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Why Does Stomach Hurt After Sex?: Causes and Solutions

Mar 12, 2024

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Stomach pain after sex is a condition experienced by many, with causes ranging from physical exertion during the act to underlying health issues like infections or chronic conditions. Both men and women can be affected, though the specific reasons and treatments may vary. Recognizing the potential risk factors and understanding when to seek medical advice are crucial steps in addressing this discomfort. This article aims to provide valuable insights into why the stomach hurts after sex and offers guidance on treatment and prevention methods.

why does my stomach hurt after sex

Causes of Stomach Pain After Sex

Experiencing stomach pain after sexual activity can be perplexing and worrisome for many. It's a condition that doesn't discriminate, affecting individuals regardless of gender, although the reasons behind the discomfort may vary. Understanding the causes is the first step towards addressing this discomfort effectively.

Physical Activity and Positioning

One of the primary reasons for stomach pain after sex is the physical nature of the act itself. The abdominal muscles are engaged during sex, and certain positions can put additional pressure on the stomach and surrounding areas. This can lead to muscular discomfort, especially in individuals who may not be very physically active otherwise.

Deep Penetration

Deep penetration can also cause stomach pain after sex. This is particularly relevant in cases of lower stomach pain after sex, as deeper penetration can put pressure on the cervix and other internal organs. This pressure can result in discomfort during and after sexual activity.

Gastrointestinal Issues

Sexual activity can sometimes stimulate the digestive system, leading to gastrointestinal discomfort. Movements and pressure applied during sex can accelerate gastrointestinal movement or aggravate existing conditions like irritable bowel syndrome (IBS), leading to stomach pain after the act.

Infections and Medical Conditions

Certain infections and medical conditions can also lead to stomach pain after sex. Pelvic inflammatory disease (PID), urinary tract infections (UTIs), and sexually transmitted infections (STIs) can cause inflammation and pain in the abdominal area. Endometriosis, a condition where tissue similar to the lining inside the uterus grows outside of it, can also cause significant pain during and after sex.


Stomach Pain After Sex in Females

Stomach pain after sex in females can often be attributed to several specific conditions or factors. These include:

  • Endometriosis: As mentioned, this condition can cause significant pain due to the presence of uterine-like tissue outside the uterus, which becomes inflamed.
  • Ovarian Cysts: Cysts on the ovaries can be painful, and sexual activity can exacerbate this pain. Ovarian cysts are a common concern among women, with an estimated 10% experiencing them at some point in their lives, as the Cedar Sinai article states.  These fluid-filled sacs on the ovaries can vary in size and often cause no symptoms. However, when symptoms do occur, they can include abdominal bloating, pain during bowel movements, pelvic pain before or after the menstrual cycle, and in some cases, discomfort after sexual activity. 
  • PID and STIs: Infections in the pelvic area can result in discomfort and pain after sex.


Females may also experience stomach pain after sex due to the natural contractions of the uterus during orgasm, which, while usually painless, can cause discomfort in some.

Stomach Pain After Sex in Males

While less commonly discussed, stomach pain after sex in males can occur and is usually linked to:

  • Prostatitis: Inflammation of the prostate gland can cause pain in the abdomen and pelvic area.
  • Hernias: Sexual activity can exacerbate the discomfort from existing hernias, leading to stomach pain.
  • Urinary Tract Issues: Like in females, UTIs and other urinary tract issues can cause pain after sexual activities in males.


In both genders, psychological factors such as stress and anxiety about sexual performance can manifest as physical symptoms, including stomach pain. It's important to approach this topic with sensitivity and an open mind towards seeking professional help when needed.

Risk Factors for Stomach Pain After Sex

Understanding the risk factors associated with stomach pain after sexual activities can help individuals better manage or even prevent this uncomfortable symptom. Several factors can increase the likelihood of experiencing discomfort, highlighting the importance of awareness and precaution.

  • Pre-existing Gastrointestinal Conditions: Individuals with conditions such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) may find that sexual activity exacerbates their symptoms, leading to stomach pain.
  • History of Pelvic or Abdominal Surgery: Surgery in the pelvic or abdominal area can lead to adhesions or scar tissue, which may become painful during or after sex.
  • Presence of Reproductive Health Issues: Conditions such as endometriosis, ovarian cysts, or pelvic inflammatory disease (PID) are significant risk factors for stomach pain after sex, particularly in females.
  • Lack of Lubrication: Insufficient lubrication during sex can cause friction and irritation, leading to discomfort and pain in the abdominal area.
  • Strenuous or Uncomfortable Sexual Positions: Positions that put undue pressure on the abdomen or pelvic region can cause muscle strain or internal discomfort.
  • Psychological Factors: Stress, anxiety, and relationship issues can contribute to or exacerbate physical symptoms, including stomach pain after sex.


Being aware of these risk factors can guide individuals in taking proactive steps to minimize their impact, such as using adequate lubrication, communicating with partners about comfortable positions, and managing pre-existing health conditions.

Complications of Stomach Pain After Sex

While occasional stomach pain after sex may not be cause for immediate concern, ignoring persistent or severe symptoms can lead to complications. It's crucial to understand when discomfort signals a more serious underlying condition that requires attention.

  • Chronic Pain: Ignoring the root causes of post-coital stomach pain can lead to chronic pelvic or abdominal pain, impacting quality of life.
  • Impact on Mental Health: Persistent discomfort can lead to anxiety, stress, and fear of sexual activity, potentially affecting relationships and overall mental health.
  • Sexual Dysfunction: Ongoing pain can result in a decrease in libido or sexual dysfunction, as individuals may associate sex with discomfort or pain.
  • Undiagnosed Reproductive Health Issues: Conditions like endometriosis, ovarian cysts, or PID can worsen if left untreated, leading to more severe health issues, including fertility problems.


For those experiencing recurrent or severe stomach pain after sex, it's advisable to consult a healthcare provider for a comprehensive evaluation. An excellent starting point for understanding your symptoms is using an online tool like Docus Symptom Checker for Adults. This tool can help you identify possible causes of your discomfort but remember, it is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a medical professional for an accurate diagnosis and appropriate treatment plan.

How Long Stomach Pain After Sex Lasts

The duration of stomach pain after sexual activities can vary significantly, depending on the underlying cause and individual circumstances. For many, the discomfort is temporary and fades within a few hours. However, if the pain is a symptom of an underlying health condition, it may persist until the condition is treated. Recognizing when pain is just a fleeting discomfort or a sign of something more serious is crucial for addressing the issue effectively.

  • Temporary Discomfort: Often, stomach pain after sex is short-lived, lasting from a few minutes to several hours. This type of pain can result from muscular strain or minor physical exertion during intercourse.
  • Persistent Pain: If the discomfort persists beyond 24 hours or is recurrent, it could indicate underlying health issues such as infections, endometriosis, or other gynecological conditions. In such cases, the pain will likely continue until the underlying condition is addressed.


Listening to your body and monitoring the duration and severity of pain is important. If stomach pain after sex is recurrent or severe, it’s advisable to seek medical advice.

Treatment for Stomach Pain After Sex

Addressing stomach pain after sex involves identifying and treating the underlying cause of the discomfort. Here are some common treatment options, depending on the diagnosis:

Over-the-Counter Pain Relief

For immediate relief from minor stomach pain after sex, over-the-counter pain relievers can be effective. These should be used as directed and with caution, as they are not a solution to underlying health issues.

Lifestyle Adjustments

Making changes to sexual practices can significantly reduce discomfort. These may include:

  • Using adequate lubrication to minimize friction and irritation.
  • Experimenting with different positions to find those that do not exacerbate abdominal discomfort.
  • Ensuring sufficient foreplay to promote natural lubrication and relax muscles.

Medical Treatments

For pain caused by underlying medical conditions, treatment options may include:

  • Antibiotics: If an infection is the cause, such as a urinary tract infection or pelvic inflammatory disease, antibiotics prescribed by a healthcare provider can treat the condition.
  • Hormonal Treatments: Conditions like endometriosis may be managed with hormonal therapy to reduce symptoms.
  • Physical Therapy: For chronic pain conditions, physical therapy can help strengthen the pelvic floor muscles and alleviate discomfort.

Consultation with a Healthcare Provider

For persistent or severe stomach pain after sex, consulting a healthcare provider is crucial. They can offer a diagnosis and tailored treatment plan. Additionally, they might recommend using tools like Symptom Checker for Adults as a preliminary step to understand potential causes. However, this should not replace professional medical consultation.

Key Takeaways

  • Stomach pain after sex is a common symptom that can arise from various causes, including physical exertion, deep penetration, gastrointestinal issues, infections, and medical conditions like endometriosis.
  • The duration of stomach pain after sex varies, with temporary discomfort typically lasting a few minutes to several hours. Persistent or recurrent pain may indicate an underlying health issue.
  • Risk factors include pre-existing gastrointestinal conditions, history of pelvic or abdominal surgery, reproductive health issues, lack of lubrication, and strenuous or uncomfortable sexual positions.
  • Ignoring persistent stomach pain after sex can lead to complications, such as chronic pain, impact on mental health, sexual dysfunction, and undiagnosed reproductive health issues.
  • Treatment options range from over-the-counter pain relief and lifestyle adjustments to medical treatments targeting underlying conditions. The choice of treatment depends on the cause of the pain.
  • Consulting a healthcare provider is crucial for persistent or severe symptoms. Tools like Docus Symptom Checker for Adults can offer preliminary insights but should not replace professional advice.

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