihan reply Obstetrics and Gynecology

Hello: There are many possible causes for your lower abdominal pain.
Please visit a clinic for an examination to determine the source of the problem.

Reply Date: 2005/04/13

More Info

Lower abdominal pain after sexual activity can be a concerning symptom for many individuals, and it is essential to understand the potential causes and implications. Based on the information you provided, there are several factors to consider regarding your symptoms, including the nature of the pain, its duration, and any accompanying symptoms such as dizziness and nausea.

Firstly, it is not uncommon for individuals to experience discomfort or pain in the lower abdomen after sexual activity. This can be attributed to several reasons:
1. Pelvic Congestion: Sexual arousal leads to increased blood flow to the pelvic region, which can cause a feeling of fullness or pressure. If sexual activity is prolonged or intense, this congestion can result in discomfort or pain, similar to what you might feel before menstruation.

2. Muscle Strain: Engaging in sexual activity can sometimes lead to muscle strain in the pelvic or abdominal area, especially if positions that require significant physical exertion are used. This strain can manifest as pain that may last for a few days.

3. Cervical or Uterine Sensitivity: Some individuals may have a sensitive cervix or uterus, which can lead to pain during or after intercourse. If penetration is deep or vigorous, it can cause discomfort, particularly if there is any underlying inflammation or sensitivity.

4. Infection or Inflammation: Conditions such as pelvic inflammatory disease (PID), urinary tract infections (UTIs), or even sexually transmitted infections (STIs) can cause lower abdominal pain. If the pain persists or is accompanied by other symptoms such as fever, unusual discharge, or significant discomfort, it is crucial to seek medical attention.

5. Hormonal Factors: Since you mentioned that your menstrual cycle is around 31 days, hormonal fluctuations can also play a role in how your body responds to sexual activity. If you are close to your menstrual period, you may experience premenstrual symptoms, including abdominal cramping.

Regarding your concerns about pregnancy, while using condoms significantly reduces the risk of pregnancy, no contraceptive method is 100% effective. If you are experiencing symptoms such as dizziness and nausea, it may be wise to take a home pregnancy test or consult with a healthcare provider for further evaluation.

The pain you describe as similar to what you feel before your menstrual cycle could indeed be related to hormonal changes or pelvic congestion. However, if this pain is persistent and has lasted for more than a few days, it is advisable to consult with a healthcare professional. They can perform a thorough examination, possibly including a pelvic exam, and may recommend imaging studies or laboratory tests to rule out any underlying conditions.

In conclusion, while lower abdominal pain after sexual activity can be common and often benign, it is essential to monitor your symptoms closely. If the pain persists, worsens, or is accompanied by other concerning symptoms, seeking medical advice is crucial to ensure proper diagnosis and treatment. Your health and well-being should always be a priority, and a healthcare provider can help you navigate these concerns effectively.

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