Preventing Lower Back Pain After Sexual Activity

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Women who experience back pain during sexual activity may be reluctant to share the problem with their partners. This can lead to a breakdown in communication and strained relationships.

Back pain after sex is more common than many people think. Trying different sexual positions and following some tips can help a couple continue to enjoy sensual activities despite back problems.

Common Causes

Some people, especially men, can feel back pain during sexual activity. Usually, this is due to muscle strain or spinal misalignment – These data are the result of the portal team’s research If the muscles or spine are strained, it can lead to discomfort during and after sexual activity, as well as other activities such as walking or climbing stairs.

Other times, pain after sex is a sign of genital problems such as STIs (sexually transmitted infections) or pelvic inflammatory disease. In these cases, sex should be avoided until the pain is relieved.

Women who suffer from back pain after sex may have weak pelvic floor muscles, causing them to experience bladder problems such as urinary tract infections (UTI). This condition can also lead to lower-back pain. In such cases, doing Kegel exercises to strengthen the pelvic muscles is recommended.

It is important for couples to be open about their back problems during sex, says physical therapist Lauren Hebert. She advises couples to discuss their issues before the sexual encounter and to try new positions that do not trigger back pain.

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If a woman’s back pain persists even after trying different positions, she should seek the advice of a gynecologist. If the symptom does not go away within six months, she should consult a vascular doctor for further diagnosis and treatment. A gynecologist will be able to examine and treat the reproductive organs, as well as any other health issues that may be contributing to the pain.


There are a few things women can do to prevent pain after sexual activity. For one, it is important to communicate with sexual partners about how much discomfort or pain is experienced during and after sex. Doing so can help to pinpoint any possible causes of the pain and lead to the appropriate treatment plan. In addition, women who experience lower back pain should try to do activities or positions that don’t put too much strain on the pelvic muscles. Taking over-the-counter pain medications such as ibuprofen can also reduce inflammation and relieve symptoms.

If the pain continues, a visit to a gynecologist can help to pinpoint the cause and begin the proper treatment plan. In some cases, the pain may be caused by a symptom of an underlying condition such as endometriosis or pelvic inflammatory disease. In other cases, the pain may be caused by physical changes such as uterine fibroids or a skeletal change such as spinal misalignment.

In these situations, the pain may be reduced by performing alternate sexual activities such as massage, oral sex or other positions that don’t require genital contact. In these cases, it is important to communicate with your partner about which positions or activities are most comfortable and avoid painful ones. In addition, it is important to see a doctor if the pain persists, as this can be an early warning sign of serious medical conditions such as spinal arthritis or herniated discs.

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Fortunately, back pain does not have to be a deal-breaker for healthy sexual activity. With a few changes, such as trying different sex positions that put less strain on the spine and following preventive tips, many women can continue enjoying a healthy sex life.

It is also important to communicate with a partner about how sex affects back pain, says Dr. Marks. People who have back problems often don’t broach the topic of how their pain interferes with intimate moments, which can hurt a relationship and lead to a decline in overall health.

If the sex-related back pain continues, it is a good idea to see a doctor. It could be a sign of a more serious problem, such as an infection of the genital tubes (urinary tract infection, or UTI), which often results from having sex without passing urine immediately afterward.

Similarly, weakened pelvic floor muscles, which are essential for bladder and bowel control in women, can contribute to lower back pain during and after sexual activity. Strengthening these muscles with exercises like Kegels can help to alleviate back pain. If a woman’s sex-related back pain is caused by an infection or an underlying condition, a doctor may prescribe antibiotics. In addition, a doctor may refer her to a physical therapist to help strengthen the muscles and reduce back pain.

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Psychological Impact

While sex can provide emotional and physical intimacy, some people experience pain after sexual activity. For some, it’s not a problem and for others it’s a frequent issue that can detract from intimacy and reduce sexual enjoyment. In this case, it’s important for partners to talk about the pain and try new positions to see what works. It’s also important to avoid overdoing it with vigorous sexual activity.

When back pain flares up during sex, it’s important for both partners to be calm and patient. A partner can gently massage the lower back while the other introduces stimulation in a very slow and controlled manner. This may take some time and may not work for everyone, but it can provide a way to explore new positions that don’t aggravate the back and create an opportunity for new closeness and sexual satisfaction.

Distress and moodiness can make back pain worse, and it’s not uncommon for people to have feelings of depression or sadness when their back hurts during sex. Often, these emotions can prevent couples from discussing what’s going on and lead to an uneasy sexual relationship, which isn’t healthy for either partner.

Fortunately, psychological interventions have been shown to decrease disability and pain catastrophizing, as well as improve activity levels and pain control. Couples can find support through their physician, physical therapist or psychologist who specializes in pain management, and learn strategies to help them cope with the discomfort that comes with sex and back pain.

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