What disease causes severe abdominal pain after recently having sex with my husband?

Patient's question:

Medical Description: The condition occurs only during sexual activity in a monthly cycle.
Past Treatment and Effectiveness: I visited a local hospital, where they recommended an ultrasound after the next menstrual period.
Help Needed: I need a prompt response and hope to receive your assistance.

Doctor's answer:

Hello; Post-coital abdominal pain mainly has two causes. One is physiological: During sexual intercourse, the thrusting of the male penis can cause intense stimulation to the female vagina, abdominal cavity, and pelvic organs, leading to rapid breathing and involuntary muscle contractions in the female body, which can cause pain. However, since sexual arousal masks the pain, it often manifests after intercourse. This is the most common scenario. Such post-coital abdominal pain is bearable and will resolve on its own. The other is pathological: If the female has pre-existing lesions in the abdominal or pelvic cavity, and the male's movements are rough, with fast and excessive thrusting or deep penetration, the penis may impact the affected area, causing abdominal pain. It is recommended to seek symptomatic treatment. Wishing you good health.

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