What Causes Uterine Pain After Intercourse, and What Should You Do?
Feb 25, 2022
Source: Cainiu Health
Dr. Liu Xiuyan
Introduction
Adenomyosis: Adenomyoma refers to the invasion of endometrial glands and stroma into the myometrium, resulting in either diffuse or localized lesions. This condition commonly leads to prolonged menstrual periods, menorrhagia (excessive menstrual bleeding), and dysmenorrhea (painful menstruation). Pain in the uterus during or after sexual intercourse may also occur. Treatment options include endometrial and myometrial resection or myometrial electrocoagulation.
A healthy sexual relationship is inherently a beautiful aspect of married life, fostering deeper emotional intimacy between spouses. However, many women experience abdominal pain following intercourse—what could be causing this?
Causes and Management of Uterine Pain After Intercourse
Uterine pain after intercourse may stem from conditions such as adenomyosis, endometriosis, or pelvic fluid accumulation, often requiring surgical intervention.
1. Adenomyosis: This condition involves the invasion of endometrial glands and stroma into the myometrium, resulting in either diffuse or localized lesions. Symptoms commonly include prolonged menstruation, menorrhagia (heavy menstrual bleeding), and dysmenorrhea (painful periods). Pain in the uterus following intercourse is also frequently reported. Treatment options include excision of the affected endometrial and myometrial tissue or electrosurgical ablation of the myometrium.
2. Endometriosis: Endometriosis occurs when viable endometrial cells implant and grow outside the uterine cavity. Typical symptoms include dysmenorrhea, menstrual irregularities, and infertility. In severe cases, patients may experience uterine pain during or after intercourse, which can adversely affect reproductive function. Under medical guidance, surgical removal of the ectopic lesions—while preserving the uterus and ovaries—is recommended for women who wish to retain fertility. For those without childbearing intentions, total hysterectomy may be considered. Postoperative local wound care is essential to prevent infection.
After surgery, adequate bed rest is required, and strenuous physical activity should be avoided.
We hope the above information is helpful. Wishing you a happy and fulfilling life!
