Many women complain of pain in the lower abdomen during sex. In medicine, this phenomenon is called dyspareunia. In some cases, it is due to physical causes, and sometimes it can indicate the presence of serious health problems. Is there a cure for lower abdominal pain in women with sex? For what reasons is this problem developing? What diagnostic methods do doctors use? You will learn about all this from the article.
Possible reasons
In order to know for sure the cause of pain and discomfort in the lower abdomen during and after intercourse, it is necessary to undergo a study with a urologist and gynecologist. The article describes the alleged diseases and conditions that can provoke pain in the lower abdomen in women after sex. You cannot diagnose yourself and choose treatment at random - you should visit a doctor.
The most common causes are:
- vaginitis - inflammation of the walls of the vagina due to hypothermia, multiplication of infection, decreased immunity;
- premenstrual syndrome;
- urethritis - an inflammatory process in the urethra;
- chronic sluggish pyelonephritis - inflammation of the kidneys of a bacterial nature;
- vaginal candidiasis (or, as the people call this disease, thrush);
- problems with muscle tissue of the pelvic floor - insufficient tone or partial atrophy;
- pelvic neuralgia;
- neoplasms in the genital area.
Premenstrual pain during intercourse
There is an opinion that premenstrual syndrome in women manifests itself only at the psychoemotional level. She becomes irritable, quick-tempered, tearful. This is a fallacy: physical manifestations are often much stronger and brighter.
One of the main manifestations of premenstrual syndrome is acute pain in the lower abdomen after sex. Why is this happening? The walls of the vagina are tense, in some cases a slight swelling may appear. As a result, frictions cause pain not only during intercourse, but also after it. Swollen walls of the vagina receive microtrauma - this can cause inflammation and vaginitis.
How to solve this problem? The simplest solution is to have no sexual contact about two to three days before the expected start of your period.
What is urethritis and how it manifests during intercourse
Urethritis - so in urenephrology is called the inflammatory process in the urethra, which is accompanied by pain during emptying of the bladder. Depending on the stage of inflammation, the symptoms may be as follows:
- temperature from 37 to 39 degrees;
- chills, fever;
- swelling of the genital organs;
- pain in the lower abdomen during sex;
- pain during urination of a sharp nature, burning.
It is impossible to engage in the treatment of urethritis independently. Special tests should be passed that will also detect other infections. Symptoms of urethritis often coincide with sexually transmitted diseases. So pain during intercourse in the lower abdomen and subsequent painful urination can be associated not only with inflammation of the urethra, but also with the presence of sexually transmitted infections.
Vaginitis in a woman: symptoms during intercourse
This disease significantly affects the woman’s sex life: reduces sexual desire, causes burning, itching and pain in the external genitalia and inside the vagina. In some cases, the discomfort is so strong that it interferes with normal performance and forces the patient to take sick leave. Most often, there is an unpleasant odor (it is often compared with the smell of raw fish) from the genitals.
Vaginitis is the most common pathology of internal organs among women of reproductive age. According to statistics, every seventh woman has a certain number of pathogen bacteria on the mucosa. The development of the inflammatory process may not occur immediately, but alternately develop, then subside for a while. This is due to the fact that when immunity is in order, the body's defenses can themselves impede the development of such ailments. Failure to comply with the simplest rules of intimate hygiene aggravates the manifestations of vaginitis, and the ingestion of dishes with yeast contributes to the development of pathogenic microflora.
Vaginitis develops for the following reasons:
- non-compliance with the rules of sexual hygiene;
- lack of protection during intercourse;
- genital injury;
- change in hormonal status;
- abortions and miscarriages.
Sexual anxiety and its psychosomatic manifestations
Psychogenic sexual dysfunctions - have not been on the pages of textbooks on sexology. This is a very real diagnosis, the manifestations of which are observed in every eighth girl. The problem is often characteristic of inexperienced and young lovers. Their expectations of intimacy are especially high, and as a result of some trifle, which the partner does not even attach importance to, they will receive psychological trauma. This can affect the rest of your life.
Such girls can subsequently become cold or even completely frigid. Various sexual deviations may appear.
Another common problem that appears at the physical level is fear of pregnancy. Even if protected, these thoughts can become intrusive. A common fear of many girls is pregnancy. Pain in the lower abdomen after sex in this case is psychosomatic in nature, since there is no real reason for them. Attacks of nausea and weakness can also appear, although in reality there will be no reasons for such well-being.
Urinary system diseases
It is very simple to distinguish them: in addition to sharp pain in the lower abdomen after sex, pain during urination, drawing pains in the lower back, fever, chills, fever, weakness are characteristic.
Diagnoses such as pyelonephritis, glomerulonephritis, nephritis can cause inflammation and swelling of the organs of not only the urinary system, but also the internal genitalia. Including the microflora of the vagina may be affected. As a result, the release of lubricant is disrupted and during intercourse the girl receives many microtraumas. Because pain occurs, in some cases it can be paroxysmal in nature. The severity of discomfort depends on the degree of spread of inflammation.
Treatment methods for urethritis and pyelonephritis and women
The pharmacological market offers many active drugs. With the constant use of certain means of pain in the lower abdomen during sex and discomfort during urination will pass after a few days.
- Kanefron is a homeopathic medicine that gently relieves signs of inflammation. It normalizes urination and has a mild diuretic effect. The cost of packaging is about four hundred rubles. Duration of admission is at least ten days, maximum two months. The exact dosage and conditions of admission will be reported by the attending gynecologist or urologist.
- "Fitolizin" is a preparation based on plant extracts in the form of a paste. It should be taken one tablespoon on an empty stomach, several times a day. If after a week of taking "Fitolizin" pain during intercourse remains the same intensity - then you should look for another cause of discomfort and a different drug for therapy.
- "Monurel" is an excellent drug for the treatment of inflammatory processes not only in the kidneys, but also in the ureter. It can have a positive effect even with vaginitis and candidiasis. For maximum action, it is recommended to be taken in parallel with antibacterial drugs. after the bacteria are destroyed, pain in the lower abdomen during sex and burning during urination will disappear. If the bacteria were not completely destroyed and the course of treatment was not long enough, unpleasant symptoms may return.
Alternative treatments for lower abdominal pain in women
Simple tips to help minimize pain during and after intercourse:
- do not take hot baths, do not visit steam rooms and baths - exposure to high temperatures is an appropriate medium for the propagation of pathogenic microflora;
- drink a nettle infusion with a course - it dilutes the blood and has an anti-inflammatory effect;
- reception of a sitting bath is better to replace with a shower in order to avoid spread of a possible infection;
- change underwear as often as possible, violation of this rule most often entails the development of chronic vaginitis and an unpleasant odor;
- avoid hypothermia of the legs and lower back.
How long after treatment does lower abdominal pain pass during sex
When to expect relief after starting therapy? it all depends on the individual state of the body, the degree of the disease and immunity.
In genital infections, one to two weeks of intensive antibiotic and anti-inflammatory therapy is sufficient.
If the cause is inflammatory processes in the organs of the urinary system, then you should be patient. it may take several months for therapy until the pathogen is completely destroyed.
Therapy of vaginitis passes quite quickly - just drink a course of an antibacterial drug and observe measures of intimate hygiene.
Prevention methods: how to prevent painful sex
Why after sex does it hurt in the lower abdomen? This question interests many girls. The most common causes and solutions are listed above.
It is always easier to prevent the development of the disease than to treat it. Here are some simple tips on how to do this:
- often do not change sexual partners, since even if protected, some infections can be transmitted through saliva and skin;
- observe hygiene rules - regularly flush the genitals with clean water and change clothes;
- avoid visits to steam rooms and saunas;
- minimize the use of yeast products, as they are often the cause of disturbance of the vaginal microflora.