Why Does It Hurt in the Lower Abdomen During Intercourse?

Experiencing pain in the lower abdomen during sexual activity can be concerning and may be caused by a variety of factors, both physiological and pathological. Understanding these causes can help individuals determine whether medical attention is necessary.

1. Normal Physiological Response

In some cases, mild discomfort or slight pain in the lower abdomen during or after intercourse is completely normal. This is often due to natural uterine contractions that occur during orgasm. These contractions can cause temporary pressure or cramping but typically subside quickly without any complications.

2. Pelvic Inflammatory Disease (PID)

If pain occurs regularly during intercourse, it could be related to an underlying condition such as pelvic inflammatory disease. PID is often caused by bacterial infections, including sexually transmitted infections. During intercourse, physical contact with the cervix may irritate the inflamed peritoneum, leading to noticeable abdominal pain.

3. Corpus Luteum Rupture

Another potential cause is a ruptured corpus luteum. The corpus luteum is a temporary ovarian structure that forms after ovulation. It is fragile and prone to bleeding. If it ruptures—especially during or after sexual activity—it can lead to sudden, sharp abdominal pain. This type of pain usually appears in the second half of the menstrual cycle and should be evaluated by a healthcare professional as soon as possible.

4. Treatment Options Depend on Severity

Treatment for conditions like corpus luteum rupture depends on the severity of symptoms. Mild cases may only require rest and observation, while more severe cases involving significant internal bleeding may necessitate surgical intervention to stop the bleeding and prevent further complications.

If you frequently experience abdominal pain during or after intercourse, it's important to consult with a doctor to rule out serious health issues and receive appropriate care.