Question: Dr, I hope you can advice me on my problem. I usually experience a dull pain in the lower part of my stomach after sex. This kind of ruins the pleasure of sex for me. Is this normal? What do you think might be the cause? Is there any medication or herbs I can take to make it go away? I’m 28.
Answer: Sexual intercourse usually provides much pleasure to both parties if they are up to it or otherwise if they do it just for the sake of fulfilling their responsibilities. If this occurs then the act will not be pleasurable, there will not be any release of beta endorphin that is the natural pain reliever and the partner that is not actually enjoying it will experience all sorts of pain and discomfort that can be brought about by the strain muscles, the strain ligaments, the back ache and the abdominal ache or pain. If sexual intercourse has been pleasurable for the individual and if he is a guy, then the discomfort can be due to muscle cramp or movement of gas which is dislodged during active physical movement. Rarely the bladder gives problem. If the individual is a woman, the lower abdominal discomfort can be due to mild uterine and tubal contraction triggered by hormone oxytocin which is released by the anterior pituitary gland brought by orgasm. Rarely the discomfort is due to bladder. Other causes include pelvic adhesions due to old pelvic infection or endometriosis. It is wise for the individual who has this disturbing post coital lower abdominal discomfort to seek professional help. The individual needs to be examined and only after the examination will the doctor is in a position to provide some form of remedy.