Cramps After Sex: Serious and Non-Serious Conditions


Women who experience cramps after sexual intercourse may be worried that something is wrong with their reproductive system or other internal organs. While in some cases cramps are nothing to be concerned about, it may also be a sign of an underlying health condition. Pain during or after intercourse can be caused by a number of things from orgasms to fibroids and certain medical conditions.

6 Probable Causes of Cramping after Intercourse

There are many things that can cause a women to experience pain or cramping after sex. Some are more serious than others.

cramps after sex

♠ Endometriosis

Endometriosis often causes pain or cramping after sex. This condition occurs when uterine tissue grows outside of the uterus where it doesn’t belong. Sometimes, the tissue will grow on the ovaries. Like the tissue is in the lining of your uterus, it will thicken and eventually shed (or bleed). Because the blood doesn’t have an easy way to leave the body, it can become trapped and cause a great deal of pain. Women with endometriosis commonly experience menstrual-like cramps, but no period.

Women with endometriosis experience debilitating pain during their periods to the point where it disrupts their lives. And because the tissue is growing abnormally outside of the uterus, women can also experience pain during sexual intercourse.

♠ Pelvic inflammatory disease

Women with pelvic inflammatory disease, or PID, can also experience cramping after sex. PID can be caused by chlamydia, a very common STD, and in some cases, gonorrhea.

When PID occurs, the fallopian tubes and uterus become inflamed, which can cause pain after sex and during other times e.g. sometimes it happens after period.

♠ Fibroids or cysts

Fibroids are very common in women. These are benign, or non-cancerous, tumors that form on the uterus. Cysts can also form on the ovaries. Both of these conditions can cause pain and cramping after sex. Fibroids can also cause heavy bleeding during periods and bleeding in between periods.

Many women experience severe cramping after a cyst rupture. In some cases, cramps can last for several days and be accompanied by bloating.

Fibroids and cysts are the most common causes of cramping after sex. While they are generally harmless, it’s important to see your doctor if you are experiencing pain. Cysts and fibroids may be removed by doctors to alleviate pain in the future.

♠ Orgasm

For some women, orgasms can cause severe cramping in the lower abdominal area. Some women may experience pain in their bottoms. Cramping can last anywhere between a few minutes to a few hours.

Painful orgasms tend to be most common in women between the ages of 35 and 55. Women who are at or near menopause may be more likely to experience this.

♠ Tilted uterus or deep penetration

Many women will experience cramping if her cervix is hit during sex. If her partner’s penis hits the cervix during intercourse, it can cause the muscles to contract, which causes the cramping.

For some women, this occurs because they have a titled, or tipped, uterus. In this case, it’s very easy for her partner to hit her cervix and cause pain. The cervix may also be hit during deep penetration.

Furthermore, click here to see what implantation cramping is.

♠ Early pregnancy

crams after sex

It is not uncommon for women to experience pain or cramping after sex in the early stages of a pregnancy, and especially after an orgasm. When orgasms occur, they cause mild uterine contractions. These contractions can feel just like menstrual cramps. Sometimes, the pain is mild. In other cases, the pain can be severe.

Mild uterine contractions are normal and generally nothing to be concerned about. However, if you are pregnant and experiencing severe cramps after sex, see your doctor right away.

4 More Causes of Cramps Without a Period

♠ Ovulation

Some women will experience cramping during ovulation when the egg is released from the ovary. Most women will experience this pain on one side of the body. Cramping can last anywhere between a few hours and a few days.

♠ Menopause

Women who are going through menopause may experience menstrual-like cramping, but not have any periods for several months at a time. In this case, the cramping is caused by lower levels of reproductive hormones in the body.

♠ Cervical stenosisCauses of Cramps Without a Period

This medical condition occurs when the cervix is so narrow that blood flow is restricted. Irregular periods are common with women who have this condition, and many experience cramping even when they do not get their period.

♠ Ovarian cancer

Cramping, but no period can be a symptom of ovarian cancer. Irregular periods, abdominal swelling, pressure or pain in the abdomen and frequent urination are other signs of ovarian cancer.

For most women, cramping after sex is nothing to be concerned about, especially if it only occurred one time and only lasted a few hours. However, if you are experiencing cramps after sex each time you and your partner are intimate, see your doctor to determine if an underlying health condition is the cause.

Symptoms of Cramping after Sex

Dyspareunia is any kind of discomfort in the pelvic area or vaginal region during or immediately following intercourse. Other symptoms of cramping after sex include muscle tightness, sharp pain in the pelvis, or deep pain in the cervix after penetration.

A survey conducted in Britain shows that 1 in 10 women experience some type of discomfort after having intercourse, but most women are embarrassed and hesitant to talk to their doctors about it.

However, since the causes of cramping can be a result of so many different things, talking with your doctor is very important.

Cramps After Sex When PregnantCramps After Sex When Pregnant

Having sex when you are pregnant, even up until your due date, is perfectly safe for you and your baby – unless otherwise directed by your doctor. The amniotic sac, uterine muscles and amniotic fluids all provide a safe cushion and protect the baby.

The mucus plug that blocks the cervix keeps sperm and infectious fluids from reaching the fetus. Minor contractions after having an orgasm are normal and are usually only temporary.

Cramping or contractions can also be caused by your partner’s semen or by rubbing your nipples. If your pain is severe or prolonged, you should see your doctor.

You should also contact your doctor if you:

  • have in one hour more than four contractions that feel as though you might be in labor
  • have persistent sharp pains in your lower abdomen
  • experience nausea or vomiting
  • notice that your baby moves less than normal
  • experience spotting that lasts longer than three days
  • have pain that does not go away after resting

After all, you can never be too cautious when it comes to the safety of you and your unborn child.

When To See a Doctor for Cramps after Sex See a Doctor for Cramps after Sex

There are times when you should definitely go see a doctor if you are experiencing cramps after sex.

During Pregnancy

If you often have sex during pregnancy, you may get a urinary tract infection (UTI), especially if you have previously gotten them. If you do not treat a UTI when you’re pregnant, you leave yourself open to complications during your pregnancy.

One complication is a kidney infection, which is linked to a low birth weight and early labor. Treating a UTI at the first sign of symptoms can prevent unnecessary complications during pregnancy.

Some of the symptoms of a UTI include:

  • a persistent urge to urinate
  • a burning sensation when urinating
  • cloudy, reddish, or strong-smelling urine
  • abdominal cramping

Emptying your bladder after sex is one way to help prevent a UTI, but you should see your doctor if you are experiencing any symptoms.

Sexually Transmitted Infections (STIs)

There are some STIs that may cause the following: abdominal cramping are chlamydia, pelvic inflammatory disease and hepatitis. If you have any of these infections, the cramping tends to be more severe after sex.

However, STIs are often accompanied by other symptoms besides abdominal cramping. That is why being familiar with the other symptoms can aid you when it comes to determining the problem.

Regardless, if you believe you may have contracted an STI, you should see your doctor and find out the best course of action for you and your sexual partner.

During Menstruation

If you experience cramps after sex while you are menstruating, it generally is not something you should be concerned about. However, a painful period can sometimes be a sign of a bigger problem.

Menstrual pain that begins early and lasts longer may be caused by endometriosis, adenomyosis, or uterine fibroids, which are reproductive disorders.

If your menstrual cramps or post-sex menstrual cramps are severe and long-lasting, you should see your doctor, explain what you are experiencing and ask to be screened for any medical issues that could be the cause.

Treating Cramps after Sex

If you are experiencing cramps after having sex, whether it is serious or not is up to a medical professional to decide. However, there are things you can do to help alleviate the pain.

Taking Pain-relieversTaking Pain-relievers to treat cramp after sex

Over-the-counter pain relievers can help ease the pain of cramping by relaxing the abdominal muscles. However, be sure to follow the dosing instructions. You should use the type of pain-reliever that works best for you, but some options include:

  • Ibuprofen (Advil or Motrin)
  • Naproxen sodium (Aleve)
  • Acetaminophen (Tylenol)

Heatapply heat to your abdomen or stomach

Another way to reduce abdominal cramping is to apply heat to your abdomen or stomach – wherever the pain seems to be originating. Applying heat will increase the blood flow to the area and relieve pain. Several ways to do this include:

  • Heating pad
  • Hot bath
  • Heating patch
  • Hot water bottle or rice sock

If you don’t have a heating pad or a heating patch handy, try filling an empty water or soda bottle with water and microwaving it until it is warm enough to feel through your clothing.

You can also fill a sock, preferably a tube-sock or a longer type of sock, with white rice and tie the end of it securely.

You can then microwave it for a few minutes – start with two minutes and go up from there in 30-second increments – until it is warm enough to feel the heat through your clothes.

Add Supplements to Your Diet

Supplements may help ease your muscle tension, which would ease the cramping and pain. Plus, it never hurts to add a few vitamins to your daily diet. You can try the following:

  • Vitamin E – helps widen blood vessels and increase blood flow
  • Omega-3 fatty acids – boosts the effectiveness of anti-inflammatory drugs
  • Vitamin B-1 (thiamine) – some evidence points to its effectiveness in the pain relief of menstrual pain and cramps
  • Vitamin B-6 – relieves muscle pain
  • Magnesium – helps to relieve menstrual pain and other side effects associated with premenstrual syndrome

Relaxation Techniques

Even though sex can be pleasurable, having an orgasm can cause your body to become tense. Cramps after sex can sometimes be eased by learning and practicing relaxation techniques such as yoga, stretching, deep breathing and meditation.

Lifestyle Adjustment

If you drink or smoke tobacco, you may want to consider changing your habits. This is because both drinking and smoking can make cramps worse.

Safety Issue about Cramping after Sex

Cramping after sex isn’t necessarily a reason to call the doctor, but you should pay close attention to what your body is telling you.

Regardless of whether you are pregnant or not, don’t hesitate to call your doctor if you are experiencing cramping that you believe is more severe than what you are accustomed to. Nothing is more important than your safety.

Click here to have more information about vaginal discharge after sex.


  1. Wow women suffer SO much. Living with chronic pain, debilitating menstrual pain, pain after intercourse and fibromyalgia pain which is relatively constant I don’t know how other women do it. I am not enjoying life and now since the re-scheduling and re-classification of pain meds (narcotics) and widespread ignorance of addiction and addiction vs. tolerance and unable to receive proper medication to control chronic pain and flair ups I find it extremely difficult to make it through each day. My deepest condolences to those experiencing pain. This is an extremely difficult way to exist (since I really do not consider that I am “living” anymore). Those not in chronic pain please enjoy your health. I have found you really DO NOT know what you had until it is gone. I remember taking vacations, exercising and shopping. Now almost everything I do exacerbates my pain. I hope and pray to feel good again one day.

    • So sorry to here you suffer from so much pain like I do too.. it really sucks that theydont try n find ways to help us with pain.. Peace n I peaybwe r healed

    • I live with pain everyday and have been for over 15 years and yes it is a terrible thing to have to live with this pain since so many people abuse their medications it is hard for people who need medications to get them because of these people I understand what you’re going through honey we have the people that abused and sell their medications to thank for that

  2. Hi
    I had my endometrosis removed on 2012 (6cm on my right ovary) and Polyps removed on 2014. Recently whenever I intercourse with my husband I wll have teribble cramps after sex till I hardly move. and also I encounter bleeding.
    please advice

  3. hey me and my girlfriend had sex and she was experiencing cramping towards the end and was a little after like the pregnancy but she just recently had her period and we havent had sex until this time so she couldnt be pregnant right? if not then what is it?

  4. My girlfriend and I have just sex. After that sex her lower abdomen hurts ang some part of her vagina. Is it okay? Need an answer imediately

  5. Can y’all go to a doctor everyone is different, not because the symptoms are alike means it’s that, go and get checked, cause it can be worse

  6. I just slayed my feyonces Pussy too hard. She passed out from cramping, i quickly researched a remedy and got over the counter meds as an answer??… Fuck that, my woman is in agony so i went and bought so.e methadone and a bag of everyones favorite opiate. Heroin. Pain fone?

    • Are you crazy!? Lol… instead of hurting your girl, then buying her heroin, why don’t you just have sex with her without hurting her on purpose?

  7. Hurting after sex? I’ve been with the same guy for a little over two years. The past two times we’ve had sex, I’ve had cramping or pains (it hurts to move )as soon as we are done, the last time a little pain during but just felt like deep penetration. Any input? .

    • Me too. Whenever there’s deep penetration I start to feel the cramping. Depending on how long, it can be really bad. I think we’ll have to go to the doctor AND talk to our partners about it. It may feel good, but I cramp more than we actually have sex.

      I’m on the toilet right now, feeling sick and cramping. 🙁

  8. Comment:hi my girlfriend has been complaining of pain in her abdomen for about a week though we had vigorous sex and she isn’t used to it. she uses p2 each time we have sex. what could the problem be.

    • If she isn’t used to it, I don’t think you should go “vigoriously” on her. Unless you both are a-okay and she is saying yes. Enthusiastically, I mean.

      Try to go slow, and if that doesn’t work out then she probably needs to go to the doctor. Try to keep in kind that the pain she’s feeling isn’t fun at all.

      That pain makes me want to be on the toilet 24/7 haha

  9. If you are having pain, go to the doctor. I’ve been in constant moderate-severe pelvic pain/pressure for 4 days now after having very gentle sex with my partner since we knew I was already experiencing some mild discomfort. Saw a dr, they ruled out infection and stds but are concerned. 6 days til my pelvic ultrasound, the soonest they can get me in since it’s a holiday week. Ugh. Hoping it is nothing serious but more than anything I need this pain to stop.

  10. Hi
    I and my husband had sex two days ago
    Immediately after I had pains around my abdomen
    Really painful
    I’ve never had it with him before
    I do not understand why I feel pains

  11. Okk so every time my boyfriend and i have sex when he’s laying on top of me i get a cramping burning sensation in my stomach . I also get it when he cums inside me . What does this mean?

  12. Really consider talking with your doctor. Women can have different reasons of these symptoms. It happen once in a while with me and a warm shower seems to help quickly for me 🙂

  13. Warm compresses baths or showers work. Also look up self uterine massages. Very helpful. Actually was just experiencing myself. So that’s why I looked it up and ran across your forum.

  14. I have had a complete hysterectomy. I have constant abdominal pains after orgasming. My drs are confused and I am constantly undergoing “tests” under the G.I. clinic’s direction. Since most of those are male doctors, they seem to have little or no empathy for my situation. My husband and I are both struggling with this situation. Can ANYONE help?

  15. My husband and I had sex this morning, immediately afterwards, I started cramping horribly, in my lower back, and my pelvic area. I have never felt pain like that before, it was so severe, I was on the floor crying, I almost had him call an ambulance. He then ran me a bath, and it went away after about 15 minutes.


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