Stabbing pain in my lower abdomen

I'm not sure how far to go back with my history for this (sorry) band I don't know if it is linked.... About 5 weeks ago I thought I had thrush (continuous itching sensation around my vagina and inside). So I purchased over he counter cream which got rid of the symptoms.

My partner works offshore and I hadn't seen him for almost 5 weeks

When he returned we had sex and not even 2 minutes after I was hit with a huge stabbing pain in my lower central abdomen below my belly button. I felt like I was going to throw up and pass out at the same time

I went to the doctors who just took a swab and said to rest and come back in a week?!?!?

That was 2 days ago and the pain is not constant now but I am now getting unbelievable sharp stabbing pain when my body wants to pass wind. When I am in bed (like now) I roll onto my side and before the gas is even ready to come out, it must pass a certain point inside me, then I get a pain that makes me have to freeze in that position, hold my breath and wait for to pass. Then j can pass wind

I have never had anything like this.

My lower abdomen is swollen slightly and hurts to touch. I had an STI check a year ago and have been in the same relationship with no trust issues

Any advice is very welcome as I am not sleeping from the pain

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Dear K,

Thank you for contacting us regarding this sharp lower abdominal pain you described above.

How old are you roughly? Any kid (s)?

Any vaginal injuries or prolapse in the past?

You said that this pain started shortly after intercourse, and has not been continuous but seems to be brought about by straining or movement.

Did you experience any vaginal bleed after intercourse? Any blood in your stool? What about passing urine? Have you noticed an increase in the frequency of your passing urine over the last few days?

Do you tend to suffer with lower abdominal pain at around the time of your menses or periods? Is there anyone in your family who suffers with endometriosis?

It appears that you might have sustained a degree of trauma to your vaginal and perhaps lower rectum following the intercourse, leading to this pain. Endometriosis is another condition that can cause such sharp intermittent pain, if it has caused some endometriotic adhesion.

It is important that you get your urine tested to exclude a bladder infection.

It certainly does not sound like thrush. Taking a swab for testing to exclude inflammation of your womb and or tubes is quite appropriate and hopefully it should come back normal.

I think for the time being, taking pain killers, and lots of fluids would help. Should the pain persists or worsens, it is important that you seek urgent medical attention, just in the very unlikely situation that there is a tear at the back of the vagina.

Please let me know if there is any further information that could shed more light on your condition or indeed if you require further help with signposting on the next course of action.

Hope you get well soon.

We would really appreciate it if you could update us on how things went.

Good Health To You.

Dr Omatseye Edema MD MRCGP CCFP MSc DRCOG
Family Physician, Emergency Medicine Practitioner and WebMD
Abdopain.com.

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