[22F] With sharp lower left abdominal pain post-intercourse

Patient Description

A 22-year-old female experienced a sudden, sharp pain in the lower left abdomen following sexual intercourse. The pain was intense, rated at 6 out of 10, and felt like a prolonged cramp. Since then, the pain has dulled but the area remains tender and occasionally hurts, especially with certain movements or when getting up quickly. The episodes of pain last for about a minute before subsiding to a dull ache. There have been no associated symptoms such as nausea, vomiting, or changes in bowel or urinary habits.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Muscle Strain or Injury: Given the sudden sharp pain during physical activity, it's possible that you may have strained or injured a muscle in your lower abdomen. This can happen during vigorous activity and can cause tenderness and pain that worsens with movement.

    • Treatment: Rest, applying ice to the affected area, and over-the-counter pain relievers like ibuprofen can help manage the pain.
  • Ovarian Cyst Rupture: Sometimes, a cyst on the ovary can rupture, causing sudden, sharp pain. This pain can be localized to one side and may be accompanied by tenderness.

    • Treatment: This often requires medical evaluation. Treatment may include pain management and monitoring, but in some cases, surgery may be necessary.
  • Pelvic Inflammatory Disease (PID): Although less likely given the sudden onset, PID can cause lower abdominal pain and tenderness. It is usually associated with other symptoms like fever or unusual discharge.

    • Treatment: This condition requires antibiotics and should be evaluated by a healthcare provider.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Rest: Avoid strenuous activities that may aggravate the pain.
  2. Apply Ice: Use an ice pack on the tender area for 15-20 minutes several times a day to reduce inflammation.
  3. Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help manage the pain.
  4. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, new symptoms, or patterns. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes more intense or does not improve with rest and over-the-counter medications.
  • Fever or Chills: These could indicate an infection.
  • Nausea or Vomiting: Persistent nausea or vomiting could be a sign of a more serious condition.
  • Changes in Bowel or Urinary Habits: Difficulty urinating, blood in urine, or significant changes in bowel movements.
  • Unusual Vaginal Discharge: Any unusual discharge or bleeding should be evaluated by a healthcare provider.

Remember, while this information can help you understand what might be happening, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common causes of sudden, sharp lower abdominal pain in women?

Common causes of sudden, sharp lower abdominal pain in women include muscle strain, ovarian cyst rupture, and less commonly, conditions like appendicitis or ectopic pregnancy. It's important to consider the context and any accompanying symptoms.


How can I differentiate between a muscle strain and an ovarian cyst rupture?

A muscle strain often results from physical activity and may cause pain that worsens with movement, while an ovarian cyst rupture can cause sudden, sharp pain localized to one side, often without preceding physical activity. Medical evaluation is necessary for an accurate diagnosis.


What are the symptoms of Pelvic Inflammatory Disease (PID) and how is it treated?

Symptoms of PID include lower abdominal pain, fever, unusual vaginal discharge, and pain during intercourse or urination. It is treated with antibiotics, and early treatment is crucial to prevent complications.


When should I seek medical attention for abdominal pain?

Seek medical attention if the abdominal pain is severe or worsening, if you experience fever, chills, nausea, vomiting, changes in bowel or urinary habits, or unusual vaginal discharge. These could indicate a more serious condition requiring prompt evaluation.


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