Experiencing Abdominal Pain During Intercourse in Pregnancy: What to Know

Abdominal pain during intercourse during pregnancy?

Hello doctor, I am 25 weeks pregnant.
Recently, my husband and I resumed sexual activity after a long time, but I have noticed that shortly after we start, I experience abdominal pain, similar to menstrual cramps.
I have to stop and rest for a while, and gently massage my belly to relieve the hardness and pain.
However, every time we engage in sexual intercourse, I feel significant pain in my abdomen, especially in the lower abdomen.
Is it safe for us to continue having sex? Thank you.

Zhiyao, 20~29 year old female. Ask Date: 2010/06/11

Dr. Chen Changfu reply Obstetrics and Gynecology

Unless there are signs of preterm labor, sexual intercourse during pregnancy is generally permissible.
It may cause occasional, temporary contractions of the uterus, leading to lower abdominal pain or pelvic congestion in the pregnant woman.
However, these symptoms typically improve with rest, and there is no need for abstinence.

Reply Date: 2010/06/11

More Info

Experiencing abdominal pain during intercourse while pregnant can be concerning, especially at 25 weeks gestation. It’s important to understand that while some discomfort can be normal, persistent or severe pain should not be ignored.
During pregnancy, the body undergoes numerous changes, including hormonal fluctuations and physical adjustments as the uterus expands. These changes can lead to various sensations, including cramping or discomfort during sexual activity. The pain you describe, which feels similar to menstrual cramps, may be related to several factors:
1. Uterine Growth: As the uterus expands, it can stretch the ligaments and muscles around it. This stretching can cause discomfort during intercourse, especially if certain positions put pressure on the abdomen.

2. Increased Sensitivity: Pregnancy can increase sensitivity in the pelvic area due to increased blood flow and hormonal changes. This heightened sensitivity may lead to discomfort during sexual activity.

3. Positioning: Certain sexual positions may place more pressure on the abdomen or the uterus, leading to discomfort. Experimenting with different positions that minimize pressure on the abdomen may help alleviate pain.

4. Muscle Tension: If you are tense or anxious during intercourse, this can lead to muscle tightening, which may contribute to abdominal pain. Relaxation techniques, such as deep breathing or gentle massage, may help.

5. Cervical Changes: As pregnancy progresses, the cervix undergoes changes that can sometimes lead to discomfort during intercourse. If the cervix is sensitive, it may react to penetration with cramping or pain.

While some discomfort can be normal, it’s crucial to monitor the severity and frequency of your pain. If the pain is persistent, severe, or accompanied by other symptoms such as bleeding, unusual discharge, or fever, it is essential to consult your healthcare provider. They can assess your situation more thoroughly and determine if there are any underlying issues that need to be addressed.

In general, many healthcare providers consider sexual activity safe during a healthy pregnancy, as long as there are no complications such as placenta previa, preterm labor, or other medical concerns. However, if you find that intercourse consistently causes pain, it may be advisable to limit sexual activity until you can discuss this with your doctor.

In summary, while some abdominal discomfort during intercourse can be normal during pregnancy, persistent or severe pain should be evaluated by a healthcare professional. They can provide personalized advice based on your medical history and current pregnancy status. Additionally, exploring different positions, practicing relaxation techniques, and ensuring open communication with your partner can help improve your experience. Always prioritize your comfort and well-being during this time.

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