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What could be the reason for a mild dull cramp in the lower right abdomen after unprotected sex?

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Published At May 30, 2023
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

I have had a mild dull cramp in my lower right abdomen for about a week. It started the day after unprotected sex (I then took the morning-after pill 36 hours later). I had thrush this week too which healed with Canesten Duo. The pregnancy tests are negative so far. What could this mild pain be?

Thank you.

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

  1. What was your last menstrual period date?
  2. Did you miss your period date?
  3. Do you have urinary complaints like burning?
  4. Is there white vaginal discharge?

I would suggest you do an ultrasound pelvis to rule out the causes of pain and know the exact cause. According to that, we will have to do further management.

I hope this helps.

Thanks and regards.

Patient's Query

Hello doctor,

My last menstrual period was last month. I have no urinary complaints. I had a thick cottage cheese-like discharge with the thrush that has now healed. There is no other discharge or any other symptoms. My next period should come in 10 days' time. I am going on holiday in 10 days, and concerned about this.

Thank you.

Hello,

Welcome back to icliniq.com.

Thanks for the details.

I asked for the last period date to find out whether the pain is due to pregnancy or ectopic gestation. One of the most common causes of lower abdominal pain is urinary tract infection. So this could be due to pelvic infection.

My advice:

Consult your specialist doctor, talk to them, and take medications after their consent.

  1. Take a tablet of Doxycycline 100 mg twice a day for five days.
  2. Take a tablet of Metronidazole 400 mg thrice a day for five days.
  3. For a definitive diagnosis get an ultrasonography of the pelvis done.
  4. Fasting and postmeal blood sugar levels.
  5. Look for warning signs like vomiting, and medium to severe pain.
  6. Use barrier protection like condoms.

I hope this has helped you.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Simpatwar Sonam Arvind
Dr. Simpatwar Sonam Arvind

Obstetrics and Gynecology

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