Sex After TT. During Orgasm (Before Penetration) my Lower Ab Muscles Began to Spasm. Is This Normal? Can It Cause Damage?

You were wise to restrict activity that could have damaged your muscle repair, as heavy lifting, ab exercises such as sit-ups or crunches, and yes, sexual activity that stimulates forcible contraction of the abdominal muscles, can tear sutures and incompletely-healed scar formation that is designed to hold things together for the long term.

Sex is fine whenever it's comfortable for both of you, but I recommend avoiding all activities (including more vigorous sexual ones) that forcibly contract the abdominal muscles for 6 weeks after tummy tuck and muscle repair. So you don't necessarily need to avoid sex, just the trapeze and chandelier variety! (You know what I mean.)

If what you were doing did not hurt, it was likely not a problem, nor will it cause any damage in most cases. The important words in the last sentence, however, are "likely" and "in most cases." Maximize your chances of a successful healing period by limiting things that might (inadvertently) cause damage. Your final result will thank you for your diligence and care! Best wishes! Dr. Tholen

This sounds like spasm of your abdominal muscles and should not hurt anything. However, you won't be fully healed for another 3 weeks so you may want to be careful. If it hurts, it is still healing. Remember, you should do no heavy lifting for 6-8 weeks.

Most likely you experienced a severe spasm of the rectus muscles.   This could, in an extreme case, cause a rupture of the sutures used to repair the fascial layer.  Better to wait another 3 weeks before you resume vigorous activities.  

Hello,

Thank you for the question.  Most tummy tuck procedures benefit from abdominal wall repair (muscle repair).  The muscles are not so much the issue as is the connective tissue that envelops them.  Regardless, tightening the abdominal connective tissue also tightens the muscles and this often increases the episodes of muscle spasm during the recovery part of the tummy tuck.  The spasm you are feeling is not uncommon and does not directly lead to healing issues.  Just be careful about protecting the abdominal area during the next few weeks.  By 4-6 weeks most of the healing has occurred.

All the best,

Dr. Remus Repta

This is not unusual and should be transient.  Go slowly for another 2 1/2 weeks and you should be fine.  Wearing a support garment for 6 weeks is important as well.

Malcolm D. Paul, M.D.