Sharp, Stabbing Pain In The Uterus May Indicate Fibroids

As women, many of us are accustomed to dealing with cramping and pain that sometimes have to do with our menstrual cycle and reproductive system. Women who have been pregnant can also attest to the strange pokes, stabs, and kicks that come from their uterus when they have a “womb-mate.” But what might it mean if you feel sharp, stabbing pain in the uterus and you’re not pregnant?

Feeling abdominal pain can be alarming and a cause for concern when it comes on suddenly and with no explanation. Today we are going to talk about some conditions that can create sharp stabbing pain in the uterus and when you should see your doctor to get it checked out.

What Can Cause Sharp Stabbing Pains In The Uterus When You Are Not Pregnant?

There are various conditions that can cause symptoms of sharp abdominal pain in women. Some conditions may be normal or temporary, while others require medical intervention, and knowing the difference between the two may save you from ongoing or unnecessary discomfort.

Your Normal Female Cycle

Experiencing sharp stabbing pain in the uterus just before or during your period may be caused by ovulation or an extension of menstrual cramps. Some women describe ovulation pain as a dull ache, while others say it feels like they are being stabbed and normally occurs during the midpoint of their monthly cycle. The pain can last anywhere from a few minutes to a few hours.

Cysts On The Ovaries

Each month, it is the ovaries’ job to release an egg for potential fertilization. Sometimes, an abnormal growth can form on the ovary, which is known as a cyst. Most of the time, they do not cause any issues and resolve themselves with no treatment.

Occasionally, they can cause a dull ache to the left or right of the uterus, bloating, constipation, painful bowel movements, and painful sex. In rare instances, these cysts can twist and rupture, which causes sharp stabbing pain and may trigger nausea, vomiting, or dizziness requiring immediate medical attention.


An infection that involves the upper portion of a woman’s reproductive system is called pelvic inflammatory disease and is often caused by a sexually transmitted disease such as gonorrhea or chlamydia. Sometimes there are no symptoms, or PID can cause chronic symptoms of vaginal discharge, a fever, or even sharp stabbing uterus pain. If left untreated, it can result in infertility.

Endometriosis And Her Sister

Two conditions that can result from the growth of rogue endometrial cells are endometriosis and adenomyosis (often called the sister of endometriosis). These rogue cells that make up the uterine lining begin to grow outside of their boundaries. Endometriosis results when they grow outside of the uterus, and adenomyosis results when they grow in the muscle within the walls of the uterus.

Both of these conditions bring with them numerous symptoms, including heavy bleeding, pain during sex, fertility issues, and sometimes sharp stabbing pain in the uterus. While neither of these conditions is usually considered a medical emergency, they both can gradually become worse, so your doctor needs to be notified of your symptoms so they can monitor or treat your condition.

Uterine Fibroid Embolization in Atlanta, GA

Myomas (Uterine Fibroids)

While a large majority of women around the world experience fibroids during their lifetime, there continues to be a vast lack of knowledge about them, the symptoms they cause, and the only non-surgical treatment available to eliminate them.

These benign growths are of unknown origin and are formed from the same type of tissue that makes up the muscular portion of the uterine wall. They can grow alone or in bunches and are most often found growing in and on the uterus of women during their reproductive years, but they can occur until menopause.

Common symptoms caused by fibroids are heavy menstrual bleeding that can last an unusually long time, pressure and pelvic bloating, a protruding abdomen, frequent urination, lower back pain or shooting pain down the legs, infertility, and more. In rare instances, fibroids can cause sharp stabbing pain in the uterus that requires medical attention.

Fibroids are put in categories according to where they grow and include intramural, which grows inside the uterine wall; submucosal, which grows into the uterine cavity; and subserosal, which grows on the outside of the uterus.

They can also be attached flush to the uterus, or they can grow on stems and hang down from where they are growing. The ones that are hanging down are known as pedunculated fibroids and are the culprits that can cause sharp stabbing uterus pain. A fibroid that is hanging is susceptible to twisting, which can suddenly block its blood flow and cause sharp stabbing pains in the uterus. If this happens, medical attention should be sought immediately to prevent additional complications.

What To Do If You Have Been Diagnosed Or Suspect Fibroids Or Adenomyosis

While sharp-stabbing uterine pain is rare with fibroids, they can cause many unpleasant symptoms that can diminish a woman’s quality of life.

If you have been diagnosed with fibroids, you have a safe and effective option for treatment that does not involve surgery. Uterine fibroid embolization (UFE) can eliminate fibroid symptoms and those caused by adenomyosis, but you may not be given this procedure as an option for treatment. This is because UFE is performed by a specially trained interventional radiologist and not by an OB/GYN.

Before you agree to surgery that compromises or removes your uterus, contact the Atlanta Fibroid Center to learn about this safe and effective treatment. Every day, we have women telling us their stories about how the only option they were given was surgery. Many of these women are young and wish to become mothers, so losing their uterus is devastating, not to mention the long-term complications and increased risk of heart disease and memory problems it can create.

Listen to what our patients have to say about their UFE experience, and then call us to schedule your appointment today.

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