Lower Abdominal Pain After Intense Sexual Activity - Obstetrics and Gynecology

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Mild lower abdominal pain after vigorous sexual activity?


On the evening of August 17, I had vigorous sexual intercourse with my boyfriend, and starting the next afternoon, I began to feel a slight pain in my lower right abdomen.
How many days should I wait before seeking medical attention? Is this considered serious?

Shan, 10~19 year old female. Ask Date: 2015/08/18

Dr. Lin Manying reply Obstetrics and Gynecology


Hello, it is recommended that you wait for 1-3 days.
If you still experience pain or bleeding symptoms, please visit the obstetrics and gynecology outpatient clinic for medical attention.

Reply Date: 2015/08/18

More Info


Experiencing lower abdominal pain after sexual activity can be concerning, and it's important to understand the potential causes and when to seek medical attention. Based on the information provided, it seems that the pain began after an intense sexual encounter, which could indicate a few possibilities.

Firstly, the pain could be due to muscle strain. Sexual activity, especially if vigorous, can lead to overexertion of the pelvic and abdominal muscles. This strain can manifest as localized pain, particularly in the lower abdomen. If the pain is mild and subsides within a few days, it may not be a cause for concern. However, if the pain persists or worsens, it would be wise to consult a healthcare professional.

Another possibility is that the pain is related to pelvic congestion or increased blood flow to the pelvic area during sexual arousal and activity. This can sometimes lead to a sensation of fullness or discomfort in the lower abdomen. If this is the case, the pain may resolve on its own as the body returns to its normal state.

In some instances, lower abdominal pain can be a sign of more serious conditions, such as pelvic inflammatory disease (PID), ovarian cysts, or even appendicitis, especially if the pain is localized to one side (like the right lower abdomen). Symptoms that may accompany these conditions include fever, unusual discharge, severe pain, or changes in bowel habits. If you experience any of these symptoms, it is crucial to seek medical attention promptly.

Regarding the duration of the pain, if it lasts more than a few days or if you notice any significant changes in your symptoms, such as increased intensity or the development of new symptoms, it would be advisable to see a doctor. They can perform a thorough evaluation, which may include a physical examination, ultrasound, or other imaging studies to determine the underlying cause of your pain.

In summary, while mild lower abdominal pain after intense sexual activity can be common and may not indicate a serious issue, it is essential to monitor the symptoms closely. If the pain persists beyond a few days, worsens, or is accompanied by other concerning symptoms, seeking medical advice is the best course of action. Remember, your health and well-being should always be a priority, and consulting with a healthcare professional can provide peace of mind and appropriate care.

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