Why does my stomach hurt during intercourse around the time of ovulation?

Sexual intercourse usually refers to engaging in sexual activity, while abdominal pain generally refers to pain in the abdomen. Under normal circumstances, abdominal pain during sexual intercourse around the ovulation period might be caused by factors such as overly intense sexual activity, follicle rupture, pelvic inflammatory disease, vaginitis, or endometriosis. Patients are advised to follow medical instructions for symptomatic treatment. Detailed explanations are as follows:

1. Overly intense sexual activity: If sexual activity is too vigorous or improper body positions are used, it may cause excessive impact and stimulation to a woman's pelvic tissues, resulting in abdominal pain. The pain is usually localized in the abdomen and may be accompanied by mild vaginal discomfort or abdominal muscle tension. Typically, the pain gradually subsides after resting for a period of time.

2. Follicle rupture: During ovulation, some women may experience slight bleeding due to follicle rupture and the formation of a tear on the surface of the ovary, which causes blood vessels to break. The peritoneum can be irritated by follicular fluid and blood, leading to abdominal pain. The pain is often mild and temporary, possibly accompanied by light vaginal bleeding or increased vaginal discharge. The pain usually resolves on its own after several hours and does not require special treatment.

3. Pelvic inflammatory disease: Pelvic inflammatory disease refers to inflammation of the internal pelvic organs in women, such as the uterus, ovaries, fallopian tubes, and surrounding tissues. Sexual activity may exacerbate the inflammation, leading to abdominal pain. The pain is typically persistent and worsens with physical activity or sexual intercourse, accompanied by symptoms such as increased vaginal discharge, fever, and lower back pain. If a pelvic abscess develops, abscess drainage surgery or laparoscopic surgery may be required.

4. Vaginitis: Vaginitis is an inflammation of the vaginal mucosa and submucosal connective tissue. Sexual activity may aggravate the inflammation, causing abdominal pain. The pain is usually mild and accompanied by symptoms such as increased vaginal discharge with an unpleasant odor and vaginal itching. Patients should follow medical advice to use medications such as Nitrofurantoin tablets, Ornidazole dispersible tablets, or Tinidazole suppositories for treatment.

5. Endometriosis: Endometriosis refers to the presence of endometrial tissue outside the uterine cavity and myometrium, such as on the ovaries or in the pelvic cavity. During ovulation and sexual intercourse, these displaced endometrial tissues may be stimulated, causing abdominal pain. The pain is typically deep-seated and may be accompanied by symptoms such as increased bowel movements during menstruation, pain, and tenesmus. Patients should use medications such as Danazol capsules, Triptolide capsules, or Norethisterone tablets under the guidance of a physician.

Abdominal pain during sexual intercourse around the ovulation period may result from multiple causes, and appropriate treatment measures should be taken based on the specific cause. In daily life, women should maintain personal and sexual hygiene and undergo regular gynecological examinations to prevent the occurrence of gynecological diseases.