
What causes lower abdominal pain after sexual intercourse?
I had intercourse with my husband last night, and today I feel some bloating and pain in my lower abdomen. What could be causing this?

Lower abdominal pain after sexual intercourse may have the following possible causes:
1. Physiological response: Stimulation of the male penis and contraction of the female vagina during sexual activity may cause pelvic congestion or local muscle fatigue, leading to transient lower abdominal discomfort. This condition usually does not require treatment and resolves on its own after a period of rest.
2. Inflammation or infection: Conditions such as vaginitis, cervicitis, endometritis, or pelvic inflammatory disease may exacerbate symptoms during sexual activity, causing pain.
3. Structural issues: For example, uterine fibroids, ovarian cysts, or endometriosis may cause pain during intercourse due to pressure on the affected areas.
4. Excessive stimulation or injury: In some cases, overly vigorous sexual activity may cause damage to vaginal or pelvic tissues, resulting in pain.
5. Side effects of contraceptive methods: Some contraceptive devices or medications may also cause discomfort—for instance, improper placement of an intrauterine device (IUD).
To determine the exact cause, it is recommended to seek medical evaluation promptly when experiencing lower abdominal pain after sexual intercourse. Additionally, maintaining good personal hygiene and avoiding unprotected sexual activity can help prevent related diseases.