Why does the abdomen feel bloated and painful during sex?

Patient's question:

Detailed medical condition and consultation purpose: During the last two sexual encounters, I experienced abdominal bloating and pain. What could be the cause? How can it be treated?
Duration of the current illness and persistence: From the beginning of sexual activity to about an hour after it ends.

Doctor's answer:

There are many reasons for lower abdominal pain during sexual activity, including various diseases of the reproductive organs and urinary system, congenital malformations, and more. A typical condition involves endometrial nodules on the uterosacral ligaments near the posterior fornix of the vagina. Inflammation in the pelvic cavity can cause adhesions between the peritoneal organs, while penile insertion may impact the cervix, causing peritoneal vibration and organ movement that leads to pain. Pain can also occur when vaginal lubrication is insufficient. Female pelvic organ inflammation, adhesions, local scars, cervicitis, endometritis, ovarian cysts or tumors, and vaginal spasm can all cause sexual pain.

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