Why does my stomach hurt after having sex?

Abdominal pain refers to pain in the abdomen. Abdominal pain after sexual intercourse may be caused by vigorous movements, psychological factors, pelvic inflammatory disease, endometriosis, or corpus luteum rupture, and can be managed according to the specific situation. It is recommended to visit a hospital promptly and follow medical advice for treatment.

1. Vigorous movements: Excessively forceful or intense movements during sexual intercourse can temporarily impact or strain abdominal organs, causing abdominal pain. Usually, the pain subsides on its own after resting for a while. It is recommended to be gentle during sexual activity and avoid excessive intensity. If the pain persists, seek medical attention promptly.

2. Psychological factors: High levels of mental tension or anxiety can cause abdominal muscles to tense up, resulting in pain after sexual intercourse. This can be relieved by relaxing—for example, engaging in calming activities or listening to music before intercourse. If abdominal pain caused by psychological factors occurs frequently, consider seeking help from a psychological counselor.

3. Pelvic inflammatory disease: Infection of the pelvic reproductive organs and surrounding tissues by pathogens such as bacteria causes inflammation, which may stimulate nerves within the pelvis. Pelvic congestion after sexual intercourse can worsen the inflammatory response, potentially causing abdominal pain, often accompanied by symptoms such as increased vaginal discharge, unpleasant odor, and menstrual disorders. Patients can take medications such as metronidazole tablets, levofloxacin hydrochloride capsules, and Fuke Qianjin tablets under a doctor's guidance to fight infection and reduce inflammation.

4. Endometriosis: Endometrial tissue appears outside the uterine cavity, such as in the pelvis or ovaries. During sexual intercourse, the displaced endometrial tissue may be stimulated, causing pain, which may also be accompanied by dysmenorrhea or infertility. Follow medical advice to take medications such as ibuprofen sustained-release capsules, danazol capsules, or gestrinone capsules to control the progression of the condition.

5. Corpus luteum rupture: During its development, the corpus luteum may rupture due to external forces, such as abdominal impact during sexual intercourse, leading to abdominal pain of varying severity. Severe cases may be accompanied by symptoms such as dizziness, fatigue, and a feeling of pressure in the anal area. It is recommended to take medications such as tranexamic acid tablets, etamsylate injection, and Yunnan Baiyao capsules under medical guidance to alleviate discomfort.

In daily life, it is advisable to rest appropriately, avoid strenuous exercise, and apply local heat therapy to help relieve muscle tension and pain.

References:

[1] Liu Wei, Shi Shasha, Lan Yuanqing. Analysis of the efficacy of laparoscopic surgery combined with drug therapy for endometriosis and risk factors for recurrence[J]. Zhejiang Journal of Traumatic Surgery, 2025, 30(02): 241-243.

[2] Wu Jim ei. Application effect of comfortable nursing in conservative treatment of ovarian corpus luteum rupture[J]. Life Science Instruments, 2024, 22(06): 235-236+239.