Causes of post-sex uterine pain?

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Pain in the uterus after intercourse is usually caused by excessively rough or vigorous coitus and can be avoided simply by adjusting the techniques used during intercourse. The most common medical causes of this type of pain are endometriosis, ovarian cysts and fibroid tumors. The pain could also be due to a sexually transmitted disease (STD). In some cases, the pain is caused by birth defects. Getting an exam and STD test from a gynecologist is the best way to diagnose the exact cause of the discomfort.

Outside of abusive intercourse, the most likely cause of the discomfort is endometriosis, a common condition in which cells similar to endometrial tissue grow on organs outside the uterus. The ovaries, areas behind the uterus and large intestine are the most commonly affected parts. This causes growths to develop which, when put under pressure such as in sexual intercourse, can cause a significant amount of pain. While there is no direct cure for endometriosis, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) can provide temporary relief for uterus pain after intercourse.

Ovarian cysts can also cause pain in an otherwise healthy uterus, especially during or after intercourse. These fluid-filled sacs are found on the surface of the ovary. Although few cysts show obvious symptoms, pressure on or damage to the growths can cause pain in surrounding areas. Intercourse, for example, can cause ovarian cysts to rupture, bleed, or twist. If uterine pain after intercourse is accompanied by fever or vomiting, people should seek immediate medical attention.

Uterine fibroids are another possible cause of pain in the uterus after sex. Although these slow-growing, noncancerous tumors rarely cause significant symptoms, about 25 percent of patients with uterine fibroids report feeling pain. Fibroids can be detected through a gynecological examination; any growths found during diagnosis can be removed by surgery.

If pain in the uterus after intercourse is accompanied by abnormal vaginal discharge, the patient may have been infected with a sexually transmitted disease known as chlamydia. Chlamydia is a bacterial infection that is spread through vaginal or anal intercourse. This STD doesn’t always cause symptoms, which allows it to damage the reproductive organs before the patient feels anything is wrong. If left untreated, chlamydia can lead to pelvic inflammatory disease or cervitis, both of which can cause pain after intercourse.

Some patients may be born with physiological defects that contribute to postcoital discomfort. A retroverted uterus, for example, is a uterus that leans back into the pelvis. This condition can sometimes cause pain in the uterus after intercourse due to the pressure it puts on the rectum and surrounding ligaments. Pain can be prevented by changing position or through a surgical procedure to adjust the uterus to the correct position.

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