Differential Diagnosis for Abdominal Cramps during Sexual Intercourse following Light Vaginal Bleeding
- Single most likely diagnosis
- Pelvic Inflammatory Disease (PID): This condition is a likely cause due to the symptoms of abdominal cramps during sexual intercourse, which can be a result of inflammation of the reproductive organs. The preceding light vaginal bleeding could be related to an infection or other PID-related symptoms.
- Other Likely diagnoses
- Endometriosis: Abdominal cramps during sexual intercourse (dyspareunia) are a common symptom of endometriosis, where tissue similar to the lining of the uterus grows outside the uterus, leading to pain and discomfort.
- Ovarian Cysts: These can cause abdominal cramps and pain during sexual intercourse if they rupture or bleed, which might also explain the initial light vaginal bleeding.
- Vaginitis or Cervicitis: Inflammation of the vagina or cervix can lead to pain during sexual intercourse and may be associated with vaginal bleeding.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Ectopic Pregnancy: Although less likely if the patient is not pregnant, an ectopic pregnancy can cause abdominal pain, vaginal bleeding, and pain during sexual intercourse. It's a medical emergency that requires immediate attention.
- Appendicitis: While the symptoms might not perfectly align, appendicitis can cause abdominal pain that worsens over time and could potentially cause pain during sexual activity if the appendix is located near the reproductive organs.
- Rare diagnoses
- Uterine Fibroids: Large fibroids can cause pain during sexual intercourse and may lead to vaginal bleeding, though they are less likely to cause the specific pattern of symptoms described.
- Adenomyosis: A condition where tissue similar to the lining of the uterus grows into the muscular walls of the uterus, leading to pain and heavy bleeding, which might fit some of the symptoms but is less common.