What are the reasons for abdominal bloating during cohabitation?

Patient's question:

Detailed medical condition and consultation purpose: When we are together, I get bloated, but it goes away when I change my position. What is going on?

Doctor's answer:

(1) Persistent sexual impulses can cause pelvic congestion syndrome, or acute or chronic abdominal pain may occur.
(2) The female urethra and bladder base are close to the vagina, with the uterus and its appendages and the vagina having a more intimate relationship. This makes them more susceptible to external pressure and biological factors, such as irritation or congestion of pelvic organs. When tissues contract or spasm, abdominal pain may result.
(3) Excessive force during male sexual intercourse can cause a sudden increase in abdominal pressure, compressing the uterus, rectum, and bladder under gravity, leading to reverse peristalsis in the intestines and causing abdominal pain. It is best to seek a formal medical examination to determine the cause and receive targeted treatment.

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