Abdominal Cramps & STDs: An Overview

Abdominal crams caused by STDs can be unpleasant and even painful. But not all STDs cause abdominal cramps – and not all abdominal cramps are caused by STDs. If abdominal cramps are an STD symptom, chances are the culprit is either trichomoniasis or Chlamydia.

Of course, only STD testing can give a definitive answer about whether your abdominal cramps are from a sexually transmitted infection. Still, knowing the basics about Chlamydia and trichomoniasis symptoms can help you plot your next move.

Abdominal Cramps as an STD Symptom


While it’s common for STDs to cause no symptoms at all in infected people, abdominal cramps show up from time to time. Those with trichomoniasis may also experience:
  • Penile irritation or discharge
  • Burning during urination or after ejaculation
  • Vaginal discharge (often with a smell)
  • Pain during sex
  • Itching near the genitals.


It’s important to note that abdominal cramps are a fairly rare trichomoniasis symptom. The other symptoms are much more common.

Chlamydia, too, can lead to abdominal cramps and genital discharge, but is most often completely without symptoms.

Abdominal Cramps and PID


Another potential cause of abdominal cramps is a condition called pelvic inflammatory disease, or PID. PID occurs when bacteria from the vagina (such as those that cause Chlamydia and gonorrhea) enter a woman’s reproductive organs.

PID can cause painful lower back and abdominal cramps and, if untreated, can lead to infertility.

When to Get Trichomoniasis Testing for Abdominal Cramps


So when should you turn to STD testing to get an answer about your abdominal cramps? The answer varies for each person. But keep in mind these tips about STDs:
  • A partner with no STD symptoms can still transmit the STD.
  • A round of antibiotics can cure trichomoniasis, Chlamydia, and any abdominal cramps or other symptoms they cause.
  • All sexually active people are at some risk for STDs.
  • People with multiple partners and those who have unprotected sex are at higher risk for STDs.


The CDC recommends STD testing either once per year or every time you have a new sexual partner or experience STD symptoms.

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