Why Does Lower Abdominal Pain Occur During Sexual Intercourse?

Lower abdominal pain during sexual activity is a common concern among women and can be caused by various gynecological conditions. This discomfort may occur due to physical contact or pressure during intercourse, leading to pain in the pelvic region or a feeling of heaviness in the rectal area. In more severe cases, this pain could be a sign of underlying issues such as endometriosis or chronic pelvic inflammatory disease.

The female reproductive system includes the uterus and vagina, with the junction between them being the lowest point in the pelvic cavity. This anatomical location makes it a common site for endometrial implants to develop in cases of endometriosis. During sexual intercourse, pressure from the vaginal canal can impact these sensitive areas, causing localized congestion and resulting in a dull, aching pain or a sensation of pressure in the lower abdomen.

If a woman experiences recurring pain during sex, it is highly recommended to consult a healthcare professional for a thorough evaluation. A comprehensive gynecological exam, including bimanual and trimanual exams, can help detect tender nodules or abnormalities in the pelvic region associated with endometriosis.

Imaging tests such as ultrasounds are also valuable tools in diagnosing related conditions like adenomyosis, where the uterus becomes enlarged due to embedded endometrial tissue. Additionally, ultrasound scans can identify ovarian cysts linked to endometriosis, as well as larger endometrial nodules that may be present in the pelvic area. These diagnostic methods—combined with physical exams—can significantly improve early detection and treatment outcomes.

Early diagnosis and appropriate medical care are essential in managing pelvic pain during intercourse and preventing further complications. Women who experience persistent discomfort should seek expert advice to ensure optimal reproductive health.