What causes a dragging pain below the uterus?

A sensation of heaviness or pain in the lower part of the uterus may be related to various causes. It could be a normal physiological phenomenon associated with menstruation, especially when there is significant shedding of the endometrium, leading to a feeling of uterine heaviness or discomfort. Certain gynecological conditions such as pelvic inflammatory disease, cervicitis, and endometritis can also cause this sensation, often accompanied by other symptoms like increased vaginal discharge and vulvar itching. Uterine prolapse may likewise lead to a feeling of downward pressure or pain in the uterus; when the prolapsed uterus compresses the bladder or urethra, it may additionally cause symptoms such as difficulty urinating. For any persistent sensation of uterine heaviness or pain, it is recommended to seek timely medical evaluation to determine the underlying cause through professional examination and receive appropriate treatment under a doctor's guidance.