Healthy Cheerful Q&A Women’s Health

What causes uterine pain

Asked by:Hodr

Asked on:Apr 18, 2026 04:06 AM

Answers:1 Views:359
  • Florence Florence

    Apr 18, 2026

    Uterine pain may be caused by dysmenorrhea, pelvic inflammatory disease, endometriosis, uterine fibroids, threatened abortion, etc. Uterine pain mainly manifests as lower abdominal pain, which may be accompanied by symptoms such as abnormal menstruation and increased vaginal discharge. It is recommended to seek medical treatment promptly and provide targeted treatment after the cause is identified.

    1. Dysmenorrhea

    Dysmenorrhea is a common cause of uterine pain, mostly related to excessive secretion of prostaglandins, and manifests as lower abdominal distension or cramping pain during menstruation. You can use ibuprofen sustained-release capsules, acetaminophen tablets, Yuanhu analgesic tablets and other drugs as directed by your doctor to relieve pain. Daily hot compresses can be used to relieve symptoms and avoid strenuous exercise during menstruation.

    2. Pelvic inflammatory disease

    Pelvic inflammatory disease is mostly caused by bacterial infection. In addition to uterine pain, it is often accompanied by fever and abnormal vaginal discharge. May be related to Neisseria gonorrhoeae and Chlamydia infections. Antibiotic treatment such as levofloxacin hydrochloride capsules, metronidazole tablets, and cefixime dispersible tablets must be used as directed by the doctor. Bed rest is required in the acute stage.

    3. Endometriosis

    Endometriosis causes extramenstrual uterine pain that may radiate to the lumbosacral region. The disease is related to reflux of menstrual blood and may cause infertility. Ethinyl estradiol cyproterone tablets, dienogest tablets, leuprolide acetate microspheres and other drugs can be used as directed by the doctor to inhibit intimal growth. In severe cases, surgical treatment is required.

    4. Uterine fibroids

    The enlargement of uterine fibroids may compress surrounding tissues and cause dull pain, which is often accompanied by increased menstrual flow. Fibroid growth is related to estrogen levels. Smaller fibroids can be observed and followed up, while larger fibroids require the use of mifepristone tablets, Guizhi Fuling capsules and other drugs as directed by the doctor, and myomectomy if necessary.

    5. Threatened abortion

    Uterine pain accompanied by vaginal bleeding during pregnancy requires vigilance for threatened abortion, which may be related to abnormal embryonic development and insufficient luteal function. You need to seek medical treatment immediately, follow the doctor's instructions to use progesterone capsules, dydrogesterone tablets and other miscarriage drugs, stay in bed absolutely, and avoid sexual life and strenuous activities.

    If you have uterine pain, you should pay attention to rest and avoid overexertion. Avoid eating cold or raw food during menstruation and keep your perineum clean. If the pain persists or is accompanied by fever or abnormal bleeding, you should seek medical attention promptly. Regular gynecological examinations can help detect diseases early. During treatment, you should strictly follow the doctor's instructions and do not adjust the dosage of medicines on your own.

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