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Cramping After Sex - Why and What You Can Do About It


Do you have stomach pain after being sexually active? Or does your uterus hurt during intercourse?

Why cramps after sex, treatments and remedies
Why cramps after sex?

First, yes it sucks but it is also normal to have cramps after intercourse or while engaging in the same, many women do.

Second, no, these cramps don’t happen when your partner is cheating on you with someone else. Unfortunately, our bodies do not have the instinctive detective powers we may want to attribute to it.

Thirdly, yes there are a few possible reasons for it. Some are interesting, others worrying and some treatable.

Cramping after sex FAQs

1. How does it feel?

Most women describe this cramping as similar to period pain or menstrual cramps.

2. Where does it happen?

For the purposes of this article, in the abdominal area for women, but it also occurs in both the legs of both men and women. Sometimes the pain spreads to the lower back area.

3. How long does it last?

It can last for a few minutes or a few hours

4. When does it occur?

During or after sexual intercourse?

5. How much does it hurt?

It can be quick and only slightly uncomfortable or can be debilitating pain that renders you useless.

Reasons or causes 

Why end up with cramps after sex?

1. First-time intercourse

Cramping after losing your virginity is mainly caused by the breaking if the hymen and the stretching of the vaginal walls.

There may also be bleeding, which is normal, and indeed the measure of true virginity in olden times.

2. He is hitting your cervix

Yes, this is an actual thing. Obviously, if your partner is well endowed, chances are, he will probably hit the cervix.

The cervix is the “neck of the womb.” Repeated contact with it- as there would be during sex- causes contraction of the muscles which leads to “cramping” pain as we know it.

This doesn’t just have to happen with well-endowed partners, some women can feel their cervix using just their middle fingers. This means that deep penetration on his part is the pain on yours.

3.You are not ready

For all women, being sexually aroused is important for sex, but especially for women with a lower cervix, and this is where foreplay comes in.

This is important not just for an increase in pleasure, and lubrication but also for deeper penetration.

How? Glad you asked.

“When a woman is aroused during sex her uterus and cervix will pull up to lengthen her vagina.”

Conceive success

Makes sense right? This basically means that even if your partner is a Mandingo, should you be properly prepared, your body will work with you towards giving you a good time.

When you are not ready, however, the cervix stays in the same place and well, bang bang bang and here come the cramps.


4. Tilted uterus

Sounds alarming but it’s not. 20% of women have this.

It does, however, mean that the likelihood of cramps after sex is higher.


“Normally, the uterus is usually positioned in a straight up or downward position or position towards the belly. But a tipped or tilted uterus means that the uterus is positioned facing the rectum away from the belly.”

Conceive success

So that if you have sex in certain positions, the likelihood is that your cervix is in for a pounding, especially if he is well endowed and/or you are not ready.

5. Orgasms

Yes, even the best part of sex can be the very cause of pain after sex.

This because an orgasm causes contractions, especially in your vagina and pelvic regions.

“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.”

Check pregnancy

6. Endometriosis

This is a condition where tissues and cells meant to grow in the uterus grow out of it.  Wherever the tissue grows, it must thicken and eventually shed.

However, depending on where it grows, it may get trapped causing insane pain during that time of the month.

Women who suffer endometriosis are likely to also suffer pain during intercourse.

7. Fibroids

Fibroids are rather common in women.

“Fibroids are non-cancerous growth that develops in and around the womb (uterus)…. Some Fibroids also grow at the cervix”

Conceive success

The pressure caused by the Fibroid growth may result in pain during and after intercourse, worse still as they grow at the cervix.

8. Cysts

These are another common cause of sex pain. Cysts are fluid-filled sacs that develop in women’s bodies.

Although generally harmful, they may sometimes rapture.Cramps caused by cysts may last as long as a few days and may also cause bloating.

9. Pelvic inflammatory disease

"Pelvic Inflammatory Disease is an infection of the uterus, fallopian tubes and ovaries and including the pelvis.”

Conceive success

This infection causes inflammation and cramps after sex. STI’s such as Chlamydia and Gonorrhea increased chances of having PID

10. Early pregnancy

In the early stages of pregnancy, it is normal to experience painful cramping during or after intercourse.

This is most common after an orgasm where the contractions can cause severe pain.

11. Ovarian cancer

Ovarian cancer is a malignant growth in the ovaries. It is easy to see how this may cause pain during intercourse or soon after.

12. Regular ovulation

Many women claim that sex is more painful leading up to, during or right after sex.

This is especially likely if a woman already suffers from painful menstrual cramps.

Treatment for cramping during or after sex

So now we know what the possible causes of unfortunate cramping during and after coitus. But are there treatments? In my widespread search on the internet, there seem to be two basic ones:

Change position

For a tilted uterus or a low cervix, changing sexual positions may work to reduce excessive cramping.

There are many positions that work for a tilted uterus, but generally any that raises the hips to control the depth of penetration. This means that some styles need to be modified to adapt to your uterus.


If you suffer cramps after sex, for your own enjoyment, insist on foreplay. Allow yourself to be completely ready before engaging in penetrative sex.

Do this even more if your partner is well endowed.

Talk to your doctor

Although it is sometimes difficult to diagnose the cause of menstrual cramps, doctors can provide medications that work.

It will be a rigorous process with many tests, but hopefully, there is light at the end of the tunnel for you.


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