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Jun 15, - What Causes Cramping After Sex? Cramping or painful twinges during or after orgasm in a normal, low-risk pregnancy are likely caused by increased blood flow to your abdominal area, as well as natural changes that make your cervix more sensitive. Menstrual-like cramps around conception can be caused by implantation. Jan 18, - Find out why you may cramp after having an orgasm during pregnancy and if Most Embarrassing Pregnancy Sex Issues (and How to Deal).