Why does my stomach hurt during sex?

Lower stomach pain during intercourse may be related to physiological factors, pelvic inflammatory disease, endometriosis, urinary system infection, ovarian cysts and other factors. It is recommended to seek medical treatment promptly to determine the cause of the disease to avoid delays in treatment.

1. Physiological factors

Excessive tension or violent movements during sex may cause pelvic floor muscle spasm, causing temporary pain. It usually presents as dull pain or soreness, which can be relieved after rest. It can be improved by adjusting body position, relaxing your mood, applying heat to the lower abdomen, etc. No special medication is required, and repeated high-intensity sexual activities are avoided.

2. Pelvic inflammatory disease

Pelvic inflammatory disease is mostly caused by ascending infection by pathogens such as Neisseria gonorrhoeae and Chlamydia. Pelvic congestion during intercourse will aggravate the inflammatory response. It is often accompanied by symptoms such as increased vaginal discharge and fever. Antibiotics such as ceftriaxone sodium for injection and doxycycline hydrochloride tablets must be used as directed by the doctor, along with bed rest.

3. Endometriosis

Ectopic endometrial tissue bleeds periodically under sexual stimulation, irritating the peritoneum and causing sharp pain. The pain often worsens periodically and may be accompanied by increased menstrual flow. You can choose ibuprofen sustained-release capsules to relieve pain, or use leuprolide acetate microspheres to inhibit intimal growth. Severe cases require laparoscopic surgery to remove the lesions.

4. Urinary system infection

When the bladder or urethra is irritated by inflammation, the pressure of sexual intercourse can induce lower abdominal pain. Symptoms of frequent urination and urgency are common. Routine urine examination is required. After diagnosis, antibacterial drugs such as levofloxacin hydrochloride tablets and fosfomycin trometamol powder can be taken. During the treatment period, sexual intercourse is prohibited and drinking water exceeds 2000 ml per day.

5. Ovarian cysts

Sudden severe pain will occur when the cyst is torsion or rupture, which may be induced by changes in sexual position. May be accompanied by nausea and vomiting. Ultrasound examination is required for diagnosis. Smaller cysts can be observed by taking Guizhi Fuling capsules. Larger cysts require ovarian cyst removal. Avoid strenuous exercise and abdominal pressure.

Daily attention should be paid to cleaning the perineum and urinating in time before and after sexual intercourse. Choose loose-fitting cotton underwear to avoid sitting for long periods of time. The diet should be light and limit the intake of spicy foods. If the pain lasts for more than 2 hours or is accompanied by bleeding, fever and other symptoms, seek medical attention immediately. Regular gynecological examinations can help detect lesions early.