After an intimate moment with a partner, one usually expects to feel some version of satisfaction—whether it’s relaxation, closeness, or simple contentment. But for some, the emotional aftermath of the same can be unexpectedly jarring. One partner might feel relaxed, connected, and happy, while the other may experience a sudden wave of sadness, emptiness, or anxiety. These feelings can be confusing, especially if they weren’t present before or during the encounter.
To further elucidate on the topic, the OnlyMyHealth team connected with an expert, Dr. Archana Dhawan Bajaj, Gynaecologist, Obstetrician and IVF Expert, Nurture IVF Clinic, New Delhi.
Also Read: How to increase emotional intimacy
What Is Postcoital Dysphoria?
Dr. Bajaj defines PCD as the negative feeling that you might have following sexual intimacy. She says, “This is distinct from female sexual dysfunctions (FSDs), which pertain to emotions and functions before or during sexual activity. When you have PCD, you may experience melancholy or depression following sex.”
She further adds that even if you and your spouse both desire being intimate, you may get hostile or irritated. Postcoital dysphoria affects more women than males. The majority of investigations have focused on females with the disease. PCD symptoms might occur after consenting intercourse. It may occur even after physical pleasure and orgasm. Symptoms of PCD in women include tearfulness, sadness, anxiety, irritability, and dissatisfaction.
Causes of Postcoital Dysphoria
-1732164993985.jpg)
Dr. Bajaj says that sufficient studies have not been done to solidify the fundamental aetiology of PCD. However, experts believe that these sentiments are caused by a variety of circumstances.
She lists the following as the root causes behind PCD;
Anxiety
These childhood experiences might also lead to anxiety and despair. These mental health diseases might be associated with depression or behavioural issues.
Abuse
Having a history of childhood sexual abuse may increase your chance of developing PCD. Sexual abuse, whether at a young age or in adulthood, can produce PCD symptoms. Physical and emotional abuse or improper treatment may increase your chances of developing postcoital dysphoria later in life.
Postnatal Depression
Hormonal changes can result in postnatal depression. Postnatal depression, often known as postpartum depression, occurs immediately after giving birth to a child.
Resentment
If you have a history of abuse, you may feel more resentful of sex or sexual encounters. You may feel out of control during these meetings, which can generate anxiety. You may also feel the urge to express your demands and requirements, which might make you irritated.
Also Read: Is Your Partner Emotionally Withdrawn? Expert Shares Probable Reasons And How You Can Help Them
How to Cope With Postcoital Dysphoria?
-1732165015764.jpg)
If the symptoms and episodes of dysphoria become frequent or severe enough to cause anxiety, interfere with sexual functioning and enjoyment, or cause relationship problems, it is best to seek professional assistance. Adding to this, Dr. Bajaj says “In addition to seeking professional assistance, there may be some things you can do on your own to deal in healthy ways and maybe conquer PCD--or at least avoid it from interfering with your life and relationships.”
She shares these methods for dealing with postcoital dysphoria symptoms:
Communicate With Your Spouse
Sudden sadness, unresponsiveness, or tears after being intimate can be confusing or distressing for your partner. Open communication can help prevent misunderstandings while also allowing you to get emotional support from them.
If you're not comfortable communicating your sentiments with your spouse, take some time alone to reflect on them.
Explore Your Thoughts, Beliefs, And Feelings Around Intimacy
PCD symptoms can sometimes indicate unsolved difficulties or inner conflicts related to sex, sexuality, and relationships. Take the time to journal, ponder, or talk to a therapist about your sex-related thoughts and ideas.
Establish a comforting post-sex ritual to alleviate melancholy and dysphoria via closeness and tenderness. This helps to release some of the feelings of sadness and dysphoria.
Try To Find Healthy Emotional Outlets
Sex releases chemicals such as endorphins and neurotransmitters that can affect mood. Journaling, opening up to people you trust, or even physical activity may all be effective emotional outlets for expressing your feelings.
Embrace The Emotional Complexity Of Intimacy!
Postcoital dysphoria reminds us that intimacy isn’t just a physical experience—it’s deeply emotional, layered, and uniquely personal. For those who feel sadness, confusion, or anxiety after intimacy, it’s important to remember you’re not alone, and these feelings are more common than they seem. By learning more about PCD and openly exploring the factors behind it—whether through talking with your partner, journaling, or simply giving yourself space to reflect—you’re choosing to honour your emotional truth. In the end, intimacy becomes not just an act, but a journey of self-discovery and connection, where each moment helps you understand yourself better and opens the door to deeper, more authentic relationships.