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What would cause lower abdominal pain after you have an orgasm moments after lasting for 10 minutes you cannot breathe and have intense pain feel like you are going to die?

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Absolutely especially if he is large and/or its rough sex. If the pain lasts for more than a day or two I would talk to my doctor. More than likely it is the uterus being hit during sexual activity causing it to become sore. Maybe you should ask your partner to take it slow and not to thrust so hard and deep. That may help relieve the pain, but this is normal as long as it does not last for long periods of time (over 5 or 6 days).

Here are more opinions and answers from other WikiAnswers contributors:
  • Sure. It can be caused by many things. Some if it may simply be high blood flow to aroused areas. You get increased blood flow to the pelvis when aroused and this swells the tissues. They may be sore afterward. Or it could be muscle soreness just like after any other workout. Kegels and stretching can help this problem. If the pain is sharp, severe or long lasting see your gyn, it could be a sign of other problems.

  • If this pain occurs after orgasm without penetration, it could be cyst-related. I have a tendency toward developing benign ovarian cysts and they can cause a lot of pain sometimes... especially if one ruptures. It's not life-threatening in and of itself, but definitely something to talk to your OB/GYN about to find out exactly what's going on.
  • I frequently have lower abdominal and vulva pain the day after or sometimes two days after a sexual encounter. It will subside, and for me is inextricably linked to the size of the masculine genitalia involved. The larger the penis, the more and longer the pain lasts. I am a very small woman, both inside and out, which complicates sex to no end. I work at taking things slower, which tends to help in some cases. I do suggest stretching both before and after any sexual encounter. It's working out just like going the gym!
  • I had this problem after orgasm when I was pregnant.
  • If he is large it helps to go into doggy style during intercourse. It seems to stretch the vaginal canal and make it harder for him to bump the cervix.
  • No, it's not normal. It can be caused by your vagina being unusually dry and having sex, rough sex, deep penetration or infection.
  • Pain in the lower abdominal area after sex, particularly if isolated to one side of the body, could be the first sign of endometriosis. This is a nagging condition that can cause either dull pain (similar to mild menstrual cramps) or intense pain (like being jabbed with a knife). If you continue to experience pain after sex, I suggest that you consult with your physician, as there are various treatment options available.

This could also be a symptom of pelvic inflammatory disease, its best to go along to your local sexual health clinic and get this looked at, left untreated this could cause infertility.
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