Lower Abdominal Pain in Women After Sexual Intercourse

Understanding the Causes

It is not uncommon for women to experience lower abdominal pain after sexual activity, a condition medically referred to as dyspareunia. This symptom should not be ignored and requires prompt medical attention to identify the underlying cause and initiate appropriate treatment. Two of the most common reasons for this type of discomfort are pelvic inflammatory disease (PID) and endometriosis.

Pelvic Inflammatory Disease (PID)

One possible cause of post-sex pain is pelvic inflammatory disease. During a gynecological examination, specific signs such as uterine tenderness or thickening and pain in the adnexal area may indicate PID. While an ultrasound may not always show clear abnormalities, diagnosis often relies on clinical evaluation. Treatment typically involves a course of antibiotics to combat infection. In some cases, healthcare providers may also recommend traditional Chinese medicine with blood-activating and stasis-resolving properties to enhance the effectiveness of conventional therapy.

Endometriosis and Its Impact on Sexual Comfort

Another significant cause is endometriosis, a condition where tissue similar to the lining of the uterus grows outside the uterine cavity. A telltale sign during physical examination is the presence of tender nodules in the posterior vaginal fornix. These growths can cause intense pain during intercourse, especially if they are directly touched during sexual activity. Endometriosis can manifest in different forms, including adenomyosis and ovarian chocolate cysts. If endometriosis is confirmed as the source of pain, targeted treatment tailored to the individual's condition is necessary to manage symptoms effectively.

If you experience persistent pain after sex, it is crucial to consult a healthcare professional for proper diagnosis and care. Early intervention can significantly improve quality of life and prevent potential complications.