Pain near the uterus

Female friends may experience symptoms of pain near the uterus during menstruation. This is a complication of menstruation and a normal physiological phenomenon. However, if pain near the uterus occurs outside of menstruation, it needs to be taken seriously. It may be due to gynecological diseases such as uterine membrane infection and pelvic inflammatory disease. It needs to be treated in time, otherwise it will affect future conception and cause increased vaginal secretions.

1. What is the cause of pain on the side of the uterus?

Uterine pain caused by certain gynecological diseases: For example, endometriosis often forms lumps near the ovaries, uterus, and rectum, which can aggravate abdominal pain before and during menstruation. Pain during sexual intercourse is also one of the characteristics of uterine pain.

Uterine pain caused by inflammation: It is more common in adnexitis and pelvic inflammatory disease, and often occurs in women of childbearing age. The pain is on one or both sides, and is accompanied by increased leucorrhea. Chronic cases often present with dull pain, back pain or a feeling of heaviness; acute cases often present with abdominal pain that is resistant to pressure and is accompanied by fever.

Uterine pain caused by menstruation: Lower abdominal pain and general discomfort experienced by women during menstruation are mostly physiological phenomena. If the pain is severe, it is dysmenorrhea. Most uterine pain during adolescence is primary dysmenorrhea, which can heal itself; while dysmenorrhea that occurs after menstruation is mostly caused by some disease, so you should seek medical attention early and do not use painkillers to solve the problem.

Uterine pain caused by uterine cancer: The cancer compresses the nerves in the pelvic cavity, causing pain in the lower abdomen, lower back or thighs.

2. The location of the uterus

The uterus is located in the middle of the pelvis, between the bladder and rectum. Its position may vary depending on the fullness of the bladder and rectum or body position. When standing upright, the uterine body is almost parallel to the horizontal plane, the uterine fundus lies above the posterior and superior part of the bladder, and the cervix remains above the plane of the ischial spines. The normal uterus of an adult is in a slightly anteversion and anteflexion posture. Anteversion means that the uterine axis and the vaginal axis are open forward at an angle, and anteflexion is the curvature between the uterine body and the cervix. The normal position of the uterus is mainly maintained by structures such as the uterine ligaments, pelvic diaphragm, urogenital diaphragm and perineal central tendon. When these structures are damaged or loose, uterine prolapse may occur.

3. Types of uterine malformations

Primordial uterus: also called vestigial uterus. This is because the two mesonephric ducts stop developing shortly after they join. This type of uterus is very small, only 1 to 3 cm long. Because there is no endometrium, there is no menstruation, and it is often combined with no vagina.

Septate uterus: The paramesonephric ducts on both sides have completely merged, but the mediastinum has not degenerated. The uterus has a normal appearance and the uterine cavity is divided into two parts. If the septum does not completely regress, an incomplete septate uterus is formed. If the mediastinum extends to the vagina, vaginal septum may be formed at the same time.

Congenital absence of uterus: It is caused by the failure of the middle segments of the mesonephric ducts on both sides to develop and thus fail to fuse to form a uterus. Patients often do not have a vagina, but their ovaries develop normally, so secondary sexual characteristics are not affected.