What causes lower abdominal pain after sex

Patient's question:

What causes lower abdominal pain after sex?

Doctor's answer:

1. Physiological pain: Generally, normal post-coital abdominal pain is primarily manifested when the male penis's thrusting stimulates the female vagina, abdominal cavity, and pelvic organs intensely, leading to symptoms such as rapid breathing and involuntary whole-body contractions, all of which can cause pain. However, sexual arousal masks the pain, so it often appears later. This is a common physiological pain phenomenon, and this delayed pain is bearable and will resolve on its own.
2. When urethritis or inflammation of the urethral meatus is present, sexual activity stimulates the affected area. With the contraction of the perineal muscles, the muscles around the urethra and perineum also contract synergistically, resulting in a period of spastic dull pain and discomfort after coitus.
3. If a woman has vulvitis or vaginitis, pain often occurs during the process and becomes more pronounced after it ends.

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