What causes uterine pain?
Jul 19, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, uterine pain may be caused by uterine contractions during menstruation, follicular rupture during ovulation, endometritis, adenomyosis, uterine fibroids, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, it is important to keep the abdomen warm and avoid getting chilled. Maintain a regular作息 (作息 should be translated as "routine" or "作息" could be omitted if no suitable translation fits) and reduce熬夜 (nighttime熬夜 should be translated as "staying up late").
Corrected translation:
In general, uterine pain may be caused by uterine contractions during menstruation, follicular rupture during ovulation, endometritis, adenomyosis, uterine fibroids, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a doctor. In daily life, keep the abdomen warm and avoid exposure to cold. Maintain a regular routine and avoid staying up late.
Generally, uterine pain may be caused by factors such as uterine contractions during menstruation, follicular rupture during ovulation, endometritis, adenomyosis, or uterine fibroids. It is recommended to seek timely medical consultation to determine the underlying cause and receive appropriate treatment under a doctor's guidance. Detailed explanations are as follows:
1. Uterine contractions during menstruation: Strong uterine muscle contractions during menstruation to expel menstrual blood may cause intermittent pain, which usually subsides after the menstrual period ends. Applying heat to the lower abdomen and drinking warm brown sugar water can help relieve the pain; avoid strenuous exercise and cold foods.
2. Follicular rupture irritation during ovulation: During ovulation, the ruptured follicle releases a small amount of fluid into the pelvic cavity, irritating the uterus and causing mild pain, which lasts for several hours to one day. This is a normal phenomenon, and rest is sufficient without special treatment required.
3. Endometritis: Bacterial infection causes inflammation of the endometrium, leading to uterine congestion and edema, resulting in persistent pain, often accompanied by fever and increased vaginal discharge. Patients may follow medical advice to use medications such as Cefixime Dispersible Tablets, Metronidazole Tablets, or Levofloxacin Hydrochloride Capsules to control the infection.
4. Adenomyosis: The endometrium invades the uterine muscle layer, causing uterine enlargement and abnormal contractions, leading to severe pain, especially during menstruation. Patients may follow medical advice to use medications such as Gestrinone Capsules, Danazol Capsules, or Ibuprofen Sustained-Release Capsules to alleviate symptoms. In cases of severe pain, endometrial ablation may be required to reduce lesion irritation.
5. Uterine fibroids: Enlarged fibroids may compress surrounding tissues or stimulate uterine contractions, causing pain, possibly accompanied by increased menstrual bleeding and prolonged menstrual periods. For small fibroids, patients may follow medical advice to use medications such as Mifepristone Tablets, Leuprolide Acetate Microspheres for injection, or Cinnamon Twig and Poria Capsules to reduce the fibroid size. For larger fibroids, hysteroscopic myomectomy may be required to remove the lesion and relieve the pain.
In daily life, it is important to keep the abdomen warm and avoid getting chilled. Maintain a regular sleep schedule, reduce late nights, and engage in appropriate exercise to enhance physical health. Pay attention to hygiene during sexual activity to prevent pelvic infections, which can help reduce the occurrence of uterine pain.
