Why is there lower left abdominal pain after coitus two months into pregnancy?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I'm also extremely sensitive to cold and cold drafts. Could you please explain why I have lower left abdominal pain after having sex two months into my pregnancy?

Doctor's answer:

Hello, this situation might be normal, as occasional muscle cramps and pain are common in healthy individuals. If it's pathological, it's important to check for pelvic and gynecological inflammation. I recommend you follow up on your prenatal check-ups, as there is usually nothing to worry about.
If you have had sexual activity previously, pregnancy cannot be ruled out, but a urine test result at this time is unreliable. I suggest you undergo a blood HCG test. Additionally, if pregnancy is ruled out and your period is delayed by more than a week, it may indicate menstrual irregularities.

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