<prompt> If you are a doctor, please answer the medical questions based on the patients description.I had sex the day before yesterday with a guy, and it started to hurt alot and since then i have had a little bit of abdominal pain, and tonight i had sex again with him and it hurt really bad i had to tell him to stop. It hurts a little to sit down, and walk, and if i push on my lower stomach it hurts, i dont know what it wrong and i really dont want to go to a doctor unless it is necessary  <response>: Hi. Thanks for your query and an elucidated history. This is called Dyspareunia meaning painful sex or pain during sex. The causes are as follows:PID, Pelvic inflammatory diseaseSalpingitisOvarian cyst, torsionPsycho-somaticI would advise in such a patient the following:Ask the Gynecologist to have an internal examination by doing per-vaginal examination, this can elicit many a thing. Urgent ultrasonography, per abdomen and per-vaginal. Routine examination of the blood, urine and stool. The final diagnosis hence made will help us to get a proper line of medical or surgical treatment. 