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Abdominal Pain After Sex can stem from several clinical conditions rather than just temporary discomfort. According to USA Fibroid Centers, persistent or severe post-coital pain may be linked to underlying gynecologic issues such as uterine fibroids, ovarian cysts, or endometriosis, which can cause cramping and pressure during intercourse. Pelvic inflammatory disease and untreated sexually transmitted infections can also lead to inflammation and pain. In some cases, a urinary tract infection or pelvic floor muscle dysfunction contributes to lower abdominal discomfort

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