What causes lower abdominal pain and bloating after intercourse?

Apr 26, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, lower abdominal bloating and pain refer to distension and discomfort in the abdominal area. Abdominal bloating and pain after sexual intercourse may be caused by excessive physical strain, onset of menstruation, pelvic inflammatory disease, cervicitis, or endometriosis. It is recommended to seek medical attention promptly. Treatment options such as general management, physical therapy, and medication can be followed as directed by a healthcare provider. In daily life, it is important to get adequate rest and ensure sufficient sleep.

Generally, lower abdominal bloating and pain refer to abdominal distension and discomfort. Abdominal bloating and pain after sexual intercourse may be caused by excessive exertion, menstrual onset, pelvic inflammatory disease, cervicitis, or endometriosis. It is recommended to seek medical attention promptly. Symptoms can be improved through general management, physical therapy, medication, or other methods as directed by a healthcare provider. Specific causes are analyzed as follows:

1. Excessive exertion

If excessive force is used during intercourse, it may lead to over-tension of the abdominal muscles, resulting in bloating and abdominal pain. Applying local heat therapy can help improve blood circulation and relieve discomfort.

2. Menstrual onset

If intercourse occurs during menstruation, shedding of the endometrial lining may cause symptoms such as abdominal pain and bloating. This is a normal physiological phenomenon and usually does not require special treatment.

3. Pelvic inflammatory disease

This may be related to poor hygiene or bacterial infection. Inflammation may trigger the aforementioned symptoms, sometimes accompanied by vaginal bleeding. Under a doctor's guidance, patients may take medications such as amoxicillin capsules, cefixime capsules, or ibuprofen sustained-release capsules to alleviate symptoms.

4. Cervicitis

This may result from inadequate care or unhygienic sexual practices, potentially causing abdominal bloating, pain, and a sensation of heaviness. Patients may follow medical advice to use medications such as azithromycin capsules, doxycycline hydrochloride capsules, or metronidazole tablets for treatment.

5. Endometriosis

This condition may be associated with retrograde menstruation or iatrogenic implantation. Symptoms include dysmenorrhea (painful periods) and pain during intercourse. Some patients may also experience abdominal bloating and pain after sex. Under medical supervision, medications such as indomethacin tablets, mifepristone tablets, or danazol capsules may be used to improve symptoms.

In daily life, it is important to get adequate rest, ensure sufficient sleep, avoid staying up late, and engage in moderate outdoor activities such as walking or calisthenics, which may aid recovery.