What causes right lower abdominal pain in women after intercourse?

Right lower abdominal pain in women after sexual intercourse may be caused by mental stress, improper posture, excessively vigorous movements, pelvic inflammatory disease, or adnexitis. Improvements can be made according to the specific cause. It is recommended to seek timely medical evaluation and treatment under the guidance of a doctor.

1. Mental Stress

Some women experience excessive tension or anxiety during intercourse, which can cause the pelvic floor muscles to remain tense, potentially leading to right lower abdominal pain afterward. Partners should improve communication, enhance mutual understanding and trust, and create a relaxed, harmonious atmosphere. Women can relieve mental stress through deep breathing, relaxation exercises, and other techniques.

2. Improper Posture

Using certain unusual or inappropriate positions during intercourse may excessively compress or stretch the abdomen and pelvic organs, resulting in right lower abdominal pain. Adjusting sexual positions to avoid excessive twisting or abdominal pressure, and choosing comfortable positions for both partners, can help prevent this issue.

3. Excessively Vigorous Movements

Overly intense or rough movements during intercourse may cause vibration or minor injury to pelvic organs such as the uterus, fallopian tubes, and ovaries, leading to pain in the right lower abdomen. Both partners should communicate well during sexual activity, appropriately control the pace and intensity, and avoid overly aggressive actions.

4. Pelvic Inflammatory Disease (PID)

Infection of the pelvis by bacteria or other pathogens can lead to pelvic inflammation. Inflammatory irritation of pelvic tissues and organs—such as the right fallopian tube or ovary—may be exacerbated during intercourse due to stimulation of the genital organs, causing increased right lower abdominal pain. Patients should follow medical advice and take antibiotics such as cefixime dispersible tablets, metronidazole tablets, or azithromycin tablets.

5. Adnexitis

Inflammation of the right fallopian tube or ovary, usually caused by pathogenic infections such as *Chlamydia trachomatis* or *Neisseria gonorrhoeae*, may result in right lower abdominal pain after intercourse. The congestion and movement of reproductive organs during sex can stimulate the inflamed area. It is recommended to take medications such as levofloxacin tablets, *Jingangteng* capsules, or Gynecological Qianjin tablets under a doctor’s guidance to relieve discomfort.

In daily life, it is important to maintain safety and hygiene during intercourse and adopt healthy habits. Women should develop good lifestyle practices, ensure adequate sleep, avoid staying up late, and maintain a positive mood, avoiding negative emotions such as anxiety and irritability, all of which contribute to overall health.