What are the causes of uterine spasms

Abdominal pain in women (Pelvic pain)

The causes of abdominal or lower abdominal pain are manifold, since in addition to the intestines and the urinary bladder, the internal female sexual organs such as ovaries, fallopian tubes and the uterus are located in the abdomen. Changes in the organs, whether abnormal or normal, can cause discomfort.

What are the causes of abdominal pain?

Most women are familiar with the more or less frequent symptoms of menstrual bleeding, which are pulling and spasmodic in nature and can radiate into the back, thighs or labia. They are caused by the contraction of the uterus.

The other pain possibilities, classified according to localization:

  • Causes of right-sided lower abdominal pain
  • Causes of bilateral pelvic pain
  • Causes of pain that occurs more in the middle of the abdomen
  • Causes of left lower abdominal pain
LeftRightOn both sides
DiverticulitisappendicitisUrinary tract infections
Adhesions after inflammation / surgeryAdhesionsInflammation of the ovaries / fallopian tubes
Pelvic inflammationPelvic inflammationIntussusception
Ovarian cystOvarian cystInflammatory bowel disease
EndometriosisEndometriosistumor
Ectopic pregnancyEctopic pregnancyEctopic pregnancy
Inguinal herniaInguinal hernia 
Abscess in the lumbar muscleAbscess in the lumbar muscle 
tumortumor 
Colon Cancer  

Causes of right-sided lower abdominal pain

Causes of bilateral pelvic pain

So lower abdominal pain occurring simultaneously on the right and left

Causes of pain that occurs more in the middle of the stomach

  • Expansion of the abdominal artery (aortic aneurysm), suddenly bursting with life-threatening bleeding
  • Closure of intestinal vessels (mesenteric infarction, mesenteric vein thrombosis)
  • Intestinal obstruction (ileus)

Causes of left lower abdominal pain

  • Inflammatory protuberances on the intestinal wall (diverticulitis)
  • Adhesions from previous inflammations or operations
  • Renal pelvic inflammation or ureteral stones
  • Pedicled ovarian cyst
  • Endometriosis: dislocated uterine lining
  • Ectopic pregnancy
  • Pinched inguinal hernia
  • Abscess in the lumbar muscle
  • Colon cancer, localized in the sigmoid colon or in the rectum
  • Tumors on the left

People with diabetes, metabolic disorders, pneumonia or a heart attack can also suffer from severe abdominal pain. However, these pains are mostly localized in the upper abdomen.

The following may accompany the pain:

How does the doctor make a diagnosis?

How is pelvic pain treated?

Different treatments are required depending on the cause.

+++ More on the topic: abdominal pain in men +++

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Authors:
Dr. Britta B├╝rger
Editorial editing:
Silke Brenner

Status of medical information:

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