Intimate Life 2022

Pain or twinges in útero: what can it be and what tests to do

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Pain or twinges in útero: what can it be and what tests to do
Pain or twinges in útero: what can it be and what tests to do
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Pain or twinge in the uterus can happen during the menstrual cycle, in which there is an increase in the production of prostaglandin, which is responsible for pain and favors uterine contraction to release the endometrium, which is the wall of the uterus, characterizing menstruation.

However, when pain or twinge in the uterus happens outside of the menstrual period and is accompanied by other symptoms, such as constant discharge, bleeding outside of menstruation, feeling of pressure in the belly, pain during intercourse, increased abdomen and increased urge to urinate, may be indicative of inflammation in the uterus, endometriosis, adenomyosis or uterine polyp, for example.

Thus, if the pain in the uterus is constant, does not improve over time and is accompanied by other symptoms, it is important that the gynecologist is consulted so that tests are carried out to help identify the cause and, thus, the most appropriate treatment can be started.

1. Menstruation

Pain or twinge in the uterus is common to occur during menstruation, as during this period there is an increase in the production of prostaglandins, which are inflammatory substances capable of promoting uterine contraction and leading to flaking of the uterus wall, endometrium, resulting in menstruation.

What to do: Pain in the uterus due to menstruation is considered a normal situation and no treatment is necessary. However, if the pain is very intense and makes daily activities difficult, it is important that the gynecologist is consulted so that the best medication to relieve the pain is indicated.

2. Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease, or PID, is an inflammation caused by microorganisms that usually starts in the vagina and extends to the uterus, causing symptoms such as pain, vaginal discharge, pain during intercourse and bleeding outside of period. menstrual.Know how to recognize the symptoms of PID.

What to do: Treatment for PID should be performed according to the gynecologist's advice, and the use of antibiotics is usually indicated 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 endometriosis.

What to do: It is important to follow the gynecologist's guidelines, who may indicate the use of anti-inflammatory drugs to relieve symptoms, hormonal drugs or surgery, in the most serious cases.

4. Adenomyosis

Adenomyosis is a change that happens within the walls of the uterus itself, which become thicker, causing pain, which is usually more intense during menstruation, swelling in the belly, pain during sexual intercourse and increased menstrual flow, for example.

What to do: It is recommended that the gynecologist be consulted so that the diagnosis is made and the most appropriate treatment started, which can be done with the use of medication to relieve symptoms or, in more severe cases, surgery to remove the uterus. See more details of treatment for adenomyosis.

5. Uterine fibroid

Uterine myoma is a type of benign tumor that can form in the uterine muscle tissue and, in most cases, does not cause any symptoms. However, when the fibroid is very large or multiple fibroids are identified, there may be pain or twinge in the uterus, especially during sexual intercourse, constipation, and a longer menstrual cycle.

What to do: may be recommended by the gynecologist the use of anti-inflammatory drugs, hormones, iron supplementation or surgery to remove the fibroid.

6. Uterine polyp

Uterine polyp is a change, similar to a cyst, that can appear on the wall of the uterus, and that can cause pain in some women, in addition to irregular and heavy menstruation and vaginal bleeding after sexual intercourse.

What to do: in most cases it is not necessary to undergo treatment for uterine polyps, it is only necessary to follow up regularly with the gynecologist. In some cases, medication or surgery may be necessary to remove the polyp. Check out more details about uterine polyp treatment.

Nominated exams

Usually, to make an accurate diagnosis of the cause of pain or twinge in the uterus, the gynecologist may recommend performing some tests, the main ones being:

  • Vaginal touch: the doctor inserts two gloved fingers into the woman's vagina and, at the same time, places the other hand on the abdomen to assess the organs of the reproductive system, for the diagnosis of endometriosis and pelvic inflammatory disease
  • Specular examination: a speculum is inserted into the vagina to assess the presence of discharge or bleeding;
  • Pap smear test: also known as oncotic cytology, it is a test used to detect the presence of cancer of the uterus and, for this, it is necessary to insert a speculum into the vagina and gently scrape it the surface of the cervix to obtain cells for analysis. See how the exam is done at: How the Pap smear is done.

In addition to these exams, the doctor may indicate an ultrasound or an MRI, according to the description of the woman's symptoms and, in most cases, invasive exams should only be performed from the beginning of sexual activity. Learn more about gynecological exams.

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