What might cause severe abdominal pain after sex?

When you experience very strong tummy pain after sex, there are a few possible reasons. One possibility is that the sexual activity could have caused an injury inside the body. This injury might cause internal bleeding, a condition known as post-coital hemoperitoneum. Sometimes, this bleeding happens when there is a small tear in an organ or tissue. In other rare cases, the pain after sex may be a signal that something else is going on, like an unexpected problem with the glands near your kidneys (adrenal hemorrhage) or even a sign of more serious illness. Other times, the pain might come from muscle or nerve issues, which can make the pain feel sharp and last for a while. While some discomfort can be normal, severe pain is not and should be checked by a doctor. It is a good idea to note when the pain occurs and if there are other worries, such as dizziness or a fast heartbeat. To better understand what might be causing your symptoms, you can use this free symptom checker before seeing a healthcare provider. They can ask questions and do tests to find out the exact cause and make sure you get the right treatment.