Why Is My Uterus Twitching?

You may experience eyelid twitch or muscle spasm in your leg or back. Did you know any muscle in your body can spasm, including your pelvic floor and muscle tissue in your uterine walls? 

You might feel a flutter in your pelvic area, a dull ache, pressure, or a full-on spasm. Read about pelvic floor muscle spasms and what to do about them.

Why do I feel little twitches in my uterus?

A twitching or fluttering sensation in your uterus or pelvic area is a sign of a pelvic floor muscle spasm or a uterine spasm. 

Woman with her hands on her stomach suffering from painful uterus twitching. | Maiden Lane Medical | NYC

While you might ignore a twitch elsewhere in your body, like your eyelid, arm, or leg, you should pay more attention to twitches in your vagina or uterus.

While pelvic floor muscle spasms may be mild, they can become more severe and cause more painful and disruptive symptoms that can interfere with your life.

What is a uterine spasm?

Uterine or pelvic floor spasms occur when the muscles in your pelvic floor suddenly contract or tighten.

It can cause various symptoms, including:

  • Pelvic pain
  • Painful and frequent urination
  • Pain during sexual intercourse
  • Difficulty urinating
  • Constipation
  • Lower back pain
  • Pain or pressure in the vagina or rectum

Some women describe the symptoms of pelvic floor spasms as similar to interstitial cystitis or urinary tract infection. However, when tested, there are no signs of infection present.

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What causes uterus spasms?

Many factors can affect your pelvic floor muscles causing spasms and twitching sensations. Let’s review some of the potential causes of pelvic floor muscle twitches.

  • Hypertonic pelvic floor dysfunction is caused by tightness in the pelvic floor muscles. When your pelvic floor muscles spasm, the contraction decreases blood flow and oxygenation, increases lactic acid, and causes pelvic pain.
  • Chronic inflammatory conditions such as injury, fibrosis, pressure, intraperitoneal inflammation, or pelvic inflammatory disease can also cause pelvic floor muscle spasms.
  • Endometriosis and the scar tissue it causes can also pull on your pelvic muscles, causing muscle spasms and pain.
  • Pelvic floor muscle spasm may also be a compensatory reaction to childbirth (risk increases with the number of births), episiotomy, pelvic surgery, and other injuries to your pelvic area.
  • Connective tissue disorders can trigger tight pelvic floor muscles and spasms in your pelvic area.
  • Lifestyle issues such as high-intensity exercise, lifting heavy objects, straining from constipation, and obesity can put extra pressure on your pelvic floor, leading to muscle spasms.

Psychological factors like anxiety or stress can also cause pelvic floor spasms. Your body may respond to stress with a clenching response. 

You might be more familiar with tightness in your jaw or a tension headache due to stress. Your pelvic floor may also have involuntary contractions in response to stress.

Emotional pelvic pain shouldn’t be ignored. Taking care of your mental health, especially after emotional or physical trauma, can help alleviate painful physical symptoms, including problems with your pelvic floor.

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When should I talk to a doctor about pelvic muscle spasms?

You should make an appointment with your trusted physician at Maiden Lane Medical if you have any signs of pelvic floor muscle spasms.

For example, if you live with chronic pelvic pain, you should talk to your doctor to find out what’s causing the pain and identify the proper treatment. 

Similarly, if you have any changes in your urinary or bowel habits, you should make an appointment to find out what’s happening before your symptoms worsen and interfere with your life.

Too often, women are conditioned to live with pain or assume that pelvic pain is just part of being female. This is not the case. 

Pain is your body telling you something is wrong, and you shouldn’t ignore it. The providers at Maiden Lane Medical will not dismiss your concerns.

How do you treat pelvic muscle spasms?

The team at Maiden Lane Medical offers comprehensive, personalized treatment plans to relieve pain in your pelvic floor muscles and reproductive organs. 

The team of pelvic pain specialists includes physicians and pelvic floor physical therapists who can diagnose and treat the underlying cause of your ongoing pain.

Your team creates a customized treatment plan to address your specific needs following a consultation, physical exam, and tests for diseases that could cause your pain. 

Your treatment plan could include:

  • Pelvic floor relaxation exercises
  • Local muscle relaxants
  • Trigger point injections
  • Vaginal dilators
  • BOTOX® (botulinum toxin)
  • Biofeedback
  • Exercises and stretches to do at home

The Maiden Lane Medical team can significantly reduce pelvic pain and restore your health and quality of life.

Talk to your doctor if you have pelvic pain or other symptoms of pelvic floor muscle spasm. Often, when health issues are diagnosed early, treatment is easier, less invasive, and more effective.

Medically Reviewed By

Annie Kim, MD
Board Certified Gynecologist

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