What could abdominal cramps during sex suggest?
Patient: I started on the combined pill last wednesday and have been taking it regularly every day at the same time. however yesterday and today I have had painful abdominal cramps and it hurts especially during sex. I was wondering if this was a common side effect or if it could be something more serious. any help or information would be appreciated.thanks,Laura Doctor: Hi.Thanks for your query and an elucidate history. IT is not common to have such a problem after taking combined pill, although these being hormones can cause a change in the ovary and uterus , but pain during sex after such tablets is not common.This is called Dyspareunia meaning painful sex or pain during sex. The causes are as follows:PID, Pelvic inflammatory disease/SalpingitisOvarian cyst, torsionPsycho-somaticI would advise in such a patient the following:Ask the Gynecologist to have an internal examination by doing per-vaginal examination, this can elicit many a things.Urgent ultrasonography, per abdomen and per-vaginal . Routine examination of the blood, urine and stool. The final diagnosis hence made will help us to get a proper line of medical or surgical treatment.