Can dyspareunia cause pain in lower abdomen?
Yes, many women with dyspareunia experience lower abdominal or pelvic pain, especially when the pain is caused by deep penetration or underlying pelvic conditions.
Detailed Medical Explanation
Lower abdominal pain during or after intercourse can indicate involvement of pelvic organs, such as the uterus, ovaries, or bladder. Conditions like endometriosis, pelvic inflammatory disease, or ovarian cysts are common causes. Deep dyspareunia often presents with pain radiating to the lower abdomen. NHS: Painful Sex.
Clinical Context
Women with persistent lower abdominal pain during sex should seek a thorough assessment to exclude pelvic disease or other treatable causes.
Evidence-Based Approaches
NICE and RCOG recommend imaging and specialist referral if deep or lower abdominal pain is present with dyspareunia. RCOG: Dyspareunia.