What are the symptoms of a uterine diverticulum?

Jul 14, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, uterine diverticulum, as a complication following uterine surgery, mainly presents symptoms including prolonged menstruation, bleeding after menstruation, dysmenorrhea, pain during intercourse, and abdominal discomfort. If the above symptoms occur in daily life, they can be alleviated by paying attention to rest, avoiding excessive fatigue, maintaining good hygiene habits, etc., while undergoing regular gynecological examinations to monitor changes in the condition.

Generally, as a postoperative complication of uterine surgery, symptoms of uterine diverticulum mainly include prolonged menstruation, postmenstrual bleeding, dysmenorrhea, pain during sexual intercourse, and abdominal discomfort. Detailed analysis is as follows:

1. Prolonged menstruation: The duration of menstrual bleeding in patients will be significantly prolonged. A normal menstrual period usually lasts 3–7 days, while for patients with uterine diverticulum, the period may last longer than 7 days, even reaching more than 10 days, with continuous spotting. Later stages often involve small amounts of brown discharge. This is due to menstrual blood accumulating in the diverticulum failing to drain timely, leading to prolonged menstruation.

2. Postmenstrual bleeding: After the menstrual period ends, the residual menstrual blood remaining in the diverticulum gradually drains out, causing minor postmenstrual bleeding, presenting as vaginal spotting or brown discharge, lasting for several days or even more than ten days. This kind of bleeding significantly increases the total duration of bleeding throughout the menstrual cycle.

3. Dysmenorrhea: Some patients may experience dysmenorrhea, with pain typically occurring during menstruation, manifesting as a feeling of pressure or pain in the lower abdomen. This is because menstrual blood drainage from the diverticulum is not smooth, irritating uterine contractions, or due to inflammatory stimulation when combined with inflammation. The severity of pain varies among individuals.

4. Pain during sexual intercourse: During sexual activity, the diverticulum and surrounding tissues may be stimulated, causing pain in the deep lower abdomen or vagina, which can reduce sexual quality. Patients may consequently develop aversion to sexual activity.

5. Abdominal discomfort: Patients often feel a vague discomfort in the lower abdomen, characterized by pressure or mild pain. This discomfort may worsen after fatigue, around the menstrual period, or following sexual activity. Symptoms may ease somewhat after rest but are difficult to completely resolve.

If the above symptoms occur in daily life, they can be alleviated by ensuring adequate rest, avoiding excessive fatigue, maintaining good hygiene habits, and other measures. Regular gynecological examinations to monitor disease progression are also helpful for taking appropriate actions to improve the condition.

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What can be done about prolonged menstrual bleeding caused by a uterine diverticulum?

In general, prolonged menstrual bleeding caused by a uterine diverticulum may be due to factors such as retained menstrual blood in the diverticular cavity, hormonal fluctuations, endometritis, presence of polyps within the diverticulum, or poor scar healing at the site of the uterine diverticulum. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, surgical intervention, or other appropriate methods.

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Can Traditional Chinese Medicine effectively manage a uterine diverticulum?

In general, whether Chinese medicine can effectively treat uterine diverticulum needs to be analyzed based on the patient's specific condition. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. To avoid unnecessary harm to the body, it is advisable to choose an appropriate treatment plan under the joint guidance of qualified traditional Chinese medicine and Western medicine practitioners.

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Can a uterine diverticulum heal on its own?

In general, whether a uterine diverticulum can heal on its own mainly depends on the size, location, and associated symptoms of the diverticulum. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. If a uterine diverticulum is present, ensuring adequate sleep can help regulate the body's endocrine system and promote uterine recovery.

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What is a uterine diverticulum?

Under normal circumstances, a uterine diverticulum usually refers to an endometrial diverticulum or a myometrial diverticulum, which is a relatively rare gynecological condition. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. For patients with asymptomatic or minimally symptomatic uterine diverticulum, special treatment is generally not required, but regular follow-up examinations are advised.