Mild Abdominal Pain After Intercourse: What You Should Know - Obstetrics and Gynecology

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A few days after intercourse, there is mild pain in the lower abdomen?


Hello Doctor: My husband and I have decided to try for a baby (we started having unprotected intercourse on November 1, and my last menstrual period was on October 24).
A few days after, I experienced mild pain in my lower abdomen (sometimes on the left, sometimes on the right, and sometimes in the middle), which has continued until now.
It feels quite strange.
I went to see a doctor, but they mentioned it might be due to some residual matter and prescribed medication for me.
However, I am hesitant to take it because I am worried it might affect a potential pregnancy.
What should I do? I am very anxious.
Sincerely, Ms.
D.

Miss D, 30~39 year old female. Ask Date: 2009/11/12

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following advice: The lower abdominal pain you described is likely a symptom of early pregnancy and uterine congestion, not an indication of any complications.
There is no need for medication; rest is recommended.
I suggest maintaining close communication with your physician and participating in prenatal classes that can help expectant parents.
Lastly, I wish you safety and happiness!

Reply Date: 2009/11/12

More Info


Mild abdominal pain after intercourse can be concerning, especially when you are trying to conceive. It’s important to understand that there are various reasons why you might be experiencing this discomfort, and while some causes are benign, others may require medical attention.

Firstly, mild abdominal pain can be attributed to several factors, including ovulation pain (mittelschmerz), which occurs when an egg is released from the ovary. This type of pain is usually localized to one side of the abdomen and can occur around the time of ovulation, which may align with your recent sexual activity. Additionally, if you are experiencing any form of pelvic congestion or tension in the pelvic muscles, this could also lead to discomfort after intercourse.

Another possibility is that the pain could be related to the position during intercourse or the intensity of the activity, which might cause temporary strain on the abdominal muscles or ligaments. If the pain is mild and intermittent, it may not be a cause for concern. However, if the pain persists or worsens, it is essential to seek further evaluation.

In your case, since you mentioned that you are trying to conceive and are concerned about the potential effects of medication on a possible pregnancy, it is crucial to communicate these concerns with your healthcare provider. If the doctor prescribed medication, it is likely intended to address an underlying issue, such as an infection or inflammation. If you are hesitant to take the medication, you should discuss alternative options or the necessity of the treatment with your doctor. They can provide you with information on the safety of the medication during early pregnancy and help you weigh the risks and benefits.

Moreover, if you experience any of the following symptoms, you should seek immediate medical attention:
1. Severe or worsening abdominal pain.

2. Heavy bleeding or unusual discharge.

3. Fever or chills, which could indicate an infection.

4. Pain during urination or bowel movements.

5. Nausea or vomiting.

These symptoms could indicate a more serious condition, such as an ectopic pregnancy, pelvic inflammatory disease, or other complications that require prompt medical intervention.

In the meantime, consider tracking your symptoms, noting when the pain occurs, its intensity, and any associated symptoms. This information can be helpful for your healthcare provider in diagnosing the issue. Additionally, practicing relaxation techniques and gentle stretching may help alleviate some discomfort.

Lastly, if you are actively trying to conceive, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and managing stress, can positively impact your reproductive health. If you have concerns about your fertility or any ongoing symptoms, consider consulting a fertility specialist for further evaluation and guidance.

In summary, while mild abdominal pain after intercourse can be common and often benign, it is essential to monitor your symptoms closely and communicate openly with your healthcare provider about your concerns, especially regarding potential pregnancy and medication safety.

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