Pain in uterus

Pain in the uterus can occur during pregnancy, but also outside of pregnancy. For example, fibroids, endometriosis, menstrual pain or uterine cancer may be present. One pain is not the same as the other, which is why it is important to recognize the different types of pain and other symptoms such as blood loss. This makes examination by a doctor a lot easier.

The womb

The uterus is located in the lower abdomen. This is a hollow organ that in normal condition is the size of a fist or orange. During pregnancy, the uterus is able to expand to accommodate a rolled-up baby of 50 centimeters. The uterus can become larger than a melon. The uterine wall consists of strong muscles that can cause the uterus to contract. This contraction is sometimes necessary during menstruation, miscarriage or childbirth.

Pain in the uterus during sex

A common complaint: pain during sex. The pain is felt in the uterus and can remain for some time after intercourse. The causes may be:

  • A tilted uterus
  • Prolapse of the uterus
  • Endometriosis
  • Intestinal complaints causing the pain to extend to the uterus
  • Other complaints such as a fibroid or an infection

The complaints can sometimes be temporary, but usually these are pain complaints that return again and again. If you notice that changing positions is painful, there is a good chance that your uterus is tilted. Adopt a position that is comfortable for you. With a prolapse of the uterus you feel pain in the cervix and sometimes you are less able to urinate. This is because the uterus pushes the urethra closed. If complaints persist, go to your doctor, who can determine whether treatment is necessary.

Coughing is painful

When coughing we put pressure in the abdominal cavity. The uterus in particular absorbs some of this pressure. If we have complaints about the uterus, this pressure difference can be painful. Sneezing, lifting or bending over, for example, can also provoke or worsen the pain. During pregnancy, uterine pain when coughing can be caused by ligament pain. The uterus hangs on bands in the abdominal cavity. As the baby grows, these ligaments are pulled. When coughing, these ligaments are also pulled. The result: pain. This can be a short stabbing pain or a longer lasting nagging pain.
Another cause is inflammation of the uterus or cervix. This also causes pain when coughing, sneezing, lifting or bending over. An inflammation can be caused by the coil, but bacteria can also enter through the vagina. Normally micro-organisms are combated well, but with reduced resistance this is not always sufficient. Inflammation can also be the result of a miscarriage, curettage or childbirth. Sometimes you get a high fever. An inflammation of the uterus or cervix rarely heals on its own, bacteria often just creep up. A course of antibiotics will often combat the infection well. Complete this treatment completely.

Ovulation or ovulation

Some women feel ovulation every month, others hardly notice it at all. The uterus often seems more sensitive and sometimes painful around this period. Bending over or sitting down suddenly can hurt. It sometimes seems as if the uterus has prolapsed a bit. Changes in hormones are probably the cause of this. The complaints can be reduced by taking the contraceptive pill, which prevents ovulation and keeps hormone levels more constant. However, this is not of much use to anyone who wants to become pregnant.

After birth

The uterus will contract after delivery to return to its normal shape. This contraction feels like painful menstrual cramps. The first days after giving birth it can even feel like real contractions. Very annoying, but it is best to take paracetamol against the pain. Ask the maternity assistant or midwife how much you can take when breastfeeding.
The uterus may remain painful for some time even after it has returned to its normal shape. Everything has stretched considerably in nine months and will have to get back into place. The uterus itself may be irritated. You may have the feeling that the uterus has prolapsed somewhat: this is often the case. After a first birth, the uterus has prolapsed slightly. If you think it is a serious prolapse, contact your doctor or midwife. The midwife is usually still available for you during the first six weeks after the birth. If you suffer a lot from a painful uterus, consider where the pain comes from. This could actually be the uterus, but also pain radiating from the intestines or the pelvis. If you continue to have complaints, discuss this with your doctor. Sometimes further investigation is necessary. The complaints do not always have to come from childbirth.
Other causes for uterine pain are adhesions, fibroids, endometriosis, uterine cancer or cervical cancer, a miscarriage or ligament pain (during pregnancy).

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