Why Does the Lower Left Abdomen Hurt During Intercourse?

There are several potential reasons for experiencing lower abdominal pain during or after sexual activity, and they can be broadly categorized into non-organic and organic causes. Understanding these factors may help identify the underlying issue and guide appropriate treatment.

Non-Organic Causes

One of the most common explanations for discomfort during intercourse is related to temporary physiological responses. For example, uterine spasms can occur due to increased blood flow to the pelvic organs during sexual arousal, which may result in cramping or pain. Additionally, engaging in frequent or overly aggressive sexual activity can lead to irritation or minor injuries to the vaginal mucosa and surrounding tissues, potentially causing localized pain in the left lower abdomen.

Another important factor to consider is infection. Sexual stimulation increases pelvic blood circulation, which can promote the growth of harmful microorganisms. This environment may lead to infections such as pelvic inflammatory disease (PID) or endometritis, both of which can cause post-intercourse discomfort.

Organic Causes

In some cases, physical abnormalities or diseases may be responsible for the pain experienced during intimacy. Pelvic adhesions, for instance, can create tension or pulling sensations during sexual activity, especially on one side of the lower abdomen. These adhesions often form as a result of previous surgeries, infections, or inflammation.

Certain types of uterine conditions, such as fibroids located on one side of the uterus, can also lead to pain during sexual excitement. Changes in position or physical movement during intercourse may trigger a feeling of pressure or stretching in the lower abdomen. Other possible organic causes include endometriosis and ovarian cysts—particularly chocolate cysts associated with endometriosis—which can cause significant discomfort after sexual activity.

If you frequently experience pain during or after intercourse, it's recommended to consult a healthcare professional to determine the exact cause and explore suitable treatment options.