Published on: 4/7/2025
Severe abdominal pain after sex might be caused by internal injuries, bleeding, or other rare conditions that affect organs in the abdomen and pelvis. It’s important to get medical help if the pain is strong or lasts a long time.
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, and then see a healthcare provider. They can ask questions and do tests to find out the exact cause and make sure you get the right treatment.
(References)
Toquero L, Gadd R, Owers CE, Simms JM. Post-coital haemoperitoneum: a downside to intercourse. Ann R Coll Surg Engl. 2012 Jan;94(1):e26-7. doi: 10.1308/003588412x13171221499586. PMID: 22524918; PMCID: PMC3954220.
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.
Beerten SG, Coteur K. Dysorgasmia in women: Case report and preliminary assessment guide. Womens Health (Lond). 2024 Jan-Dec;20:17455057241267100. doi: 10.1177/17455057241267100. PMID: 39238206; PMCID: PMC11378201.
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