What is the reason for abdominal distension after coitus in pregnant women?

Patient's question:

I am 12 weeks pregnant and haven't seen my husband in a long time. Last night when we met, we had intense sexual intercourse, with me on top and me tightening my vagina forcefully. It wasn't long, but I felt very tired, yet I managed to finish. Afterward, I felt nothing unusual, just a bit tired. In the morning, after we woke up in bed, we had sex again. This time it was longer, with him on top and me underneath, and the intensity was quite high. After finishing, I felt my lower abdomen very full and had the urge to go to the bathroom, but when I did, nothing came out. There was no bleeding, just aching and fullness in my lower abdomen, as if I had had too much sex. My vaginal opening also felt very sore. Will I have a miscarriage? Is my baby safe?

Doctor's answer:

Generally, it is recommended to avoid sexual intercourse during the first, second, and third months of pregnancy. Since the embryo is in the developmental stage, especially the connection between the placenta and the uterine wall of the mother is not yet firm, if sexual intercourse occurs, it is likely that improper movements or accidental carelessness during excessive excitement may cause the uterus to shake, making it easy for the placenta to detach and leading to miscarriage.
During the second trimester (months 4, 5, and 6), sexual intercourse is permissible, but attention should be paid to positions that do not compress the abdomen of the female partner. Moderation and changes in sexual methods should be practiced. Movements should not be rough. Otherwise, it may also lead to the possibility of miscarriage.
During the third trimester (months 7, 8, and 9), sexual intercourse should be avoided, as it may lead to premature birth.

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