In the past two days, I have seen a question from an adenomyosis patient on the Internet about hysterectomy: “Is there any pro who still has pain after hysterectomy? I’m 35 years old, adenomyosis with adenomyoma confirmed at the end of last year, have been on the Manuel for almost six months, menstruation does not hurt, after the pain is still there, intestinal adhesions cause anal swelling, a cold pain, worry that even after the removal of the uterus, because the lesion has been found to the rectum, or will be painful” In fact, her concern is not unreasonable! Generally speaking, there are three reasons why adenomyosis still hurts after removal of the uterus 1, there are other ectopic lesions Just like the above netizen said the hospital, her lesions have been ectopic to the rectum. Also the endometrium may be ectopic to other parts of the body. It can invade any part of the body, such as the bladder, kidneys, ureters, lungs and pleura. However, the vast majority is located in the pelvic organs and peritoneum, with the ovaries and uterosacral ligament being the most common, followed by the uterus and other dirty peritoneum and rectum. Some patients may ask, “Doctor, adenomyosis lesions are not ectopic to the myometrium, after removal of the uterus, adenomyosis lesions are not resolved, how can they still be ectopic to so many places. In fact, this involves the category of endometriosis, adenomyosis also belongs to endometriosis, not that the adenomyosis foci are ectopic, but the endometrium is ectopic to other places, so we often encounter patients with adenomyosis in clinical practice are often combined with myomas, coeliacs, and other ectopic foci 2, the occurrence of adhesions adhesions, modern medicine refers specifically to the body’s The mucosa or plasma membrane is stuck together due to trauma and inflammation. Adhesions are actually the natural result of the body in the process of tissue damage healing, which can be understood as excessive healing. It means that two adjacent organs or two sides of an organ that should not be close together have bonded and require the use of external forces to separate. Adhesions are also a normal reaction of the body. There are congenital ones, but not many, and most of them are secondary adhesions caused by trauma, inflammation, etc. Adhesions are very common. For patients who have developed adhesions, our advice is that if there are no symptoms, surgery is usually not considered, and if there are no more fertility requirements, there is no need to deal with them, and they will not cause any damage to the body. If there are symptoms of abdominal pain, if the effect of conservative treatment is not good, in individual cases, you can also separate the adhesions under minimally invasive surgery to obtain relief. 3, the impact of inflammation After doing a total hysterectomy, it may lead to inflammation in the uterine cavity, resulting in the pelvic inflammatory disease. Pelvic inflammatory disease can cause stomach pain, or can lead to mild distension and pain in the abdomen. It is recommended that you relax and go to the hospital for an ultrasound examination to clarify the cause and then provide reasonable symptomatic treatment. If it is caused by inflammation, you are advised to take some anti-inflammatory drugs or injections to reduce inflammation, and not to have intercourse or eat cold, spicy and irritating food during treatment. Of course, if you have just had your uterus removed, the reason for the pain may be that there is poor wound healing, the pain inside may also be that the incision inside has not fully recovered well, for this situation, is normal, generally about half a month of pain will reduce the feeling disappeared. In addition, also pay attention to the wound pain may also be the case of wound infection, check whether the wound site has redness and swelling or exudate and other conditions, if there is, it is recommended under the guidance of the doctor for anti-inflammatory treatment. Daily attention to good wound cleaning care, keep the local dry, you can drink more water, light diet. At the same time, keep a happy mood and rest more, which can promote the healing of the wound. Generally recover slowly and recuperation will be good.