HomeAnswersObstetrics and Gynecologypain during sexWhat causes abdominal and pelvic pain during sex?

Why do I get pain during sex?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 28, 2020
Reviewed AtAugust 28, 2023

Patient's Query

Hello doctor,

I have not had my period for 44 days. I have taken four tests and all negative and I am currently not taking any contraceptives. My last period was 12th before two months, since having my daughter I have experienced really bad pain during intercourse to the point I have had to tell my husband we have to stop because I start crying. I get random cramping pains in my pelvis area and back pain both really sharp. I have also got pain in my upper butt area that makes it painful to walk or sit down.

Answered by Dr. Balakrishnan R

Hi,

Welcome to icliniq.com.

Hope you and your dear ones are safe and healthy.

From your history, I gather that you have two problems. Delayed period and lower abdominal pain and cramps. For the delayed period, I see your body weight could be a reason. With a height of 5 feet, your expected weight is 115 - 120 lbs. The extra fat, cholesterol can get converted into hormones and cause an imbalance of hormones needed for normal ovulation. Thus due to impaired ovulation, period will be delayed on and off. At present to have period, take any of the birth control pills, packet of 21 pills (ones used for contraception) twice daily for 10 days. No matter what the reason is, you will have periods within 7-10 days after the last pill. Through good dieting, not fasting, and proper work out reduce your weight. Weight loss of just 11 lbs is enough to correct hormone imbalance. About pain in the lower abdominal area and during sex, there could be two reasons.

a. Pelvic infection in and around the uterus. Infections enter with semen. Symptoms are vaginal dryness during sex, burning sensation in vagina after sex, pain throughout which increases around the time of ejaculation, following day excessive vaginal discharge with or without itching and foul smell. Similar discharge just before period. Period blood is darker, thicker and stickier. Mild feverish feel before period. Cramping pains just before period. If this is the case, avoid sex, meet your doctor at leisure, both you and your partner should have a good course of antibiotics. It will get fully resolved.

b. Endometriosis due to blood causing adhesive areas around uterus, increasing over the months and years. But I do not think you could be having this. Both these need medical help.

You can solve the issue of period with the pills.

I hope this helps.

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

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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