Pain like a muscle cramp in the abdomen after intercourse
Pain resembling a side stitch in the abdomen after intercourse may be caused by physiological factors or pathological conditions such as vaginal injury or pelvic inflammatory disease. Appropriate treatment should be based on the specific cause. The details are as follows:
I. Physiological Factors
If sexual activity is too vigorous, it may lead to severe congestion of the vaginal wall, abnormal impact on the abdomen, and traction on tissues in areas such as the fallopian tubes, resulting in abdominal pain similar to a side stitch. This type of pain usually resolves on its own.
II. Pathological Factors
1. Vaginal Injury
If the vagina is excessively dry or if movements are too rough, the mucous membrane lining the vaginal wall may become injured, leading to wound rupture and internal bleeding, which causes this symptom. It is recommended to disinfect the area with povidone-iodine solution and maintain good hygiene during recovery. If heavy bleeding occurs, medical attention at a hospital is necessary for possible suturing.
2. Pelvic Inflammatory Disease (PID)
In patients with pelvic inflammatory disease, intercourse may cause inflammatory agents from the infected site to travel upward, expanding the affected area. These inflammatory agents can irritate the mucous membranes, produce purulent discharge, and cause radiating pain locally, leading to the aforementioned symptoms. Patients are advised to take medications such as cefixime capsules or metronidazole tablets under a doctor's guidance.
In addition, this pain could also be caused by other conditions such as cervical polyps, endometritis, or ectopic pregnancy. If the pain persists or fails to improve, it is recommended to seek timely medical evaluation at a hospital.