Why do I feel lower abdominal pain after intercourse

Patient's question:

Why do I always feel lower abdominal pain after having sex with my husband, especially today when the lower abdominal pain was particularly severe until I bought painkillers and took them to relieve it.
I want to ask, what could be the reason? Is it possible that it's appendicitis?

Doctor's answer:

When women suffer from vulvitis or vaginitis, they often experience pain during sexual intercourse, which becomes more pronounced after it ends. These areas have inflammation, with local congestion and swelling present even at rest. During sexual activity, local congestion becomes even more severe, and mechanical stimulation during intercourse, along with the strong contractions of vaginal muscles during orgasm, can intensify pain and discomfort in the genital area.
When women have urethritis or inflammation at the urethral opening, sexual intercourse stimulates the affected area. As the perineal muscles contract, the muscles around the urethra and perineum also undergo coordinated contractions, leading to a period of spasmodic dull pain and discomfort after intercourse.
Cervicitis or cervical erosion can cause persistent discomfort in the genital area after sexual intercourse due to direct stimulation, especially during cervical contractions during orgasm. This may also lead to symptoms such as slight vaginal bleeding.

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