What Could Cause Pain in the Lower Right Abdomen During Intercourse?

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Supervised by Kenji Taylor, MD

Pain in the lower right abdomen during intercourse can sometimes be caused by conditions like endometriosis or pelvic floor dysfunction.

Explanation

When you feel pain in your lower right abdomen during or after sex, one common reason is endometriosis. This condition happens when tissue similar to the lining of your uterus grows outside of it, causing pain that may be more noticeable during certain times or activities. Another possible cause is ovarian cysts, which are fluid-filled sacs that can cause discomfort if they become large or twist. Issues with the muscles of the pelvic floor (the muscles which hold the pelvic organs including the uterus in place), can contribute to pain after sex. Because there are several different causes, it is a good idea to share your symptoms with a healthcare provider. They can help figure out what might be causing the pain and identify the best treatment.

(References)

Mulari S, Mustonen M, Sotaniemi EA. Iron deficiency anemia, backache, and abdominal pain attacks during sexual intercourse in a 42-year-old woman. Scand J Gastroenterol. 1996 Jun;31(6):622-3. doi: 10.3109/00365529609009138. PMID: 8789904.
Wang J, Packer CD. Acute abdominal pain after intercourse: adrenal hemorrhage as the first sign of metastatic lung cancer. Case Rep Med. 2014;2014:612036. doi: 10.1155/2014/612036. Epub 2014 Jul 13. PMID: 25126096; PMCID: PMC4122014.
Lee GJ, Porreca F, Navratilova E. Prolactin and pain of endometriosis. Pharmacol Ther. 2023 Jul;247:108435. doi: 10.1016/j.pharmthera.2023.108435. Epub 2023 May 9. PMID: 37169264.

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