Sex is meant for enjoyment, but there is no pleasure when you experience pain before or after sex. You are not alone if you experience cramps after sexual intercourse. Many women experience stomach and abdominal pain during or after sex. You may have cramps in the vagina, clitoris, or labia. Women feel discouraged and lose interest in having sex with their partners. Sometimes the cramping is quite intense. Women worry due to this pain or cramps. They think it might be due to some problem with the reproductive system or any other internal organs. At the same time, some cramps aside within a few hours, but others may stay for a longer period. There are hordes of reasons for these cramps. Some maybe not so serious and can be rectified by mere observation but others quite serious, so much so that you need to consult your gynecologist. Let us divide the problem of cramping into two parts: Nonserious and serious conditions.
The non-serious health conditions as a result of which you may have cramps after sex are as follows-
⦁ Inadequate lubrication – A woman must get enough aroused before sexual intercourse, as arousal lubricates the vagina for penetration. Penetration without adequate vaginal lubrication may lead to pain during or after sex. Sex can only be pleasurable for women if there is proper lubrication. Some women take time to get aroused quickly as they need longer time to be spent with their partner. A dry vagina may cause pain to the male partner also as the penetration will be a forceful and rough one.
⦁ Improper penetration – During penetration, if the penis hits the cervix, women may feel aches, cramps, or pain during and after sex. The irritation of the cervix is caused by deep penetration. The arousal in a woman during sex enables her uterus and cervix to pull up, which lengthens her vagina. The lengthening of the vagina prevents the penis from hitting the cervix. The uterus and cervix remain in the same position if the women are not properly aroused. This causes the penis to hit the cervix, which in turn leads to cramping.
⦁ Orgasmic pain is severe pain or cramp that you feel in your stomach or pelvic region during orgasm. It may last for few minutes to few hours. This makes further sexual enjoyment next to impossible. It is most common for women aged between 35 and 55, and most of them are nearing their menopause.
⦁ Psychological reason – The lack of sexual desire due to past bad experiences may develop psychological negativity against sex. This may also cause severe pain or cramps during and after sex.
⦁ Cramping after sex during Pregnancy – cramping is common during early pregnancy. Uterine contractions cause it. These cramps are not so serious and severe, and you need not worry. But if the cramps persist for more than an hour, you should seek medical help.
⦁ Tilted uterus – The uterus’s normal position is usually straight up or downward, or it is positioned towards the belly. A tilted uterus is more inclined towards the rectum. This affects almost 20% of women. This position of the uterus causes pain during and after sex.
⦁ Fibroid – fibroids are the growth of non-cancerous tissues in and around the uterus. Sometimes they are present, but due to their small size, they hardly make a difference. Fibroids that grow larger apply pressure to the uterus, which may cause cramps during and after sex. Fibroids may sometimes develop on the cervix, which is the opening of the vagina. When the penis hits the fibroid, it may cause severe pain. Heavy bleeding, untimely spotting, and pelvic pain are other symptoms of fibroid.
⦁ Cyst – these are the sacs that are filled with a fluid that develops in the ovary. During sex, the penis may hit the ovaries and cause severe pain to the woman. Sometimes the fluid in the sac may also leak due to sexual intercourse, which is one of the most dangerous gynecological conditions.
⦁ Endometriosis – these are the cells and tissues that are present inside the womb. But when they start growing outside the womb, they may cause cramps or lower abdominal pain that may lead to not so pleasurable sex.
⦁ Pelvic inflammatory disease – this is an infection of the upper part of the female reproductive system that includes the uterus, fallopian tubes, ovaries, and also the pelvis. It is mainly caused by sexually transmitted infections such as chlamydia gonorrhea.
⦁ Intrauterine device – It is placed inside the uterus to prevent pregnancy. After it is placed in the uterus, it is advisable not to indulge in sexual activity for at least ten days. This is for the body to get adapted to the foreign device. You should seek a doctor’s advice if you feel severe cramps or pain during or after sex if you have an IUD.
⦁ Ovarian cancer – cramping after sex, irregular periods, frequent urination are all the symptoms of ovarian cancer.
Treatment of cramps
Spend more time in foreplay, as this time spent with the partner arouses you, and your vagina secretes enough lubricant so that you can have pleasurable sex. In the case of a tilted uterus, try different positions so that the penis does not hit the cervix. If you cannot draw pleasure from sex due to some past bad experience, then talk to your adults. They may find a solution to this psychological problem with their experience. But if the condition is getting from bad to worse, it is always advisable to consult a psychologist. Always keep your private parts clean. Give due consideration to hygiene by using clean undergarments and following the after sex hygiene process.
Sexually transmitted infections should be treated on top priority. Cramps and pain during or after sex are nothing to be worried an in most cases about. But if the pain persists for a longer period, so much that you are having sleepless nights and getting disoriented against seeking, seek medical advice.