Abdominal pain after sexual intercourse

Apr 18, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Incorrect sexual positions, overly vigorous intercourse, or excessively frequent sexual activity can stimulate the pelvic cavity and uterus, leading to abdominal pain after intercourse. Pelvic inflammatory disease causes pelvic congestion and edema; during intercourse, this congestion may worsen due to stimulation, resulting in abdominal pain. During the luteal phase, rough movements during intercourse may cause rupture of the corpus luteum, leading to local capillary rupture and bleeding, which in turn causes abdominal pain.

Abdominal pain after sexual intercourse may be caused by physiological or pathological reasons, often related to conditions such as pelvic inflammatory disease or corpus luteum rupture. Sexual activity should be temporarily avoided, and local heat application may help. If the pain is severe, prompt gynecological evaluation and treatment at a hospital are recommended. Specific causes are analyzed as follows:

1. Physiological Causes

Incorrect sexual positions, overly vigorous activity, or excessive frequency of intercourse can irritate the pelvis and uterus, leading to abdominal pain after sex. It is important to perform sexual activity gently and avoid excessive frequency.

2. Pathological Causes

1) Pelvic Inflammatory Disease (PID)
Pelvic inflammatory disease causes pelvic congestion and edema. Sexual activity may exacerbate this congestion, resulting in abdominal pain. Treatment may include medications such as Fuke Qianjin tablets, Jinji capsules, or levofloxacin capsules, as directed by a physician.

2) Corpus Luteum Rupture
During the luteal phase, rough sexual activity may cause rupture of the corpus luteum, leading to rupture of local capillaries and bleeding, which results in abdominal pain. Treatment under medical guidance may include tranexamic acid and sodium chloride injection, Agkistrodon halys snake venom thrombin for injection, or cefixime dispersible tablets to stop bleeding and reduce inflammation. Surgery may be necessary in some cases.

In addition, conditions such as ovarian cysts may also cause the above symptoms. Sexual intercourse should be avoided, and it is advisable to undergo a complete gynecological examination at a hospital for proper diagnosis and treatment.

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