What causes right lower abdominal pain in women after intercourse?
Pain in the lower right abdomen after sexual intercourse in women may be a normal phenomenon, or it could be caused by medical conditions such as adnexitis or appendicitis. Further examination at a hospital is recommended.
1. Normal Phenomenon
Mild pain may result from spasms of the right fallopian tube due to sexual stimulation, or from pelvic congestion following intercourse. The congestion leads to blood flow changes that can cause this discomfort. This is generally normal and not a cause for concern. Applying a warm towel to the affected area can help effectively relieve symptoms.
2. Adnexitis
Excessively vigorous sexual activity may overstimulate the right adnexa, leading to inflammation (adnexitis) and causing pain in the right lower abdomen. Women are advised to take medications such as azithromycin tablets, doxycycline tablets, or metronidazole tablets under a doctor's guidance.
3. Appendicitis
The lower right abdominal pain after intercourse might not be related to sex at all, but rather due to other underlying conditions. Appendicitis, for example, may be caused by blockage of the appendix lumen or microbial infection. Common symptoms include right lower abdominal pain accompanied by loss of appetite and nausea. Treatment typically involves surgical procedures such as open appendectomy or laparoscopic appendectomy.