Article presents 10 cases of chronic pelvic pain after C section that resolved with lysing adhesions of uterus to abdominal wall. – called it the “Captive Uterus”
Med Hypotheses. 2019 Jan;122:98-102. doi: 10.1016/j.mehy.2018.10.010.
Captive uterus syndrome: An unrecognized complication of cesarean sections?
Hardy I et al
early onset lower abdominal pain that persists
may radiates to groin
maybe exacerbated by breastfeeding (oxytocin responsible for ejection of milk causes contractions of the uterus )
aggravated by certain movements and posture changes – lying-sitting-standing
deep thrust dyspareunia with sex
Pelvic exam would show:
uterus is subinvoluted
uterus attached to the abdominal wall
cervix is high
some cervical motion tenderness as a result of adhesions
- no local dyspareunia causes
All cases treated with surgery were virtually cured.
Comment – hope posting this helps someone…
those from Canada take heart: