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cramping after sex in men and women

The Top 20 Causes Of Cramping After Sex In Men And Women

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Written By-Ruby Alice
 • Published: 22/12/2025
• Updated: 22/12/2025
Medically Reviewed by Dr. Aditya Shah
Dr. Aditya Shah
Trusted Source

Dr. Aditya Shah

Expert In Clinical Pharmacology And Drug SafetyView more

Cramping after intercourse is very common in females and, at times, in men too. While women face the cramp in their endometrium lining, male face the same wither in their penis or in the prostate region. Reasons for the same can range from orgasm to dyspareunia.

Usually, the same happens after a long session of intimacy, and the same has often been reported after the use of long-lasting intimacy through Sildenafil or Tadalafil. Still, look at the top 20 causes of such cramps, as those include more related factors.

Cramping


1. Orgasm


Orgasm often puts extensive pressure on both males and females. The pressure is exerted on the full body, including the shoulders and the spinal cord. However, the super pressure is exerted on the pelvic muscles, which often results in contraction, and after sex, you can face cramps in those regions.


2. Deep Penetration


Deep penetration aided with Sildenafil often causes pain in females, due to the reach of the penis to their cervix, uterus, and even the ovum. The same can be experienced by males, especially at the tip of the pennis or on their penis tissues. However, the cramps that might be caused due to the deep penetration are experienced for the position of sex, which is often seen in females.


3. Ovulation In Females


Although the pain is not caused by sexual intercourse, but the same is felt after intercourse. Hence, it is obvious that the blame is thrust upon sex. According to the medical theories, from 14 days before ovulation, a female starts cramping. Hence, if during that time, you have intercourse, the pain can be triggered. The pain caused here lasts for a few minutes to 2 days.


4. Pregnancy Or Lactation


Though it is safe to have intercourse during pregnancy, still having the same during the end of the first trimester can cause deep cramping in females. In case of doing intercourse very soon into the lactation phase, cramping and pain are quite obvious.


5. Vaginismus


Spasms around the vaginal area in female makes males frustrated, and often males put heavy pressure around the vaginal area that causes pain and also causes cramps near the vaginal area and the pelvic muscles. This happens in women, especially.


6. Strain In Muscles


Strain in the muscles can be caused for any sort of exercise. It can even form with drinking less amount of water. During long intercourse sessions aided with Tadalafil, the exercise causes cramping to both males and females. Especially in some sexual poses, the stress on the muscles is exerted the most, causing cramps in the thigh muscles (both male and female) and pelvic muscles (in males).


7. Vaginal Dryness


Dryness in the vagina is common soon after menopause in females. It can also be caused due to Sjögren’s disease. Whatever the cause might be, insertion in a dry vagina can be very much painful for females and can cause intense cramps in the vaginal muscles or in the pelvic area.


8. Sex In Depression


While having sex during depression often releases the stress, and a sensation of love and care comes into play, such sex can result in cramps, too. This has been tested by several cases, and every time the result came out the same.


9. Prostaglandins


Intercourse during pregnancy often results in contraction of uterine and the same can influence the prostaglandins, causing intense pain and cramps at times.


10. Cyst


Cyst in females, especially the symptoms of PCOs, causes pain in the abdomen. Long interaction and deep penetration during intimacy often cause cramping in the abdominal muscles.


11. Fibroids


Fibroids are projections in the uterus. Often it has been found that, female with fibroids faces pain in the uterine and cramping in the vaginal muscles after a session of sex, which stays for a few hours or a day.


12. Cystitis In The Abdomen


This pain is common in both males and females. The pain remains in the bladder and the pelvic floor. The same can remain for a day in males. In females, the pain remains for an hour or two.


13. Prostatitis


This is a condition in males with enlarged prostates. Males with prostatitis, after having a long session of intercourse with Tadalafil, often face mild pain. He can also face cramps in his pelvic floor. Issues with urination can also happen here that need instant medical care.


14. Endometriosis


This is a condition in females with an extended lining of endometrium outside the uterus. Pain after intercourse is common in females with Endometriosis, and the same lasts long with heavy intensity.


15. UTI


This is the condition of infection in the urinary tract. It can happen in both males and females and can cause deep uneasiness during and after sex. Women can sense cramping in their abdomen, while men can face the same, along with pain in the penis tip.


16. Uterus Tilt


In some rare cases, females face tilt in their uterus. The same can cause issues during penetration. Hard erection can cause pain and cramping in males, and the pressure can exert cramping in the female pelvic.


17. IBS


Men and women with bowel syndrome often face issues after an intercourse session. Important here is a research result that indicated long hours of intimacy are common in IBS patients, and a deep cramping after sex, too.


18. Curved Penis


As painful is penetration in females having a tilted uterus, the same is with males with a curved penis. In both cases, pain and cramps are common in the pelvic muscles of both males and females.


19. STI


Infections transmitted sexually face the least cramping, but the burning effect in both males and females is common. The burning effect is felt in and around the genitals of both.


20. Pelvic Congestion


Pelvic congestion often needs medication and, at times, needs surgeries too. However, males and females having such a syndrome and enjoying long sessions of intimacy can face pelvic cramps. The same exerts heavy pain, and it remains for days.


FAQs


Q. Does Sildenafil Cause Cramping?

Sildenafil is a certified medicine to treat ED, and it helps men to enjoy an erection for 4 hours. Therefore, it ensures a long session of intercourse. A long session of intercourse can cause cramps, but it is not a direct side effect of sildenafil.

Q. How Long Does A Cramp Remain After Sex?

The cramp can remain for minutes, hours, or even for days. If you are facing cramps in the muscles, the same can stay longer. For cramping in the genital muscles lasting longer than a day, contact a doctor immediately.

Q. Is The Cramp In My Back A Result Of Long Sex?

If it is a cramp in your back, it might have some other reasons, but if it is a long session of sex, then you need to change your position.

Q. Can I Treat Cramps At Home?

The Kegel exercise is a great therapy for cramps after sex. It will help you to keep the cramps away, too.