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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Lower Abdomen And Rectum After The Intercourse?

Today I had severe pain in my stomach and rectum almost immediately after having sex with my husband. There was no pain during sex. I went to the bathroom after I couldn t stand the pain any more. But that too was very painful. I went back to bed to lie down. Eventually the pain subsided if I didn t move much. Now, hours later I have a dull pain in my lower right abdomin area. What would be causing this?
Mon, 9 Feb 2015
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Pathologist and Microbiologist,  's  Response
Hi! thanks for sharing your health problem with us!

Whenever a patient comes to my clinic with lower abdomino-pelvic pain, I first take a detailed history in relation to any surgery, recent medicines, any chronic illness, infections, aggravating cause etc. etc. and thereafter I go for a detailed physical examination including per-rectal and per-vaginal examination if needed!

However, as per your description there could be some reasons behind this kind of sharp, severe pain following sexual intercourse:

1. injury to uterine ligaments/cervix

2. torsion / inversion of ovary /uterus

3. injury to urinary bladder

4. nerve or vessel injury

But as the pain subsided itself and now is limited to a dull ache, some infection in the cervix, rectum or urinary bladder should also be excluded. Therefore, please see your gynecologist for some tests like urine, stool, PAP and ultrasound etc.

Also don't forget to write to us in case any more queries.

wishing you good health!
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What Causes Pain In Lower Abdomen And Rectum After The Intercourse?

Hi! thanks for sharing your health problem with us! Whenever a patient comes to my clinic with lower abdomino-pelvic pain, I first take a detailed history in relation to any surgery, recent medicines, any chronic illness, infections, aggravating cause etc. etc. and thereafter I go for a detailed physical examination including per-rectal and per-vaginal examination if needed! However, as per your description there could be some reasons behind this kind of sharp, severe pain following sexual intercourse: 1. injury to uterine ligaments/cervix 2. torsion / inversion of ovary /uterus 3. injury to urinary bladder 4. nerve or vessel injury But as the pain subsided itself and now is limited to a dull ache, some infection in the cervix, rectum or urinary bladder should also be excluded. Therefore, please see your gynecologist for some tests like urine, stool, PAP and ultrasound etc. Also don t forget to write to us in case any more queries. wishing you good health!