I have sharp pain in my lower left abdomen during intercourse lately. What could be the reason?
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Q. What could be the possible causes of pain in the lower left abdomen during intercourse?

Answered by
Dr. Uzma Arqam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 05, 2023 and last reviewed on: Jul 05, 2023

Hello doctor,

I am having sharp pain in my lower left abdomen during intercourse, in a position when I am on my hand and knees. This pain is a recent development and has not been a problem before. Also, I am not pregnant. And I am certain that I do not have an STI because my husband and I have never had sexual relations with anyone apart from ourselves. What could be the reason for this pain?

Please help.

#

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Based on the information that you have provided, there are a few possible reasons for that and I suggest you to follow the instructions mentioned below,

  1. Firstly, make sure that you have not missed your period, and undergo a serum beta hCG test (human chorionic gonadotropin) just to confirm that you are not pregnant. If the test comes positive, then I suggest you undergo an immediate transvaginal ultrasonography to rule out ectopic pregnancy, or repeat the serum beta hCG test after 48 hours. If the test shows less than a 60 % increase in hCG levels which normally should double around every 48 hours, it is a sign of an ectopic pregnancy.
  2. Besides ectopic pregnancy, this type of pain can be due to endometrioma, local inflammatory lesions, or inflammatory cysts. I suggest you undergo a transvaginal ultrasound scan to rule out such an inflammatory cyst, endometrioma, or any other mass. However, a transvaginal ultrasound scan may not detect endometrioma. The gold standard for diagnosis of endometrioma is a laparoscopy. If these investigations detect an endometrioma, then I suggest you take cyclic oral contraceptive pills for three to six months as it will reduce endometriosis pain and also provide contraception. I suggest you consult a specialist, talk with them, and take the medications with their consent.
  3. For pain relief associated with intercourse, I suggest you take a tablet of Ponstan (Mefenamic Acid) 500 mg around half an hour before intercourse.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.


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