Uterine Tenderness: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Uterine Tenderness

Abruptio Placentae

tenderness, uterine contractions, and fetal distress. [emedicine.com]

Most women will have some uterine tenderness or back pain. And in close to a quarter of cases, an abruption will cause the woman to go into labor prematurely. [babycenter.com]

tenderness present Grade 2 : Fetal distress No evidence of maternal shock Vaginal bleeding may not be present Grade 3 : Maternal shock & fetal demise present Marked uterine [slideshare.net]

Puerperal Infection

At the time of uterine tenderness (Day 2, postpartum), 4 of 5 patients had gram-stained lochial smears showing a predominance of gram-positive cocci. [ncbi.nlm.nih.gov]

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [merckmanuals.com]

The most striking clinical signs included the early onset of uterine tenderness followed by an abrupt temperature elevation to greater than or equal to 102 F. [ncbi.nlm.nih.gov]

Acute Endometritis

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [msdmanuals.com]

Sometimes, it is also accompanied with bloody stench, uterus slightly large than usual or even uterine tenderness. [global.fuyanpills.com]

Uterine or renal angle pain and tenderness. The woman is generally unwell or seems unduly anxious/distressed. [patient.info]

Puerperal Pelvic Cellulitis

tenderness discharge - foul odor, profuse, bloody delayed uterine involution lab studies for endometritis CBC w differential metabolic panel urine and blood cultures (endometrial [quizlet.com]

Since wide variations occur in the degree of uterine tenderness, the finding of uterine tenderness is not a precise guide to establish whether or not uterine infection is [glowm.com]

Note subinvolution of uterus, extreme uterine tenderness. Allows early identification and treatment; promotes resolution of infection. [rnpedia.com]

Septic Abortion

tenderness, adnexal tenderness, peritonitis, or features of septicemia. [ncbi.nlm.nih.gov]

Symptoms and signs of abortion‐related infections include fever, pelvic/abdominal pain, prolonged vaginal bleeding, uterine tenderness, foul‐smelling uterine discharge, and [doi.org]

Rebound Tenderness ) Abdominal Distention Pelvic and vaginal exam Cervical motion tenderness ( Cervicitis or Pelvic Inflammatory Disease ) Abnormal Vaginal Discharge ( Vaginitis [fpnotebook.com]

Puerperium

This diagnosis is suggested by the general signs of infection and the uterine tenderness. [bettercare.co.za]

Abdominal examination: Loin tenderness Abdominal rigidity and tenderness. Uterine size, tenderness and abdominal masses related to the uterus. [gfmer.ch]

Determine the height of the uterine fundus and assess whether any uterine tenderness is present. Assess whether the amount of vaginal bleeding is more than normal. [bettercare.co.za]

Threatened Abortion

Such infections are characterized by fever, chills, uterine tenderness and occasionally, peritonitis. [brooksidepress.org]

Diffuse uterine tenderness, adnexal tenderness, or both may be present. [emedicine.medscape.com]

On vaginal examination, the internal cervical os is closed and no cervical motion tenderness or tissue is found. [emedicine.medscape.com]

Endometriosis

The physician should palpate for a fixed, retroverted uterus, adnexal and uterine tenderness, pelvic masses or nodularity along the uterosacral ligaments. [web.archive.org]

Physical examination should be performed during early menses, when implants are likely to be largest and most tender. [web.archive.org]

Lochiostasis

UTERINE INFECTION • Mild—rise in temperature (>100.4°F) Rise in pulse rate (>90) Lochial discharge becomes offensive and copious The uterus is subinvoluted and tender(may [slideshare.net]

Female Pelvic Inflammatory Disease

Seventeen days later, she presented with severe bilateral lower abdominal pain, cervical motion tenderness, uterine tenderness, and bilateral adnexal tenderness. [ncbi.nlm.nih.gov]

uterine tenderness, or adnexal tenderness. [web.archive.org]

Uterine tenderness or cervical motion pain or adnexal tenderness is most often present on pelvic exam in most cases of moderate PID. [web.archive.org]

Chorioamnionitis

tenderness, and/or malodorous amniotic fluid. [ncbi.nlm.nih.gov]

The mother had high fever and marked uterine tenderness, and the infant had poor Apgar scores, fever, and pulmonary infiltrates. [ncbi.nlm.nih.gov]

She subsequently developed signs of clinical chorioamnionitis, including fever, fetal tachycardia, and uterine tenderness. [ncbi.nlm.nih.gov]

Amnionitis

Clinically, chorionamnionitis can present with the following maternal signs and symptoms: 1,2 fever abdominal pain / uterine tenderness raised white blood cell count (> 15 [radiopaedia.org]

Fever [5] Maternal tachycardia (cardiac arrhythmia) Increased fetal heart rate (fetal tachycardia) [6] Sweating Uterine tenderness and pain Foul smelling vaginal discharge [pregmed.org]

tenderness, foul amniotic fluid odor or leukocytosis Clinical features have poor specificity and sensitivity for prediction of histologic chorioamnionitis Associated with [pathologyoutlines.com]

Chronic Pelvic Inflammatory Disease

Uterine Tenderness Adnexal Tenderness The following add support for the diagnosis: Fever (>101°F / >38.3°C) Mucopurulent cervical discharge or friability Wet prep with abundant [pedemmorsels.com]

[…] or uterine tenderness or adnexal tenderness. [mshc.org.au]

Uterine tenderness Adnexal tenderness. [lecturio.com]

Chlamydial Pelvic Inflammatory Disease

[…] and adnexal or uterine tenderness. [sti.guidelines.org.au]

[…] or uterine tenderness or adnexal tenderness. [cdc.gov]

tenderness, and adnexal tenderness, noted for 18); and the presence of all three symptoms (noted for 6). [nejm.org]

Acute Pelvic Inflammatory Disease

Adnexal tenderness Thickening or definite mass Minimum clinical criteria for diagnosis Cervical motion tenderness Uterine tenderness Adnexal tenderness The presence of temperature [medchrome.com]

[…] and adnexal or uterine tenderness. [sti.guidelines.org.au]

Spontaneous Rupture of Membranes

[…] contractions, and without clinical signs of intraamniotic infection (fever, uterine tenderness, foul smelling amniotic fluid, or fetal tachycardia). [losangelesfetaltherapy.org]

Ascertain accuracy of gestation age exclude labour - presence of regular painful contractions Assess maternal condition: Temp / pulse / uterine tenderness/ Colour of liquor [aippg.net]

No one strategy is correct, but generally, signs of fetal compromise or infection (eg, persistently nonreassuring fetal testing results, uterine tenderness plus fever) should [msdmanuals.com]

Mucopurulent Cervicitis

uterine tenderness or adnexal tenderness. [clinicaltrials.gov]

Cervicitis may be a sign of an upper genital-tract infection making it important to assess for pelvic inflammatory disease (PID), particularly in the context of uterine tenderness [stiplus.com.au]

All had a history of mild-to-moderate pelvic discomfort for 30 days or less, uterine or adnexal tenderness, and leukorrhea, mucopurulent cervicitis, or untreated gonococcal [acronymfinder.com]

Postpartum Hemorrhage of the Uterus

Doctors must recognize the risk factors for endomyometritis injuries, including fever, high white blood count, and uterine tenderness. [birthinjuryjustice.org]

[…] bleeding or postpartum hemorrhage at the time of attempted manual separation of the placenta Fever Pelvic or uterine tenderness Treatment If the placenta does not separate [amboss.com]

Odorous lochia, severe abdominal cramping, uterine tenderness, and increased body temperature also may indicate hemorrhage. [americannursetoday.com]

Puerperal Pyrexia

Since wide variations occur in the degree of uterine tenderness, the finding of uterine tenderness is not a precise guide to establish whether or not uterine infection is [glowm.com]

tenderness, pelvic abscess, peritonitis, mechanical or foreign body injury, any system/organ failure or shock. [ncbi.nlm.nih.gov]

Examination Pulse, BP, Temperature, respiratory rate Examine chest, heart, skin to look for signs of infection Examine abdomen – including abdominal wound, uterine / renal [busyspr.com]

Fetal Trauma

More minor degrees of abruptio can Cause a propensity to delayed onset of premature labour, and diagnostic ultrasound or other evidence of the abruptio such as uterine tenderness [medlit.info]

Pregnant trauma patients (≥ 23 weeks) with adverse factors including uterine tenderness, significant abdominal pain, vaginal bleeding, sustained contractions (> 1/10 min), [ncbi.nlm.nih.gov]

Uterine tenderness may be present Frequent uterine contractions are complained about "Uterine tetany" may occur Uterine irritability (contracts when touched) Emergency and [derangedphysiology.com]

Endometritis

Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [merckmanuals.com]

The diagnosis of postpartum endometritis is based on the presence of fever, leukocytosis, uterine tenderness, and foul-smelling lochia. [blogs.nejm.org]

Symptoms are uterine tenderness, abdominal or pelvic pain, fever, malaise, and sometimes discharge. Diagnosis is clinical, rarely aided by culture. [merckmanuals.com]

Placental Cyst

Rapid uterine contractions [7] Uterine tenderness Pallor Disproportionately enlarged uterus Nausea and vomiting Restlessness It is advisable to contact one’s health care [pregmed.org]

2 : (45%) i) vaginal bleeding is mild to moderate ii) uterine tenderness is always present iii) increase maternal pulse, BP is maintained iv) fibrinogen levels maybe decreased [rubilyyours.com]

Large hematomas are typically apparent and present clinically with classic features of sudden abdominal pain/cramping, vaginal bleeding, uterine tenderness and often with [radiologykey.com]

Tubo-Ovarian Abscess

Minimal criteria for diagnosis and empiric treatment: Lower abdominal or pelvic pain without another identifiable cause PLUS Uterine tenderness or Adnexal tenderness or Cervical [accessemergencymedicine.mhmedical.com]

Lower abdominal pain and uterine tenderness were present in all cases. [scielo.br]

uterine tenderness, or adnexal tenderness. [emdocs.net]

Uterine Subinvolution

tenderness, cramping Midwifery management once ruled out retained fragments and infection encouraging lifestyle changes that include more rest, proper nutrition, increased [quizlet.com]

tenderness Chills and malaise abd cramping Fever after 1st 24hrs foul smelling lochia uterine subinvolution elevated WBC's Term Definition Failure of a part to return to [flashcardmachine.com]

Odorous lochia, severe abdominal cramping, uterine tenderness, and increased body temperature also may indicate hemorrhage. [americannursetoday.com]

Placental Disorder

Signs and symptoms of placental abruption include: Vaginal bleeding, although there might not be any Abdominal pain Back pain Uterine tenderness or rigidity Uterine contractions [mayoclinic.org]

The signs and symptoms of placental abruption include one or more of the following: Vaginal bleeding (although about 20% of cases will have no bleeding) Uterine tenderness [americanpregnancy.org]

Grade 2 - Uterine tenderness, tetany with or without evidence of bleeding, baby shows signs of distress. D. [slideshare.net]

Funisitis

The examined symptoms in this study were clinical maternal findings (uterine fundal tenderness, maternal tach ycardia, purulent or foul amniotic fluid or cervical discharge [content.iospress.com]

Clinical chorioamnionitis, also referred to as clinical intraamniotic infection, occurs when clinical signs are present, including maternal fever, uterine tenderness, maternal [injuryfrombirth.com]

The asymptomatic intraamnion infection could be fever, uterine tenderness, fouly odor of the amniotic fluid, fetal tachycardia, maternal tachycardia, and maternal leucocytosis [biomedpharmajournal.org]

Pathological Retraction Ring of the Uterus

Always between upper and lower uterine segments. Felt and seen abdominally. The uterus is tonically retracted, tender and the foetal parts cannot be felt. [theideas2015.blogspot.com]

Developing Rupture Abdominal pain and tenderness Uterine contractions will usually continue but will diminish in intensity and tone. [authorstream.com]

As a result, the lower uterine segment lengthens and thins, and becomes tender. -Upper segment becomes hard and thick, and progressively retracts. [womantowomancbe.wordpress.com]

Abdominal Radiation

Grade 2 : uterine tenderness; tetany, with or without uterine bleeding; fetal distress; mother is not in shock. [medical-dictionary.thefreedictionary.com]

The uterus is palpated for tenderness, consistency, and frequency and duration of uterine contractions, if present. [ncbi.nlm.nih.gov]

Abnormal Uterine Contraction

Clinical features• Patient is anxious looking• Features of exhaustion and ketoacidosis• Upper uterine segment is tender and hard• Lower uterine segment distended and tender [slideshare.net]

Always between upper and lower uterine segments. Felt and seen abdominally. The uterus is tonically retracted, tender and the foetal parts cannot be felt. [theideas2015.blogspot.com]

The uterus is tonically retracted, tender and the foetal parts cannot be felt. The uterus is not tonically retracted and the foetal parts can be felt. [gfmer.ch]

Appendiceal Abscess

Grade 2 : uterine tenderness; tetany, with or without uterine bleeding; fetal distress; mother is not in shock. [medical-dictionary.thefreedictionary.com]

The uterus is palpated for tenderness, consistency, and frequency and duration of uterine contractions, if present. [ncbi.nlm.nih.gov]