What's wrong with a girl's back pain after having sex

Post coital lower back pain in women may be related to factors such as pelvic congestion, muscle strain, urinary system infections, gynecological inflammation, or lumbar spine lesions. It can be relieved through hot compress rest, anti infection treatment, traditional Chinese medicine conditioning, and other methods. If the pain persists, organic diseases should be investigated.

1. Pelvic congestion

Pelvic vascular dilation during sexual activity may lead to temporary congestion, manifested as lower back soreness. This condition is a physiological phenomenon that usually resolves on its own after resting for 1-2 hours. Proper hot compress of the lumbar and sacral regions can help improve blood circulation. Avoid immediately rinsing with cold water or engaging in vigorous exercise.

2. Muscle strain

Excessive exertion of the lumbar muscles during sexual activity may cause micro damage to muscle fibers, with pain mostly concentrated on both sides of the lumbar muscles and exacerbated during activity. It is recommended to rest in bed for 24-48 hours and use blood activating and stasis removing ointments such as Musk Bone Strengthening Cream, combined with gentle massage to help with recovery. Long term recurrent attacks require strengthening core muscle group exercise.

3. Urinary system infection

Bacterial ascending infection may cause acute cystitis or pyelonephritis, often accompanied by symptoms of frequent urination and urgency in addition to lower back pain. Urine routine examination is required. After diagnosis, medication such as levofloxacin hydrochloride tablets and Sanjin tablets can be used according to medical advice. Pay attention to perineal hygiene in daily life and urinate promptly before and after sexual activity.

4. Gynecological Inflammation

Patients with chronic pelvic inflammatory disease or pelvic inflammatory disease are prone to worsening back pain after sexual activity, which may be accompanied by abnormal secretions. It is suggested to do gynecological examination and B-ultrasound. After the inflammation is identified, traditional Chinese patent medicines and simple preparations such as gynaecological Qianjin Tablets and Jingangteng Capsules can be selected, and infrared physiotherapy can be used to promote the absorption of inflammation. Sexual activity should be avoided during treatment.

5. Lumbar spine lesions

Patients with pre-existing lumbar disc herniation or lumbar muscle strain may experience nerve compression symptoms due to improper positioning during sexual activity. Pain radiates to the buttocks in multiple directions, and in severe cases, numbness may occur in the lower limbs. Diagnosis needs to be confirmed through CT/MRI. In the acute phase, patients should rest on a hard bed and receive traction therapy. If necessary, consideration should be given to endoscopic surgery.

It is recommended to maintain a moderate frequency of sexual activity and choose a comfortable position to avoid excessive pressure on the waist. Daily practice of the Eight Section Brocade technique of "climbing the feet with both hands to strengthen the kidneys and waist" can enhance the strength of the lumbar muscles. Moxibusting the Mingmen and Shenshu acupoints three times a week can help warm the meridians and unblock the meridians. If lower back pain persists for more than 72 hours or is accompanied by symptoms such as fever and hematuria, one should promptly seek medical attention from a gynecology or orthopedic department to investigate the cause. Pay attention to sexual hygiene, it is recommended to use warm water for post cleaning, and avoid taking a shower immediately.