 Hematometra typically presents as cyclic, cramping pain in the midline of the pelvis or lower abdomen.Patients may also report urinary frequency and urinary retention.Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic.