What causes pain in the uterus during the same room?

Jul 17, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, uterine pain during intercourse may be caused by factors such as excessive sexual stimulation, vaginal dryness and friction, vaginitis, cervicitis, or endometriosis. It is recommended to seek medical attention promptly, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. Additionally, maintaining good sexual hygiene, avoiding frequent changes of sexual partners, and keeping a regular作息 (作息 should be translated as "routine" or "作息 schedule") to enhance immunity are advised.

Generally, uterine pain during sexual intercourse may be caused by excessive sexual stimulation, vaginal dryness and friction, vaginitis, cervicitis, endometriosis, and other factors. It is recommended to seek timely medical attention to determine the underlying cause and receive appropriate treatment under a doctor's guidance. Detailed explanations are as follows:

1. Excessive Sexual Stimulation: Excessively vigorous movements or improper positions during sexual activity may stimulate uterine contractions or stretch surrounding tissues, causing temporary pain that can be relieved with rest. Adjust the pace and positions of sexual activity to avoid excessive stimulation, and allow appropriate rest afterward. Local heat application may be used if pain persists.

2. Vaginal Dryness and Friction: Insufficient sexual arousal or hormonal changes may reduce vaginal secretions, causing friction that irritates the cervix and uterus, resulting in pain accompanied by a burning sensation in the vagina. Increasing foreplay time to promote secretion or using water-soluble lubricants under medical guidance can help reduce friction. Perimenopausal women may apply topical conjugated estrogen cream to alleviate dryness.

3. Vaginitis: Inflammation of the vagina causes mucosal congestion and sensitivity. Sexual activity may stimulate the uterus, causing pain accompanied by abnormal vaginal discharge and itching. Patients may follow medical advice to use medications such as metronidazole suppositories, clotrimazole vaginal tablets, or tinidazole suppositories. Sexual activity should be avoided during treatment, and maintaining external genital hygiene is important. Pain usually subsides after the inflammation resolves.

4. Cervicitis: Infection-induced inflammation of the cervix causes pain radiating to the uterus upon contact during sexual activity, often accompanied by increased vaginal discharge and postcoital bleeding. Patients may follow medical advice to use anti-infective medications such as azithromycin dispersible tablets, cefixime capsules, or doxycycline hydrochloride tablets. If cervical polyps are present, hysteroscopic polypectomy may be required to remove the polyps and reduce irritation.

5. Endometriosis: Adhesions formed by ectopic endometrial tissue in the pelvic cavity may be impacted or stretched during sexual activity, causing intense and persistent pain in the uterus and pelvis. Patients may follow medical advice to use medications such as dydrogesterone tablets, norethisterone tablets, or ibuprofen sustained-release capsules to alleviate symptoms. For larger lesions or cases unresponsive to medication, laparoscopic excision of the ectopic tissue may be required to relieve pain.

Maintaining sexual hygiene, avoiding frequent changes of sexual partners, and keeping a regular作息 to enhance immunity are important in daily life. If pain recurs, record the episodes and seek timely medical attention for targeted treatment of the underlying condition to improve symptoms.

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