Why does it hurt in the abdomen during intercourse, and what should be done about it?

Mar 28, 2023 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Pain in the abdomen during intercourse may be caused by factors such as uterine spasms, pelvic inflammatory disease, endometriosis, uterine fibroids, or ovarian cysts. Patients can receive symptomatic treatment based on the specific underlying cause. If symptoms are severe, prompt medical attention is recommended to avoid delaying diagnosis and treatment. In daily life, it's important to maintain healthy habits and avoid spicy or irritating foods, which may hinder recovery.

Generally, abdominal pain during intercourse may be caused by factors such as uterine spasms, pelvic inflammatory disease, endometriosis, uterine fibroids, or ovarian cysts. Patients can receive symptomatic treatment based on the specific underlying cause. Detailed analysis is as follows:

1. Uterine Spasms

During intercourse, uterine contractions may cause discomfort or pain. This spasm is a normal muscular response of the uterus, but for some individuals, it may result in noticeable pain or discomfort, which may intensify during sexual activity.

2. Pelvic Inflammatory Disease (PID)

PID refers to infection or inflammation of organs within the pelvic cavity. During intercourse, bacteria may enter the pelvic region and trigger infection. Under medical guidance, patients may use medications such as Gongxuening Capsules or Fuke Qianjin Tablets for treatment.

3. Endometriosis

Endometriosis occurs when endometrial tissue grows outside the uterus. When these ectopic tissues are stimulated, they may cause pain, including pain associated with intercourse, which is often more pronounced during menstruation. Patients may follow medical advice to take medications such as Danazol Capsules or Gestrinone Capsules.

4. Uterine Fibroids

Uterine fibroids are benign tumors that develop within the uterine muscle. In some cases, fibroids may cause pain during intercourse, especially if located near the cervix or ovaries. Other symptoms may include irregular menstruation and a sensation of pelvic pressure. Under a doctor's supervision, patients may use medications such as Hongjin Xiaojie Tablets or Gongliuxiao Capsules for treatment.

5. Ovarian Cysts

Ovarian cysts are fluid-filled sacs that form on the ovaries. Some cysts may become irritated during intercourse, leading to abdominal pain. Larger cysts may cause pain during physical activity, particularly during sex. Additional symptoms may include irregular periods and bloating. It is recommended that patients seek treatment at a reputable hospital, possibly undergoing surgical removal of the cyst via oophorectomy.

If symptoms are severe, prompt medical attention is advised to prevent delays in diagnosis and treatment. Maintain healthy lifestyle habits and avoid spicy or irritating foods, which may hinder recovery.

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