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Do You Have Abdominal Pain after Sex? Here Are the Causes

Although not uncommon, but abdominal pain after sex is not frequently discussed. Both men and women can experience pain in the abdomen, during and after intercourse. Pain during or after penetrative intercourse is also known as dyspareunia. One of the most common reason of pain after intercourse is deep penetration or vigorous intercourse and experiencing an orgasm. Other than that there are several reasons in which pain can occur both during and after intercourse. Some are normal and common causes whereas other causes need medical care. Stomach pain can also occur due to the position during intercourse.

One possible cause is also connected to ejaculation. Semen contains a molecule called prostaglandin. So, it is released into the vagina during ejaculation. If a woman is sensitive to it, it can result in pain and cramping after intercourse. Also, according to some health experts, sperm acts as an irritant to the uterus and the uterus can react when in contact with sperms, resulting in uterine contractions and stomach pain. One must know the various causes of pain abdomen after intercourse.

16 Common Causes of Abdominal Pain after Sex

Some causes of abdominal pain after intercourse include deep penetration, pregnancy, position of uterus, inflammatory diseases, infections, ovarian cysts, uterine fibroids, irritable bowel syndrome etc. Let’s see the various causes of it.

1. Deep Thrusting

It is one of the most common cause of pain both during and after intercourse. Deep penetration can cause stomach pain after both vaginal and anal intercourse. Organs such as the ovaries and the uterus may get jostled or hit during intercourse in a way that potentially leads to pain during or after sex. Also, the bladder gets irritated from the friction during intercourse. So, one should avoid deep thrusting to avoid pain.

2. Experiencing an Orgasm

Both men and women can experience orgasm. Orgasm results in rhythmic muscular contractions in the pelvic region characterized by pleasure. It also causes uterine contractions. So, experiencing an orgasm may lead to abdominal pain after intercourse. It is more common in people with pregnancy, ovarian cysts, pelvic inflammatory disease etc. The period after orgasm is usually a relaxing experience. So, the pain is relieved.

3. Pregnancy

During pregnancy, women often experience abdominal pain after intercourse. This can occur due to orgasm causing uterine contractions. Usually it occurs during third trimester of pregnancy. High- risk pregnancies are also susceptible for pain. Relaxing for a few minutes can ease the pain.

In ectopic pregnancy, an unusual type of pregnancy, the embryo attaches outside the uterus. This condition causes abdominal pain during or after intercourse and vaginal bleeding. The pain may be sharp, dull or crampy. One should avoid intercourse during pregnancy if it causes abdominal cramps or severe pain.

4. Position of Uterus

Approximately 20- 30% of women can have tilted uterus. Tilted uterus is more likely to be touched or get hit during penetration. So, during deep penetration it can cause intense pain.

5. Uterine Fibroids

Uterine fibroids are non- cancerous growths in the uterus that can develop during a woman’s child-bearing years. Obesity, early onset of puberty, family history of fibroids etc are some of the risk factors. Uterine fibroids usually cause heavy bleeding during menstruation, stomach pain during or after intercourse, prolonged periods etc. Sometimes fibroids may not cause any symptom.

6. Ovarian Cysts

Ovaries are part of female reproductive system. They are located in the lower part of abdomen on both sides of the uterus. Fluid filled sac or cyst can develop in the ovaries. Cyst can be small or large, single in number or multiple. Mostly these cysts are painless. Cyst can cause abdominal pain and swelling, stomach pain during or after intercourse and bowel movements, nausea and vomiting etc.

7. Irritable Bowel Syndrome

IBS is a common chronic disorder affecting the large intestine and includes abdominal pain, cramping, gas, bloating along with diarrhoea or constipation or both. Sometimes alternating bouts of diarrhoea and constipation occur. Abdominal pain after sex occurs more commonly during constipation bouts. Abdominal pain, cramping, gas etc are relieved by passing a bowel movement.

8. Urinary Tract Infections

Urinary tract infections are the infections in the lower part of the urinary tract including the bladder and urethra. Infections can cause pelvic and abdominal pain during and after intercourse, pain or burning during urination, bloody urine, increased frequency of urination etc. These infections need proper medical diagnosis and treatment with antibiotics etc.

9. Sexually Transmitted Infections

Sexually transmitted infections such as chlamydia, gonorrhea etc usually do not cause symptoms. Sometimes these infections can cause symptoms such as abdominal pain, tenderness in pelvic region, burning or pain during urination, foul smell, unusual discharge etc. These infections need proper medical diagnosis and treatment.

10. Fallopian Tube Blockage

Fallopian tubes connect the ovaries and the uterus. The fallopian tubes carry an egg from an ovary to the uterus every month, in preparation for fertilization. Blockage of one or both the tubes by fluid or tissue can cause pain in that side of abdomen especially after intercourse.

11. Endometriosis

Endometriosis occurs when the inner lining of uterus or endometrium grows outside the uterus. This condition can cause pain in the pelvis region, painful menstruation, painful intercourse and bowel movements, excessive bleeding etc.

12. Prostatitis

Prostate gland is a wall-nut sized gland situated directly below the bladder in men and produces seminal fluid. Swelling and inflammation in the prostate gland is known as prostatitis. Prostatitis can occur due to infections, injury or an immune system disorder. It can cause pain in the groin, pelvic region or genitals. Difficulty in urination can also occur. Treatment of prostatitis can relieve the pain symptoms.

13. Pelvic Inflammatory Disease

Pelvic inflammatory disease is a bacterial infection of the female reproductive organs. It usually occurs due to spread of sexually transmitted bacteria from the vagina to uterus, fallopian tubes or ovaries. The tissues become inflamed due to the infection. So, the pressure of intercourse causes deep pain after it. It can also cause pelvic pain, vaginal discharge, fever etc. This condition requires medical diagnosis and is treatable by medicines such as antibiotics etc.

14. Insufficient Vaginal Lubrication and Menopause

A woman can experience pain during and after intercourse, due to insufficient lubrication of the vagina. Sufficient lubrication of the vagina helps in relieving the pain occurring due to friction during intercourse. Increased amount of foreplay, use of lubricants etc can resolve this. Insufficient lubrication can also occur after menopause. In menopause, there is dryness and thinning of vaginal tissues due to fall in the levels of estrogen hormone. So, intercourse can be painful in menopausal women.

15. Intrauterine Devices

Intrauterine devices are a type of birth control measure. This device is inserted into the uterus to prevent unwanted pregnancy. The device stops sperms from reaching an egg and prevents fertilization of the egg. A woman may experience pain or cramps in the abdomen for a few weeks after insertion of the intrauterine device, regardless of intercourse. The pain and cramps may become intense during or after intercourse. Although intercourse does not displace an intrauterine device, but if the pain persists after few weeks then one should consult the doctor.

16. Ovulation and Periods

Abdominal pain and cramps can occur during ovulation. Some women also experience pain and cramps during menstruation. Cramping and pain after intercourse is more likely to occur in women with ovulation or menstruation. As these are physiological, the pain relief occur at its own. If severe cramps and pain occur during menstruation, then one must take consultation from the doctor and appropriate treatment.

Pain in the abdomen can occur during or after intercourse. There are many causes of it, some of them are natural and normal whereas other conditions might need medical treatment. Usually the pain after intercourse goes away on its own within a very less time. If the pain is severe and persistent then one must consult a doctor regarding the same.

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