Hi and thank you for your question.

First and foremost, we truly understand your concerns regarding your symptoms and other health problems you might be facing. From your complaints, we believe that your condition of while intercourse may have multifactorial causes such as:

Pain during sex often comes down to your position or the position of your uterus

Position

Some sexual positions allow for deeper penetration during vaginal or anal sex, which could cause pain.

The best remedy in this case is to avoid deep thrusting and try other positions, like on your side. Positions where you have control over the depth of penetration can also help, such as being on top.

Tilted uterus

A tilted uterus is a uterus that leans backward at the cervix instead of tipping forward. About 1 in 4 women have a tilted uterus. While having one isn’t generally a problem, it can sometimes make sex especially certain positions painful.

Endometriosis

With endometriosis, the tissue that lines your uterus grows elsewhere within, or even outside of, your pelvis.

The overgrowth of endometrial tissue can cause pain in your stomach, pelvis, and back during sex.

You may also experience:

• worsening of pain during your period
• heavy periods
• bleeding between periods
• painful bowel movements

Ovarian cysts

Ovarian cysts are fluid-filled pockets that develop inside or on the surface of your ovaries. They’re usually painless, but larger cysts can cause lower abdominal pain. The pain may be worse during or after sex.

You may also notice:

• pain in your lower back or thighs
• feeling of fullness or heaviness in your abdomen
• bloating

Interstitial cystitis

Interstitial cystitis, also called bladder pain syndrome, can affect anyone. It causes pain and pressure in the bladder area that worsens as your bladder fills. Pain in the pelvis and lower abdomen that intensifies with intercourse is common.

You may also experience:

• frequent or urgent urination
• the urge to urinate, even when your bladder is empty
• pain in your vulva or vagina

Fibroids

Fibroids are noncancerous growths that develop in or on your uterus. About 1 in 3 women experience symptoms from fibroids.

These include:

• abdominal or low back pain
• heavy or painful periods
• pain during sex
• constipation

Uterine adhesions

Uterine adhesions, also called Asherman syndrome, refer to the formation of scar tissue in your uterus or cervix that causes them to stick together.

It’s most often caused by uterine surgery, such as dilatation and curettage, but can also be caused by C-section surgery, radiation therapy, endometriosis, or infections.

Along with lower abdominal pain during sex, you may also experience:

• very light periods
• no periods
• severe pain and cramping

Sexually transmitted infections (STIs)

Many STIs, such as chlamydia and gonorrhea don’t cause symptoms. When they do cause symptoms, they vary depending on the type.

Common STI symptoms in females include:

• unusual vaginal discharge
• foul-smelling discharge
• pain or burning during urination
• lower abdominal or pelvic pain
• pain or bleeding during or after sex

Other infections

Other infections, which might not necessarily be transmitted sexually, can also cause lower abdominal pain when having sex. Pelvic inflammatory disease (PID) and urinary tract infections (UTIs) are the most common types.

PID is an infection of the upper genital tract that’s most common in sexually active women. It can be caused by STIs or other infections, douching, and intrauterine devices (IUDs).

The most common symptoms of PID include:

• deep pelvic pain during sex
• painful urination
• bleeding between periods and after sex

UTIs are bacterial infections that can affect any part of the urinary tract. They’re more common in females because their urethra is shorter so bacteria can get inside more easily, but males can get them, too.

Symptoms include:

• lower abdominal pain that may intensify during sex
• painful urination
• frequent urination or urgency
• cloudy or foul-smelling urine

Besides that, there could be a few reasons to why you’re experiencing bloating :

• Consuming cruciferous vegetables- it’s a nutritious so instead of avoiding, it is suggested to consume it in smaller portion and cooked it thoroughly.
• Eating too fast or too much
• Consuming too little or too much fiber
• Stress or anxiety
• Intolerant to certain food- such as lactose
• Inflammatory bowel disease
• Gastroesophageal reflux
• Insufficient of good bacteria in the bowel

In order for us to provide you with an accurate choice of treatment and management, we need additional details to explore further into your current complaints. We assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. Thank you.

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