<s>[INST] Hello, I have a question last night I had sexua intercourse with my husband and right after my abdominal area started hurting real bad like labor cramps I was in tears and coulldnt move everything hurt I had to walk bent over it hurt for hours and I am concerned [/INST] Hi. The probable causes of Dyspareunia that is painful sexual intercourse are:Pelvic Inflammatory disease (PID). AppendivitisTO (Tubo-oavarian) marshy Chat Doctor.  I would advise :::First a manual per-vaginal examination by a Gynecologist after careful complete history is told. Secondly - Ultrasonography CT scan may be necessary if clinical impression suggests something is missing or to confirm the findings of the USG. The treatment will depend upon the diagnosis. </s>