Does severe abdominal pain after intercourse during ovulation period lead to infertility?

Patient's question:

Doctor,
Do you know of any condition where severe abdominal pain occurs after intercourse during the ovulation period, leading to infertility?
I haven’t used any form of contraception for the past two months, and every time I had intercourse during the ovulation period, I experienced severe abdominal pain (accompanied by an urgent need to defecate). The cause couldn’t be identified, so I was given anti-inflammatory injections and medication, which improved after about three days. However, I didn’t get pregnant in either case. The doctor suggested that the anti-inflammatory injections and medication might have prevented the egg from implanting.
Doctor, is my situation just a coincidence or a medical condition? Is it really the anti-inflammatory injections and medication that prevented me from getting pregnant?

Doctor's answer:

Hello, Causes of sexual pain:
◇ Sexual pain caused by organic lesions should be treated by addressing the primary disease. Once the primary disease is cured, the sexual pain will naturally resolve. Examples include endometriosis, uterine fibroids, pelvic inflammatory disease, and genital warts. If these conditions are not treated, the sexual pain they cause can be difficult to resolve. Atrophic vaginitis can often be effectively treated with a combination of antibiotics and sex hormones.
◇ If sexual pain is caused by injury to the genital organs due to rough sexual intercourse, not only should the injury be treated, but the rough sexual actions should also be modified.
◇ If there is insufficient vaginal lubrication, on one hand, the pre-sex preparation period can be extended, and on the other hand, lubricants can be used. For some individuals who experience deep penetration pain, changing sexual positions such as side-lying, rear-facing, or female-on-top can help avoid deep penetration into the vagina. Alternatively, the female partner can control the depth of penetration to prevent sexual pain.
It is also possible that you are not pregnant due to the use of anti-inflammatory medications. If you have gynecological conditions, it is recommended that you actively treat the primary disease.

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