Burning Sensation in Lower Abdomen After Intercourse: Should You See a Doctor?

A slight burning sensation in the lower abdomen after sexual intercourse?

I had unprotected intercourse at the end of December, and since then, I have mostly not used condoms.
After ejaculation, I experience a burning sensation and pain in my lower abdomen.
I would like to know if I should see a doctor.
Does not using contraception matter? Previously, I was diagnosed with polycystic ovary syndrome (PCOS) at a major hospital.
Is it possible for me to get pregnant?

Han Xiaomei, 20~29 year old female. Ask Date: 2016/01/05

Dr. Lin Wenbin reply Obstetrics and Gynecology

Polycystic ovary syndrome (PCOS) does not completely prevent pregnancy.
Condoms can provide contraception and also help prevent infections.
You need to consult a doctor for an examination before making any decisions.

Reply Date: 2016/01/05

More Info

Experiencing a burning sensation in the lower abdomen after intercourse can be concerning and may warrant a visit to a healthcare provider. There are several potential causes for this symptom, and understanding them can help you make an informed decision about seeking medical attention.

Firstly, the burning sensation could be related to a urinary tract infection (UTI). UTIs are common, especially in sexually active individuals, and can cause symptoms such as burning during urination, increased frequency of urination, and discomfort in the lower abdomen. If you notice any additional symptoms such as fever, chills, or changes in urine color or odor, it is advisable to see a doctor promptly.

Another possibility is that the burning sensation is due to irritation or inflammation of the vaginal or cervical tissues, which can occur from friction during intercourse, especially if there is insufficient lubrication. This irritation can lead to discomfort and a burning sensation. If this is the case, using a water-based lubricant during intercourse may help alleviate the symptoms.

Additionally, sexually transmitted infections (STIs) should be considered, particularly if you have had unprotected intercourse. STIs can cause various symptoms, including burning sensations, unusual discharge, and pelvic pain. If you suspect that you may have been exposed to an STI, it is crucial to get tested and treated as necessary.

Regarding your concerns about pregnancy and polycystic ovary syndrome (PCOS), it is important to note that PCOS can affect ovulation and fertility. Women with PCOS may experience irregular menstrual cycles, which can make it more challenging to conceive. However, many women with PCOS can still become pregnant, often with the help of lifestyle changes or fertility treatments. If you are trying to conceive, it would be beneficial to discuss your situation with a healthcare provider who can offer guidance tailored to your specific needs.

In summary, given the burning sensation in your lower abdomen after intercourse, it is advisable to see a doctor. They can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly STI screenings. This will help determine the underlying cause of your symptoms and guide appropriate treatment. Additionally, discussing your desire to conceive and any concerns related to PCOS with your healthcare provider can help you explore options that may enhance your chances of pregnancy. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek medical advice.

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