Pain or punctures in the uterus: causes, symptoms and what exams to do

Pain or punctures in the uterus can appear during the menstrual cycle, when there is an increase in the production of prostaglandins, which are responsible for the pain and which favor uterine contraction for the release of the endometrium, which is the wall of the uterus, characterizing menstruation.

However, when the pain or punctures in the uterus occur during the menstrual period and is accompanied by other symptoms, such as constant flow, bleeding during menstruation, feeling of pressure in the belly, pain during sexual intercourse, enlargement of the abdomen y de las ganas de orinar; may indicate inflammation of the uterus, endometriosis, adenomyosis or uterine polyps, for example.

Therefore, in the event that the pain in the uterus is constant, in the meantime, and it is accompanied by other symptoms, it is important to consult a gynecologist so that exams can be carried out that help to identify the cause and, in this way. , if appropriate treatment is indicated.

1. Menstruation

Pain or punctures in the uterus are common during menstruation, and during this period there is an increase in the production of prostaglandins, which are substances capable of promoting uterine contraction and leading to scaling of the wall of the uterus or endometrium, giving as a result of menstruation.

What to do: Pain in the uterus due to menstruation is considered a normal situation, unless it is necessary to carry out some type of treatment. However, in case the pain is very intense and makes daily activities difficult, it is important to consult a gynecologist to recommend the best medication to relieve the pain.

2. Inflammatory Pelvic Disease (PPE)

Inflammatory pelvic disease (EPI) is an inflammation caused by microorganisms that normally start in the vagina and spread to the uterus, causing symptoms such as pain, vaginal discharge, pain during sexual intercourse and bleeding during the menstrual period. Learn more about PPE symptoms.

What to do: The treatment for EPI must be carried out according to the orientation of the gynecologist, normally starting the use of antibiotics according to the infectious agent responsible for the inflammation.

3. Endometriosis

Endometriosis is a situation where there is abnormal growth of endometrial tissue outside the uterus, causing pain in the uterus, especially during menstrual period, pain during sexual intercourse and increased menstrual flow, for example. Learn more about the symptoms of endometriosis.

what to do: it is important to follow the gynecologist’s guidelines, which can indicate the use of anti-inflammatory drugs to relieve symptoms, hormonal drugs or the performance of surgery, in the most serious cases.

4. Adenomyosis

Adenomyosis is an alteration that occurs inside the walls of the uterus, the ones that become more severe, causing pain, which can be more intense during menstruation, swelling in the belly, pain during sexual intercourse and increase in menstrual flow, for example.

What to do: It is recommended to consult a gynecologist so that the diagnosis is carried out and the most adequate treatment begins, which can be with the use of medication to alleviate the symptoms or, in the most serious cases, surgery to remove the uterus. See more details on treatment for adenomyosis.

5. Uterine fibroids

Uterine fibroids are a type of benign tumor that can form in the uterine muscle tissue and, in most cases, do not produce symptoms. However, when the fibroids are very large or there are several, it is possible that there is pain or punctures in the uterus, especially during sexual intercourse, stress and longer menstrual cycle.

what to do: the gynecologist can recommend the use of anti-inflammatory drugs, hormones, supplementation of blood or surgery to remove fibroids.

6. Uterine polyps

Uterine polyps are an alteration similar to a cyst, which can appear on the wall of the uterus, and which can cause pain in some women, in addition to irregular menstruation and abundant vaginal bleeding after sexual intercourse.

what to do: in most cases it is not necessary to undergo treatment for uterine polyps, only regular follow-up with the gynecologist is necessary. In some cases, it may be necessary to use medication or perform surgery to remove the polyps. Learn more about the treatment of uterine polyps.

indicated exams

Generally, in order to make an accurate diagnosis of a woman’s uterus disease, the doctor must carry out exams to observe the uterus, vagina and vulva, and the main exams are:

• Vaginal touch: The doctor puts the fingers together in the woman’s vagina and, at the same time, puts another hand on the abdomen to evaluate the organs of the reproductive system for the diagnosis of endometriosis and pelvic inflammatory disease.
• Pap smear: Also known by vaginal cytology, it is an exam used to detect the presence of uterine cancer and, for this it is necessary to place a speculum in the vagina and gently scrape the surface of the uterine cuello to obtain cells to be analyzed. Know more about this exam.
• Specular exam: a speculum is introduced into the vagina to assess the presence of flow or hemorrhage;

• transvaginal ultrasound: also known as transvaginal ultrasound, it is an exam that allows diagnosing different problems in the pelvic region such as cysts, infections, cancer, among others, through the images it emits. See how this exam is carried out.

In addition to these exams, the doctor may request an ultrasound or a magnetic resonance imaging, depending on the description of the woman’s symptoms and, in most cases, the invasive exams are only performed from the beginning of sexual activity.