What is the reason for stomach pain during intercourse?

Stomach pain during intercourse may be related to factors such as pelvic inflammatory disease, endometriosis, ovarian cysts, urinary tract infection, or muscle tension. It is recommended to seek medical treatment promptly for a clear diagnosis to avoid delays in treatment.

1. Pelvic inflammatory disease

Pelvic inflammatory disease is an infectious disease of the upper reproductive tract in women. Common pathogens are Neisseria gonorrhoeae and Chlamydia trachomatis. Pelvic congestion during intercourse can aggravate the inflammatory reaction, manifesting as persistent dull pain in the lower abdomen, which may be accompanied by fever and abnormal vaginal secretions. Ceftriaxone sodium for injection combined with doxycycline tablets must be used for anti-infective treatment as directed by the doctor. Severe cases require hospitalization for intravenous medication.

2. Endometriosis

When endometrium tissue grows ectopically in the pelvic cavity, changes in the position of the uterus during sexual intercourse may stimulate the lesions and cause deep sexual intercourse pain. The pain is mostly located in the middle of the lower abdomen and worsens during menstruation. You can use ibuprofen sustained-release capsules as directed by your doctor to relieve pain, and leuprolide acetate microspheres to inhibit intimal growth. If necessary, laparoscopic surgery is required to remove ectopic lesions.

3. Ovarian cysts

Large ovarian cysts may twist or rupture due to changes in body position during intercourse, causing sudden sharp pain. Chocolate cysts may also cause pelvic adhesions. It is recommended to monitor the changes of cysts with ultrasound. When the diameter exceeds 5cm or there is a tendency of malignant transformation, laparoscopic ovarian cyst removal is required, and Guizhi Fuling capsules can be used for postoperative conditioning.

4. Urinary system infection

In patients with cystitis or urethritis, pressure on the urethra during sexual intercourse may induce painful urination and suprapubic area pain. The common pathogen is Escherichia coli, which can be treated by taking Levofloxacin Hydrochloride Tablets and Sanjin Tablets as directed by your doctor. Urinating promptly after sexual intercourse and keeping the vulva clean can help prevent recurrence of infection.

5. Muscle tension

People who have sex for the first time or have not had sex for a long time may experience spasmodic pain due to excessive contraction of the pelvic floor muscles. It is recommended to enhance muscle coordination through Kegel exercises and take a warm sitz bath to relax before intercourse. If vaginismus persists, diazepam suppositories should be used to relieve muscle tension under the guidance of a doctor after eliminating psychological factors.

You should pay attention to sexual hygiene in daily life and avoid having sex during menstruation. In case of acute pain, you can relieve it by lying on your side with your knees bent, and apply hot compress to the lower abdomen for no more than 20 minutes at a time. It is recommended to wear loose cotton underwear, have a gynecological examination every year, and see a doctor immediately if abnormal bleeding or pain worsens. Maintaining a regular schedule and moderate exercise can help improve pelvic blood circulation.