Does Stomach Pain After Sex Mean Your Pregnant?

Women often suffer from lower abdomen pain after sex. Whether the pain is caused by orgasm or deep penetration, it can be unpleasant and uncomfortable.

Cramping after orgasm is a result of the uterine contractions that occur during and after the pleasure. However, if the cramps persist or increase in intensity, it might be an indication of another medical issue.

Endometriosis

Endometriosis happens when tissue that normally lines the uterus grows outside the pelvic cavity. It can spread to the ovaries, fallopian tubes, bowel or bladder. The tissue may bleed during periods as it sheds, causing pain, inflammation and scarring.

It’s not known why this tissue grows inside the body. Some experts believe that it develops when menstrual blood travels back through the fallopian tubes into the pelvic cavity instead of out through the uterus. Others believe that hormones change cells in the abdomen into endometrial-like tissue.

Some women with endometriosis can get pregnant, but it’s harder than for those without the condition. It can be difficult for sperm to reach an egg in the fallopian tube, and it’s hard for the fertilised egg to implant on the wall of the uterus if there is endometriosis.

In addition, endometriosis can make it more likely to have a complication called placenta previa, in which the placenta implants low in the uterus, covering part of the cervix. This can increase the need for a cesarean delivery, a surgery to deliver a baby through surgical incisions in the abdominal area.

Pelvic Inflammatory Disease

Pelvic inflammation disease (PID) is an infection that affects the uterus, fallopian tubes, and ovaries. It’s often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea. These infections can cause a lot of pain in the pelvis. The longer PID is untreated, the more damage it can do to a woman’s reproductive organs. It can also lead to serious health problems, such as infertility.

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Symptoms of PID include tenderness in the lower abdomen or pelvic region, painful vaginal discharge, and a feeling that something is stuck in your pelvis. Your doctor will check your symptoms and may take a swab from your vagina or cervix to test for chlamydia, gonorrhea, and other causes of PID.

PID can be treated with antibiotics. However, the infection can return if you don’t finish your course of treatment or if you haven’t been using condoms during sex. This can damage your womb and fallopian tubes, which can make it harder to get pregnant in the future. It can also increase your risk for premature birth and low-birthweight babies.

Ovarian Cysts

Stomach pain after sex is pretty common, and while it’s not always a cause for concern, it’s still worth making an appointment with a medical professional. For women, that could mean an ob-gyn or a pelvic physical therapist like San Francisco-based Rachel Gelman, owner of Pelvic Wellness and Physical Therapy.

Gelman says that most of the time, pain after sex is caused by something benign, like a vaginal infection or an irritated bladder. Other times, it’s an indication that there’s a more serious problem—like endometriosis or adenomyosis—that needs to be addressed.

Those pesky period cramps can also cause abdominal pain after sex, especially if you have deep penetration or are on your period, notes Yale New Haven Hospital ob-gyn Mary Jane Minkin. And for some, a T-shaped device called an intrauterine device (IUD) can cause painful sex or pelvic pain when it’s inserted or removed.

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If your stomach pain after sex is caused by digestive issues, like bloating or constipation, try over-the-counter antacids or simethicone to ease the discomfort. Other options include probiotics, dietary changes, and avoiding dairy or gluten (if you have celiac disease). If your symptoms persist, talk to your doctor.

Fibroids

The most common cause of pain after sex is benign (non-cancerous) cysts or fibroids on the uterus. They can cause pain during intercourse depending on their size and location in the uterus. They can also cause muscle cramping.

Fibroids are non-cancerous tumors in the uterus and are very common during childbearing years. They can grow anywhere in the uterus and exert pressure on the surrounding pelvic nerves. They can cause heavy bleeding and pain during sex and are also known as dyspareunia.

In some cases, especially with submucosal fibroids, they can interfere with the ability to become pregnant by blocking a fallopian tube which connects the ovary to the womb, and prevents sperm from reaching an egg. However, cases of fibroid-related infertility or miscarriage during pregnancy are very rare.

Fibroids can also increase the chances of a placental abruption which is a dangerous condition that occurs when the placenta separates from the wall of the uterus before childbirth. It’s important to see your doctor if you are experiencing these symptoms. They can prescribe medication or perform a pelvic exam and blood tests to diagnose the cause of your pain.

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Miscarriage

Miscarriage is a pregnancy loss that can be devastating. It usually happens during the first 20 weeks of a pregnancy and is not something a woman or her partner does to cause it. Miscarriages occur for a number of reasons, including chromosomal problems, genetic issues, cervical insufficiency and problems with the uterus.

If you have a miscarriage, it is important to seek medical help immediately. There are different types of miscarriages and the treatment you receive will depend on how far along your pregnancy is. A threatened miscarriage can involve light vaginal bleeding or lower abdominal pain. Your cervix may still be closed, so this can go away on its own or you might need to have a minor procedure called dilation and curettage (D&C) in which your doctor uses an instrument called a curette to remove the tissue from your uterus.

You can also have a complete miscarriage in which your body passes all the pregnancy tissue. This can happen on its own or you may need to take medicine called misoprostol and mifepristone which makes the uterus contract and pass the tissue. You can also have a suction procedure in which a nurse or doctor inserts a plastic tube into your uterus and removes the tissue with suction.

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