Why does your stomach hurt after sex - reasons for women and men

What does it come from?

If your stomach hurts a week after sex, this may be a physiological sign indicating pregnancy. It is after a week that the fertilized egg is fixed in the endometrial membranes of the uterus.

This phenomenon can cause pain and bloody discharge. With such symptoms, it is recommended to take a pregnancy test, especially if sexual contact was unprotected.

Sexual anxiety and its psychosomatic manifestations

Psychogenic sexual disorders are not a reality on the pages of textbooks on sexology. This is a very real diagnosis, the manifestations of which are observed in every eighth girl. The problem is often characteristic of inexperienced and young lovers. Their expectations from intimacy are especially high, and as a result of some little thing that the partner does not even attach importance to, they will receive psychological trauma. This can affect the rest of your life.

Such girls may subsequently become cold or even completely frigid. Various sexual deviations may appear.

Another common problem that manifests itself on a physical level is the fear of pregnancy. Even with protection, these thoughts can become intrusive. A common fear of many girls is pregnancy. Pain in the lower abdomen after sex in this case is psychosomatic in nature, since there is no real reason for it. Attacks of nausea and weakness may also appear, although in reality there will be no reason for such feelings.

Causes of pathological pain

Abdominal pain that persists for a long time after sexual intercourse may be a symptom of the following gynecological diseases:

  • endometriosis;
  • cervicitis;
  • fibroids;
  • violation of ovarian functions;
  • sexually transmitted infectious diseases.

With gynecological pathologies, other accompanying symptoms are also observed. The diseases are accompanied by menstrual irregularities, uterine bleeding, intense vaginal discharge, and urination disorders.

Quite often, pain localized in the lower abdomen occurs directly during sexual intercourse. If such symptoms occur, it is necessary to contact a gynecologist as soon as possible, undergo diagnostics, determine the exact causes of pathological pain and undergo treatment.

When to visit a doctor

Pain that occurs in the lower third of the abdomen during or immediately after sexual intercourse cannot be ignored. And this is especially important if they are accompanied by other alarming symptoms. Every sexually active woman should know when to see a doctor. This is relevant in the following situations:

  • the pain is strong and sharp, radiating to the side, anus or legs;
  • you start bleeding;
  • in addition to pain, you are also worried about itching or burning in the genitals, unpleasant discharge and other symptoms;
  • you have a fever;
  • You are pregnant;
  • Every sexual intercourse is accompanied by pain.

Get examined by a gynecologist to get an expert opinion on your health. You may have to undergo smears or have an ultrasound - strictly follow the specialist’s recommendations. Remember that self-medication is not the solution to the problem. Painkillers will relieve your discomfort, but will not eliminate its cause. To live an active sex life and enjoy sex, you need to undergo comprehensive treatment prescribed by a qualified doctor.

Pain during pregnancy

If a woman is only a week pregnant and her stomach hurts after sex, then this manifestation is physiological and absolutely normal. In later stages of pregnancy, the occurrence of pain after intimate contact may be due to the following factors:

  • uterine contractions;
  • neurological manifestations caused by internal fears, toxicosis, decreased sexual desire;
  • changes in hormonal levels;
  • disruption of circulatory processes in the pelvic area, which causes increased muscle tone, stagnation and, as a consequence, pain, which can last a week after sex.

You should be wary of prolonged pain after sexual intercourse during the first trimester of pregnancy, since during this period the likelihood of miscarriage is highest. In the first months of pregnancy, doctors recommend refraining from intimate contact so that the fetus can be reliably implanted.

Why does pain occur in the lower abdomen after sex?

At an appointment with a gynecologist, some women complain that after sex their lower abdomen begins to hurt. Among the reasons provoking this situation, it is important to note the inflammatory processes present in the pelvic organs, both in the uterus and in the appendages.

The reason that influenced the development of the process is considered to be a complication of sexually transmitted infections. Chlamydia and gonorrhea are especially dangerous. Secondary pathogens can be various fungi or microflora disturbances.

You can also note:

  • Surgical interventions such as abortions and diagnostic curettage;
  • Use of intrauterine contraceptives;
  • Weakened immunity.

Therefore, if you experience discomfort, you should immediately consult a specialist for advice, since complications in this area are fraught with complications that can lead to a woman’s inability to conceive and bear a child.

Insidious thrush

It is worth noting that pain in the lower abdomen often appears after sex due to harmless candidiasis, or as it is popularly called, “thrush”. The disease is a fungal infection of the mucous membranes of the vagina.

It appears as a result of dysbacteriosis while taking antibiotics, frequent douching, and allergies. Thrush manifests itself as a cheesy discharge.

Psychosomatics

Among the reasons that cause pain after sex may be psychosomatic, which occurs in women with complexes or against a background of fears. To cope with the problem, you should contact a specialist who will tell you how to properly relax and achieve orgasm.

Cervicitis

The next cause of discomfort in the lower abdomen is considered to be the presence of inflammation of the cervix, called cervicitis. A pathology of this nature appears with injuries to the cervix that occur after childbirth, abortion or surgery. The disease can be triggered by nonspecific microflora, which is represented by staphylococci.

Among the causes of cervicitis may be inflammation of an infectious nature (vaginitis). Inflammation can spread to the cervix and occurs most often with gonococcal infection. Therefore, after sex, the lower abdomen often hurts and vaginal discharge appears. If this situation occurs repeatedly, you should seek medical help to undergo antibacterial therapy.

The gynecologist will prescribe tests, and if the results of the smears contain various pathogens, treatment will need to be carried out together with the sexual partner.

Ovarian cyst rupture

To understand why the lower abdomen hurts after sex, you can suspect a rupture of a functional ovarian cyst. Cysts of this nature often appear in completely healthy women and almost always go away on their own within 2-3 months.

But it happens that pain can appear on one side and be quite severe. This often happens during sexual intercourse if there were provoking factors (for example, heavy lifting the day before).

This condition does not always require treatment, but since the problem is hormonal in nature, it is worth consulting a doctor to rule out complications.

Endometriosis

Due to the appearance of endometriosis, growth of the uterine epithelium beyond the boundaries of the required location is observed. The disease is considered severe. Scientists cannot yet pinpoint the exact reasons that provoke it. But it is known that the main provocateurs of the disease can be abortions and diagnostic curettages.

In some cases, the endothelium is capable of growing into the nearby walls of the uterus and forming pockets, which, in turn, entails heavy discharge during menstruation, accompanied by severe pain. At the time of menstruation, blood containing endothelial particles exits into the abdominal cavity, passing through the fallopian tubes. Endometriosis particles spread to the outer membranes of the pelvic organs.

The continued functioning of endometrial lesions entails the release of secretions during the menstrual cycle into the internal pelvic cavity, allowing the development of the disease. As a result, an adhesive process begins to appear in the small pelvis. Adhesions that have formed as a result of illness and become the main reason why the lower abdomen hurts severely during and after sex.

Intense painful sensations often force a woman to give up sexual relations. Severe adhesive processes cause discomfort during bowel movements, causing constipation.

To get rid of the disease, you should visit a gynecologist who, after the necessary diagnostic procedures, will prescribe hormonal therapy. In some cases, with endometriotic cysts or severe adhesions, there is a need for surgical intervention.

If you do not consult a doctor in time and do not provide help to your body, the disease leads to infertility.

Ovarian apoplexy

This is a pathology in which hemorrhage occurs in the ovary or abdominal cavity. In this case, during sexual intercourse, the lower abdomen hurts on the left (or right) after sex, radiating to the lower back, sacrum, external genitalia and anus. Such painful sensations are characterized by high intensity with the occurrence of nausea and vomiting.

In most cases, the disease causes internal bleeding, which is accompanied by pale skin and dizziness. The cause of the condition may be inflammatory diseases of the ovaries that the woman suffered. Also, a similar situation can occur in patients prone to varicose veins.

Individual characteristics of the body

In some cases, it happens that the lower abdomen hurts for 3 days or more after sex, which is associated with the individual physiological characteristics of the body of a woman who is absolutely healthy. First of all, pain syndrome can be observed due to the anatomical and physiological characteristics of the female genital organs.

Such pain can occur some time before menstruation, which is also explained by the individual structure of the female reproductive system and does not require mandatory treatment. If the pain continues to bother you, a specialist may recommend consulting a sex therapist.

Often after sex, the lower abdomen begins to hurt due to lack of orgasm. This situation can be explained by the bycatch of blood to the pelvic organs. And if relaxation does not occur, the blood may stagnate and cause discomfort.

If there is insufficient lubrication after violent sex, the lower abdomen hurts due to the fact that the surface of the vagina is subjected to rubbing and muscle spasm occurs, causing pain. To solve the problem, you can use special lubricants - lubricants.

This situation can occur in women during menopause, during which the amount of estrogen decreases naturally. The causes of the problem may be sexually transmitted diseases, uterine fibroids, and infectious diseases. Women who smoke are more likely to experience this problem.

Causes of pain in girls

The phenomenon is quite common when the lower abdomen hurts after the first sex. Among the reasons that caused the pain syndrome, psychological ones should be noted first.

Stiffness and embarrassment prevent you from relaxing and achieving orgasm. Fear of a new unknown sensation is the main enemy.

In addition, it is possible to receive mechanical injury during sex. As a rule, after a couple of days everything returns to normal and the discomfort goes away on its own. Otherwise, you should consult a doctor for help.

If your lower abdomen hurts after unprotected sex, this may also be due to a psychological problem. A woman may have sad thoughts about an unwanted pregnancy. As a result, relaxation will be insufficient, which will lead to pain.

Pain during pregnancy

During an interesting situation, it is important to exclude frequent sex, especially if it is unpleasant or painful for the expectant mother.

Its reasons may be:

  • Uncomfortable position. During pregnancy, the bones of the pelvis and spine, just like the muscles, get used to the new load. At the moment of orgasm, during contraction, pain may appear.
  • Uterine tone.
  • A psychological reason caused by the expectant mother’s fear for the baby’s health.

In any case, you should consult a doctor to eliminate the risk for both the child and the expectant mother.

If a woman has pain in her lower abdomen after sex and there is spotting, the cause may be vaginal dryness or the presence of infectious diseases.

Slight scarlet discharge indicates the presence of erosion on the cervix. Discharge accompanied by pain indicates advanced erosion.

What to do?

Pain localized in the abdominal area that does not go away a week after sex is usually an alarming symptom. Therefore, it is best not to self-medicate, but to seek professional gynecological consultation.

A tablet of antispasmodic medication and a cold compress applied to the lower abdomen will help relieve discomfort with accompanying bleeding. The therapeutic course, medications and procedures are prescribed by the doctor based on the examination results and diagnosis.

What is urethritis and how does it manifest itself during sexual intercourse?

Urethritis is the name in uronephrology for the inflammatory process in the urethra, which is accompanied by pain during emptying of the bladder. Depending on the stage of inflammation, symptoms may be as follows:

  • temperature from 37 to 39 degrees;
  • chills, fever;
  • swelling of the genitals;
  • pain in the lower abdomen during sex;
  • sharp pain when urinating, burning.

You cannot treat urethritis on your own. You should undergo special tests that will also identify other infections. Symptoms of urethritis often coincide with sexually transmitted diseases. So pain during sexual intercourse in the lower abdomen and subsequent painful urination may be associated not only with inflammation of the urethra, but also with the presence of sexually transmitted infections.

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