Medical Minute: Pain after sex

This past weekend, a friend called me complaining of severe cramping pain in her lower abdomen. She said the pain started about 10 minutes after she had sex with her husband and now – 2 hours later – she could barely move or breathe. She described feeling the urge to defecate or pass gas but being unable to.

She said she’s had this problem for about 2 years and her doctor told her there was nothing wrong with her. He hinted it might all be in her head. This caused my friend unnecessary anxiety and frustration.

After doing a little research, I learned that many women suffer from cramps/pain after sexual intercourse or oral sex. But 80% of these women are told there is nothing physiologically wrong with them and doctors are often at a loss to explain the cause.

The pain is described as mild cramping to intense sharp pains in the lower abdomen which usually begins 10 minutes after intercourse or oral sex. Some women report being unable to breathe or walk due to the intense pain.

This is not the same as vaginal pain during intercourse (dyspareunia) which can be caused by vaginal dryness, sexually transmitted diseases or other gynecological problems.

While some lower abdominal cramping is normal after sex if you’re pregnant – you should see a doctor if the pain increases in intensity or lasts longer than a day.

Some medical professionals believe the cramps are caused by rough sex (deep thrusting) irritating the cervix and causing it to dilate a little. Others think the cramps are caused by muscle contractions from inactivity prior to sexual intercourse.

Here’s what you can do if you suffer from cramps after sex and you’ve talked to your doctor:

  • Avoid sex one week prior to and during your period
  • Take warm baths after sexual encounters
  • Take over the counter pain killers such as Alleve
  • Perform kegel exercises to strengthen the muscles of the pelvic floor
  • Try sexual positions that don’t put pressure on your uterus such as laying on your side


 


82 Responses to “Medical Minute: Pain after sex”

  1. 1
    prynsexxx says:

    I’m no doctor, but I was also told that pain “during sex” can be caused by a cyst or cysts on your ovaries, sometimes called “Nabothian” cyst.

    I always stand to be corrected.

  2. 2
    MOCHAMOMMY says:

    I dont know about anyone else, but this came right on time for me ;) thanks for the info sandra!!

  3. 3
    Kymystry says:

    And we HAD to see the Dead behind the eyes even while getting drilled from behind chick K.K again … LAWD … she is the WORSE !!!

  4. 4
    AlwaysSweet says:

    This has happened to me many times with my boyfriend. I thought that maybe he had tore something up up there. Often times I was to the point of tears. I never went to the emergency room though because of fear of embarassment. Walking it off and moving around usually eases the pain a just a little.

  5. 5
    Bubbles says:

    Dead at the KIm K pic. Sandra you ain’t slick! LOL

  6. 6
    cutienjerzey says:

    That pain ain’t no damn joke…I suffer from that from time to time, went to the dr and everthing. My great female African American GYN found nothing wrong with me. I chalked it up to us being a bit rough.

  7. 7
    2thick4u says:

    You wrong for that picture Sandra!!

    Thanks for this medical minute…it was really helpful!!!

  8. 8
    MOCHAMOMMY says:

    I was thinkin the same thing about the KK pic. I woulda preferred Paris Hilton over that. Hell, even the Colin Farrell woulda been better. I think u have a secret Kim fetish

  9. 9
    Kymystry says:

    As far as the medical tip .. sex is ALWAYS painful for me .. cause my uterus is tipped … shurgs … i’ve just dealt with it ..never discussed it with my Doc…

  10. 10
    2bme says:

    i’ve been there before deep breathing and a hot towel on my abdomen usually does the trick..kegels or jade eggs will work wonders for you ladies..look into it if you haven’t already

  11. 11
    brwnsugga4you says:

    the pic of kim k….PRICELESSS!!! and we know that’s not Mr. Reggie Bush behind you now is it…lol.

    thanks for the info sandra. never a dull moment on this blog..lol.

  12. 12
    cutienjerzey says:

    @ 2bme

    What are jade eggs?

  13. 13
    Katrina_1976 says:

    WHAT DOES THAT PICTURE HAVE TO DO WITH ANYTHING???

  14. 14
    2bme says:

    Kymystry me too..I wasn’t supposed to carry my daughter full term..probably why I was in labor for 46 hours..and yall wonder why she’s an only child..humph!

  15. 15
    prynsexxx says:

    One thing I had never heard of was the fact that “after oral” you feel these pains as well? I would think the “mandibula” (jawbone) would be a lil out of place, but not the uterus and defacating and passing of the gas and all. That happens AFTER ORAL????????!!!!!!! Damn!

  16. 16
    Kymystry says:

    Jade eggs are These oval “eggs” that progress DOWN in size … u insert .. hold them for as long as u can .. till you get the smallest size and your man will be very very very happy with you .. wink wink .. just becareful NOT to pull off condom while you showing off your flexing skills … LOL

  17. 17
    Bird says:

    I guess we all have experienced this at some point. I never went to a doctor becuase for me it has a known cause; rough sex or sex with a man with a big ole petey. No big deal to me. I just try to avoid the big d*ck Willie’s and they never get a second shot at the kitty and for the dudes that move like a rabbit, I just tell them to chill out. My daughter’s dad is unusually blessed in the petey department and his wife married him in spite of that fact. When they were dating he told me she constantly complained about the pain of having sex with him. After 16 years of an on and off relationship they rarely have sex. She was too young to have learned not to keep trying to get used to a big d*ck Willie’s girth and now that she is older she accepts having an unsatisfying sex life. Meanwhile, he’s knocking down side chicks that can handle him.

  18. 18
    prynsexxx says:

    *mandible

  19. 19
    2bme says:

    #12 google them..my job won’t let me pull up the link..it’s the same as kegels but with a little more assistance..and TRUST they do work..your man WILL notice the difference

  20. 20
    2bme says:

    ^5 Kymystry ,lol

  21. 21
    MOCHAMOMMY says:

    prynsexxx Says:

    One thing I had never heard of was the fact that “after oral” you feel these pains as well? I would think the “mandibula” (jawbone) would be a lil out of place, but not the uterus and defacating and passing of the gas and all. That happens AFTER ORAL????????!!!!!!! Damn!
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Thats some weird oral… LOL :) I used to get those pains when I had a mandingo lover. I swear he felt my heart beat with his… well i’ll stop. But I found out that a nice warm bath with epsom salt does the trick

  22. 22
    prynsexxx says:

    Recipe for Kegals

    Pee
    Stop
    Pee
    Stop
    Pee
    Stop

  23. 23
    Kymystry says:

    @2beme .. My labor was 40.5 hours .. and yes my big head son is an only child as well … lol

  24. 24
    2bme says:

    ^^ that’s also a recipe for a urinary tract infection if you hold it for too long..use a dildo, stand up walk around with it, if it stays in place you’re on your way to what I like to call the Titanium NaNa..hahahahaha.

  25. 25
  26. 26
    gemini83 says:

    A warm bath usually works! I like a little pain though. I know, tmi, but what the he11. :) !

  27. 27
    kat says:

    lol @ that picture!

  28. 28
    MOCHAMOMMY says:

    http://www.jadeeggs.com/

    Yall gonna have my sick ass practicin new stuff & blowin my nose at the same time!!!! LMAO

    (I hope when I cough, I dont lose my grip… Even though my man says its a glove now, he’s about to get a bear trap!!! LMAO)

  29. 29
    prynsexxx says:

    2bme and kymestry:

    I got yall both beat. 72 hours. WALKED into the ER the day before my actual due date at 7 cm dilation and no breakage in my water (but had “bloody show”) and said in a very calm voice:

    “I think I’m in labor”

    Don’t trip. Oh and she is an only child as well. LOL

  30. 30
    2bme says:

    (handing the trophy to prynsexxx) you win that hands down..

  31. 31
    prynsexxx says:

    Did anybody every realize that sometimes it ain’t us, but the fact that the mans ding is bent at the tip.

  32. 32
    2bme says:

    bent brain..bent dyck..what’s your point? :)

  33. 33
    cutienjerzey says:

    Thanks 2bme and Kymystry for the info…I went on the site. will be ordering the eggs.

  34. 34
    cutienjerzey says:

    @ prynsexxx

    I had one before that had a slight curve to it. It was a little weird at first but after the first few times I got used to it…I don’t think they all have the “bend”…

  35. 35
    Sandra Rose says:

    Some of you ladies are confusing pain “during sex” with lower abdominal cramps “after sex” which is what this post is about. :)

    Also, the reason oral sex causes cramps is because the orgasm causes the uterus to contract.

  36. 36

    Umm Sandra…I hope the security officers at my job don’t randomly appear at my desk b.cuz of “inapprioriate web use”.

    That pic is about to get me fired lol…

  37. 37
    browni007 says:

    Wow never as dull day on SR.

  38. 38
    cinnamonkisses97 says:

    Thanks for the info !!!!

  39. 39
    MOCHAMOMMY says:

    Thankfully I have never had cramps AFTER oral or after climaxing. I have had cramps after regular sex though. I asked my dr about it & she said to have my mate ease up on the pounding. (there was no STD, thank God) It worked because I havent felt any discomfort after sex in about 6 months. (4 of those months I was celibate)

  40. 40
    prynsexxx says:

    @ Sandra Rose:

    First and foremost I want to apologize for getting off topic but you said:

    the reason oral sex causes cramps is because the orgasm causes the uterus to contract.
    ________________________________________________________

    Orgasm for who? Men don’t have uteruses (although some of the attitudes and b!tchassness says something different). LOL I won’t/don’t suck a man til he gets off, only for him to roll over and go to sleep on my ass. He can miss me with that one.

    I know TMI, but hell we all grown here. At least I like to think so. LOL

  41. 41
    gemini83 says:

    Some of you ladies are confusing pain “during sex” with lower abdominal cramps “after sex” which is what this post is about.

    ********************************************************

    During or after…I don’t mind a bit. :) I’m a soldier.

  42. 42
    westendfresh says:

    lol @ the kim k and ray j shot as a reference pic.

    ladies, please do make use of the kegel exercises, jade eggs, and whatever else is out out there. health is important and foremost but it will also improve your and your partners sex lives. sweet….

  43. 43
    Sandra Rose says:

    Mz_Magnificent1 Says:

    Umm Sandra…I hope the security officers at my job don’t randomly appear at my desk b.cuz of “inapprioriate web use”.

    That pic is about to get me fired lol…

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    That’s why the pic is blurred out at that spot. :)

  44. 44
    PAGESINADIARY says:

    is that kim k?

  45. 45
    prynsexxx says:

    Hell I don’t think I’ve had the “after cramps” specially not the passing gas, can’t walk or wanting to defacate and couldn’t. Maybe I was too tired to even notice. LOL

  46. 46
    Sandra Rose says:

    prynsexxx Says:

    the reason oral sex causes cramps is because the orgasm causes the uterus to contract.
    ________________________________________________________

    Orgasm for who? Men don’t have uteruses

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    Lol, this topic is about women who have lower abdominal cramps after sex. This topic is not about men. :)

  47. 47
    prynsexxx says:

    LOL yall I’m done.

    Thanks for the laughs today.

    One last thing:

    WORK THEM KEGELS, B!TCHES!

  48. 48
    bklynchick says:

    Thanks for all the sex tips I have received on Sandra Rose today. Now I know how to deal with pain after sex and still keep the vee jay jay tight! Thanks Sandra Rose Bloggers you’ve changed my life :)

  49. 49
    candi got gushy says:

    Damn i wanna have one of those strong O’s after oral sex that gives you uterine contractions. LOL !!! I’ve had cunnilingus that was out of this world, but not pain from oral.I’d like to hear more.

  50. 50
    westendfresh says:

    ^lmao

    answer your emails sandra!!

  51. 51
    milly says:

    LOL @ some of this comments

  52. 52
    Sandra Rose says:

    candi got gushy Says:

    Damn i wanna have one of those strong O’s after oral sex that gives you uterine contractions.

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    Every female who experiences an orgasm has uterine contractions. Do you have sex? :)

  53. 53
    westendfresh says:

    Sandra Rose Says:

    Every female who experiences an orgasm has uterine contractions. Do you have sex? :)
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    clearly she just doesnt have orgasms.lol how sad…:(

  54. 54
    kamini says:

    I have experienced cramps after sex…I was with an African Mandingo who I normally had not problem handling. But for some reason he got the best of me. And for a few days after I had lower stomach cramps. Dr., ultrasound,small cyst had ruptured. It healed on it own and I was fine after. I think if you have fibroids that could also have some issues after rough/big penis sex. lol

  55. 55
    candi got gushy says:

    “Every female who experiences an orgasm has uterine contractions. Do you have sex? ”

    Of course i do(my name’s self-explainatory ).But ive never had an orgasm so strong from oral to have uterine contractions. When I did have sex with men,I’ve had the contractions you are trying to explain, but never cramps after oral. I feel cheated or Im not with the right one to make it happen. :( Or you just threw that part in (have you produced that effect yet?) just curious……

  56. 56
    candi got gushy says:

    @westnotfresh Reading is fundamental.How sad is it you have the comprehension of a 1st grader. Peep my last comment. if you are really that interested in me having orgasm’s. This was kinda an a-b conversation well not really but It Only Takes A dime.

  57. 57
    Sandra Rose says:

    @ candi got gushy:

    Count your blessings that you don’t have lower abdominal pain after sex. Not every woman does because most women are sexually active and don’t give their uterus a moment’s rest between men.

    The women who have pain are the ones who usually fake orgasms all their lives until they meet that right man who gives them a real orgasm for the fist time. :)

  58. 58
    miamore73 says:

    This happened to me once when my husband and I were in our early 20′s very drunk and doing waaaay to much. The pain was like that of the early stages of dialation. It hurt and I mean alot. I’ve always thought things just got to deep-if you know what I mean.

  59. 59
    westendfresh says:

    @westnotfresh Reading is fundamental.How sad is it you have the comprehension of a 1st grader. Peep my last comment. if you are really that interested in me having orgasm’s. This was kinda an a-b conversation well not really but It Only Takes A dime.
    ———————————————
    lol…funny how insecurities shine through on the net…

    clearly your comprehension has failed you. dont worry, you seem to be quite clever. you will make it after all. lol.

  60. 60
    Xsjado says:

    Thank you for the medical minute, but YOU WRONG for throwing the Kim K. doggy up there!! lol

  61. 61
    westendfresh says:

    and yes candi, i wish you and your box many hours of pleasure and the gift of child birth.

    not only will this induce a good mood and demeanor, but it will keep you off the net with your sour disposition.

  62. 62
    Vegas Dice says:

    Damn.. The stuff we as women have to go thru!

    It’s been many, many times where ol’ boy “banged” me like I was a tamborine! The type of banging where you need to pat “the kat” after you pee – and, when it’s still sore days later..

    I think a lot of the pain women have comes from the large poles we hop on.. Some of the widths and lengths I’ve seen before are RIDICULOUS. I had to turn down a few because “size does matter” and it was WAY too much.
    I hear our canal is only about 7 inches before you touch the cervix..

    So, if your guy is 9 1/2 inches and he rocks your socks – your bound to have pain!

  63. 63
    TY-TY says:

    Sandra,
    This information is good to know. For years, I thought something was wrong with me. I would have never guesses so many woman are having the same problem. Thank you for the info.
    Ty-Ty

  64. 64
    MAJAHINEVERYWAY says:

    This happened to me once and I NEVER want it to happen again. I couldn’t walk and it felt like I was in labor. I called my mother and grandmother to ask WTF was going on. My husband ran me a warm bath and the pain subsided. My mom and granddmother both told me this happened to them before, but I definitely don’t want that to happen again. Thanks to the ladies about the jade eggs tip. A sister will be gettin’ those. You know I must stay MAJAH!

  65. 65
    Teachturn says:

    This happened to me once…I thought I was dying. I went to the nearest emergency room and they explained that I was having muscle spasms. They were trying to tell me it was because I had been having rough sex, but I know for a fact that this was not the case. It was scary though especially for me because I was with my side boo as opposed to my husband…that taught me a valuable lesson.

  66. 66
    Peachiz says:

    Thanks Sandra,
    I thought my boyfriend was just being ruff with me up.You were right on time with this one. thanks

  67. 67
    brwnsugga4you says:

    estendfresh Says:

    and yes candi, i wish you and your box many hours of pleasure and the gift of child birth.

    not only will this induce a good mood and demeanor, but it will keep you off the net with your sour disposition.

    ~~~~you are officially in time-out!!!!!lmao!

  68. 68
    brwnsugga4you says:

    westendfresh Says:

    ~~~see what these comments do!..my bad i left the “w” off your name in my last comment…~~~~lol.

  69. 69
    brwnsugga4you says:

    #28..i want to know have you ever had a hard time finding an egg once insterting it??? or for that matter getting it out???

  70. 70
    westendfresh says:

    brwnsugga4you Says:

    ~~~~you are officially in time-out!!!!!lmao!

    —————————————————

    lmao..

    im just sayin. let all put on the happy face. this is the net and life is good.

  71. 71
    Kymystry says:

    @brownsugga4you …. I’ve never had a prob gettin it out… just squat and push … and well-ah .. it’s out .. and you are using all kinds of muscles .. wink wink

  72. 72
    omina-homina says:

    I had this problem since my first sexual encounter, until the day I could not stand up three years later. I went to the doctor and they found a cyst on my ovaries that they believe had been growing for about that long of time. I decided that celibacy was the best bet afterwards because I literally had to go through emergency surgery and the whole ordeal by myself. My sacrifice and go through pain for someone that’s not going to be there to hold you when you’re uncomfortable and crying – the love of your life?

    And recreational sex outside of marriage/commitment ain’t normal. That’s my conclusion from all that.

  73. 73
    shunda says:

    Thanks for the info Sandra. I just had sex again after an 18 month break and I thought something was wrong.

  74. 74
    musicluvher says:

    @Teachturn
    “It was scary though especially for me because I was with my side boo as opposed to my husband…that taught me a valuable lesson.”

    LOL!!!

  75. 75
    ELove says:

    Can’t possibly crack a joke about this subject because in that area for females is No Joke…
    My ex-wife and Baby-mama had similar issues like this BUT I must admit that my Ex-Wife (Who was a Total-Freak BTW) would Always say…

    “No Pain, No Gain” as she limped to the bathroom for that Warm-bath-session some of you have mentioned

    She was one of the Very Few women who could actually handle ALL-This-Good You-know-what… Man I’m starting to Miss Her just thinking it ;-)

  76. 76
    lexdiamonz says:

    girl stop messing with dudes with the hook

  77. 77
    blkdiamonn says:

    wow..what a hot topic!!

    keep in mind that another contributing factor to pain “during”sex could be a inverted or tilted uterus. many women suffer this condition and are unaware of this until they get ready to give birth. most women will either have extremely pleasurable sex or very painful sex due to the fact that their lover is literally bangin thier side of their uterus. it is a common issue and some ob/gyns do not tell their patients that they have this.

  78. 78
    iyonah says:

    Thanks for sharing this Sandra. I never experienced this type of “cramping” at all. Based on the responses here though, I guess it can be common. I guess it all depends on one’s sec life.

    SMH @ the PIC … to much.

  79. 79
    pyt_504 says:

    Oooooooooo I think i am a lil too young for this topic

  80. 80
    pyt_504 says:

    hahhahahaa WOWWWWWWW Im speechless

  81. 81
    toosexy says:

    This just happened to me, my boyfriend went to deep and boy after that i was hurting some hours later maybe 2 hours, but I felt the thrust that did it, because i felt it during the sex, and after i asked him did he feel like he had hit something and he said YES so to me it comes from a too deep thrust

  82. 82
    Dizz says:

    I had this problem and my doctor confirmed what you said Sandra, she called it cervical trauma and can land you in the hospital (trust me I know), the position the woman is in makes a big difference, when you are opening yourself up for your man to go deep you are also tilting your cervix at an angle that is hit by your man as he thrusts this casues the cervix to spasm or cramp Also, womens bodies are different my cervix may sit at a lower or higher postion than someone else which is why some women get it some don’t. Positioning is the most important thing, plus make you man understand you are not a battering ram lol

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