Lower Abdominal Pain After Sex: Possible Causes And What You Should Know

Experiencing lower abdominal pain after sexual intercourse can be concerning and may indicate a range of underlying issues. While some causes are mild and temporary, others may require medical attention. Here are several possible explanations for this type of discomfort:

Intense Sexual Activity
During intercourse, especially when involving orgasm, the uterus may contract which can lead to temporary lower abdominal pain. This is generally not a cause for concern and tends to subside within about 30 minutes.

Ovarian Cyst Complications
Some women may have undiagnosed ovarian cysts. During sexual activity, these cysts can rupture or twist, causing sharp, persistent, and even severe pain in the abdomen. If this occurs, it's important to seek immediate medical care.

Ruptured Corpus Luteum
If intercourse occurs during the luteal phase of the menstrual cycle, there's a chance of rupturing the corpus luteum—a temporary structure in the ovary. This can result in sudden and intense lower abdominal pain due to internal bleeding that irritates the pelvic lining. Symptoms may also include a feeling of pressure in the rectal area. In such cases, prompt medical evaluation is necessary, and surgical intervention might be required in more serious situations.

Pelvic Inflammatory Disease (PID)
A gradual onset of abdominal pain following sex could signal pelvic inflammation, often caused by infections from unhygienic sexual practices. This may involve inflammation of the fallopian tubes, ovaries, or even the uterus. Additional symptoms like abnormal vaginal discharge may appear the next day or two after intercourse, indicating the need for professional diagnosis and treatment.

If you frequently experience pain after sex or if the pain is severe, it's always best to consult with a healthcare provider to rule out any serious conditions and ensure proper care.