Why do I have abdominal pain after sex?
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Why do I have abdominal pain after sex?

Cramps and stomach pain can darken our moments of intimacy. It’s called dyspareunia and it can occur before, during or after sex. It can significantly impact the quality of life for the individual and the couple. More common among women, but not completely unknown to men, it is linked to a number of causes some of which can be resolved through therapy. Others, however, are due to one’s anatomy or malformations of the reproductive system. In this case, it is necessary to learn to live with the difficulties it can cause. In some cases, the problem can be caused simply by an overuse of muscles, which cramp up during intercourse just as they would during any other type of physical activity.

Remember that an orgasm produces strong involuntary muscle contractions, that become painful when particularly intense or long in duration. Intestinal problems, such as constipation, can produce a similar pain, as can urinary disorders or sexually transmitted diseases. Even our mind can play tricks on us. Stress and anxiety is a frequent cause of dyspareunia, as well as psychological trauma or other emotional problems.

In women, the most common cause of dyspareunia is from ovarian fibroids, endometriosis, uterine retroflexion, cysts or pelvic inflammatory disease (an infection which damages the upper reproductive system), and vaginismus, a psychological disorder that can cause involuntary contractions of the genital area causing significant pain during penetration. In men, prostatitis is the most common cause. Being chronic or acute, bacterial or caused by other factors, it is an inflammation of the prostate that usually causes pain in the pelvic zone during sex.

In many cases, cramps and pain usually disappear quickly without need of any intervention. When they don’t go away, it might be the case to contact a specialist to look into the causes behind the disorder. If the problem can be tied to a particular sexual position, it might be necessary to abandon it in favor of more comfortable positions.

HFTHQ 20-47
Bibliographical references
What causes cramps after sex?, Nicole Galan, RN, 2019, https://www.medicalnewstoday.com/articles/324488

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