Why does a woman’s stomach hurt during intercourse?

Women's lower stomach pain during intercourse may be caused by physiological factors, pelvic inflammatory disease, endometriosis, urinary system infection, ovarian cysts, etc. It can be relieved by adjusting posture, drug treatment, surgical intervention, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Physiological factors

Excessive movements or improper posture during intercourse may cause tension in the pelvic floor muscles and cause temporary pain. The pain is usually dull and resolves on its own with rest. It is recommended to choose a soothing position, avoid excessive squeezing of the abdomen, and be prepared to relax before intercourse. If pain persists, pathological factors need to be ruled out.

2. Pelvic inflammatory disease

Pelvic inflammatory disease may be related to bacterial infection, poor hygiene and other factors, and usually manifests as lower abdominal pain, increased abnormal secretions and other symptoms. Sexual intercourse during an acute attack will aggravate pelvic congestion and lead to increased pain. Antibiotics such as metronidazole tablets, levofloxacin capsules, and cefixime dispersible tablets can be used as directed by the doctor. At the same time, sexual intercourse must be prohibited until the inflammation subsides.

3. Endometriosis

Endometriosis may be related to factors such as reflux of menstrual blood and immune abnormalities. Typical symptoms are dyspareunia and progressive menstrual pain. Ectopic endometrium lesions can easily cause spasmodic pain under sexual stimulation. Ibuprofen sustained-release capsules, dienogest tablets, goserelin implants and other drugs can be used as directed by the doctor to control the development of the lesions. In severe cases, laparoscopic surgery should be considered.

4. Urinary system infection

Cystitis or urethritis may be caused by ascending bacterial infection during intercourse, and is often accompanied by symptoms such as frequent urination, urgency, and burning pain during urination. Inflammation irritating the trigone area of ​​the bladder can cause pulling pain in the lower abdomen. You can use fosfomycin trometamol powder, levofloxacin hydrochloride tablets, Sanjin tablets and other drugs as directed by your doctor. During treatment, you need to drink more water and avoid having sex.

5. Ovarian cysts

Sudden severe pain may occur when an ovarian cyst is torsion or rupture, and the cyst may compress surrounding tissue and cause discomfort during sexual intercourse. Laparoscopic ovarian cyst removal is required when the cyst exceeds 5 cm or there is a risk of malignant transformation. Regular review is required after surgery to avoid strenuous exercise and premature resumption of sexual intercourse.

You should pay attention to cleanliness before and after sex to avoid excessive fatigue. When pain occurs, you can try applying heat to the lower abdomen and choose side-lying position to reduce compression. If the pain recurs or is accompanied by fever, abnormal bleeding and other symptoms, it is recommended to see a gynecologist as soon as possible for a clear diagnosis such as ultrasound examination and secretion testing. During the treatment period, you need to follow the doctor's instructions and use medication in a standardized manner, and avoid taking painkillers on your own to cover up the condition.