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What Causes Painful Lower Abdomen Post Intercourse?

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Posted on Tue, 30 Dec 2014
Question: After a night of kind of rough sex my lower abdomen started hurting its been four days since the sex an in the middle of my abdomen of my still hurt. What could be the problem?
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Answered by Dr. Vivek Chail (49 minutes later)
Brief Answer:
Can be due to muscle spasm, injury or urinary infection.

Detailed Answer:
Hi XXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Its possible that you might have hurt your genitals or got a urinary infection following your rough sexual intercourse. This is a common symptom in many women and needs to be evaluated as per symptoms and most people get better in a week.

The vaginal walls are lined by a thin layer of mucosa and are sensitive to friction. If you are not in the habit of using lubrication jelly during sex then small cuts and abrasions might appear. Most of the time only pain is experienced which might disappear by itself.

A possibility of urinary infection cannot be ruled out. In women, the vaginal and urinary openings are close to each other and at times there can be an infection and that can reach your bladder. This is accompanied by burning during urination with acute lower abdominal pain and frequent urges to pass urine. For this you need to drink adequate amounts of fluids and water. Please do not hold urine. If the burning and pain is severe then a urine test for infection might be required after consulting with your doctor.

There is also a possibility of your lower abdominal muscles going into spasm. This is a direct result of having a rough sexual intercourse. The abdominal muscles on repeated and forceful contractions can go in to spasm and this is more on the second and third days after sex and resolves at the end of 4 to 5 days. Applying a hot or cold pack and muscle relaxant ointments might help.

Please avoid sex for about a week and do not do intense physical activities. Since CT scan abdomen is normal, it is unlikely that there is anything seriously wrong inside the abdomen.

Wishing you quick recovery.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Causes Painful Lower Abdomen Post Intercourse?

Brief Answer: Can be due to muscle spasm, injury or urinary infection. Detailed Answer: Hi XXXXXX, Thanks for writing in to us. I have read through your query in detail. Its possible that you might have hurt your genitals or got a urinary infection following your rough sexual intercourse. This is a common symptom in many women and needs to be evaluated as per symptoms and most people get better in a week. The vaginal walls are lined by a thin layer of mucosa and are sensitive to friction. If you are not in the habit of using lubrication jelly during sex then small cuts and abrasions might appear. Most of the time only pain is experienced which might disappear by itself. A possibility of urinary infection cannot be ruled out. In women, the vaginal and urinary openings are close to each other and at times there can be an infection and that can reach your bladder. This is accompanied by burning during urination with acute lower abdominal pain and frequent urges to pass urine. For this you need to drink adequate amounts of fluids and water. Please do not hold urine. If the burning and pain is severe then a urine test for infection might be required after consulting with your doctor. There is also a possibility of your lower abdominal muscles going into spasm. This is a direct result of having a rough sexual intercourse. The abdominal muscles on repeated and forceful contractions can go in to spasm and this is more on the second and third days after sex and resolves at the end of 4 to 5 days. Applying a hot or cold pack and muscle relaxant ointments might help. Please avoid sex for about a week and do not do intense physical activities. Since CT scan abdomen is normal, it is unlikely that there is anything seriously wrong inside the abdomen. Wishing you quick recovery. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek