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Ask a doctor on the topic of Gynecology

Is it normal to have pain in the lower abdomen after sex?

Dear team,

my name is Hanna Schröter and I have a question regarding my health that has been bothering me for some time. After sex, I always experience strong pains in my lower abdomen and I am not sure if this is normal or if it could be a sign of a serious problem.

I am currently 28 years old and have regular sex with my partner. The pain usually occurs immediately after intercourse and lasts for several hours. They feel like crampy, stabbing pains and are felt in both the lower abdomen and pelvic area. These symptoms worry me and affect my quality of life, as I often feel uncomfortable and unwell after sex.

I have already tried different positions and tried to relax more, but the pain still occurs regularly. I wonder if this is a normal phenomenon or if I may be suffering from a condition that needs to be treated.

Could these pains indicate an infection or inflammation in the lower abdomen? Are there specific causes I should consider? What possible treatment options could help me alleviate these pains and improve my well-being after sex?

Thank you in advance for your help and advice.

Kind regards,
Hanna Schröter

Simon Hinze

Dear Hanna Schröter,

Thank you for your message and for trusting in my expertise in gynecology. I am sorry to hear that you are experiencing strong abdominal pain after sex and are concerned about your health. These symptoms are definitely not normal and should be taken seriously as they affect your quality of life.

The cramp-like, stabbing pains in the lower abdomen and pelvic area that you have described after intercourse could indicate various causes. A common cause of pain after sex is an infection or inflammation in the genital area. These could be caused by bacteria, fungi, or viruses and should be treated by a medical professional. Another possible cause for your symptoms could be endometriosis, fibroids, cysts, or other gynecological conditions.

To clarify the exact cause of your pain and receive the best possible treatment, I strongly recommend that you see a gynecologist. Your doctor will conduct a thorough examination to determine if there is an infection, inflammation, or other condition present. They may also perform an ultrasound or other diagnostic tests to make an accurate diagnosis.

Depending on the cause of your pain, your doctor will suggest appropriate treatment options. In the case of an infection or inflammation in the abdomen, antibiotics or antiviral medications may be prescribed. For other gynecological conditions, various therapies such as hormone therapy, surgical procedures, or pain medication may be necessary.

It is important that you take your symptoms seriously and seek medical attention promptly to determine the cause of your pain and treat it accordingly. Please do not hesitate to schedule an appointment with a gynecologist to protect your health.

I hope that my response has been helpful to you and I am available to answer any further questions you may have. Best wishes for a speedy recovery.

Sincerely,
Simon Hinze, Specialist in Gynecology

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