Patient's question:
These days, I don't know why there has been an increase in leukorrhea, lower abdominal pain, and also lower back pain. When I went to the hospital for a check-up, the doctor said it was due to uterine hypertrophy. Could you please explain how uterine hypertrophy is caused and how it should be treated? How is uterine hypertrophy caused and how should it be treated?Doctor's answer:
Etiology of Uterine Hypertrophy:1. Chronic incomplete involution of the uterus in multiparous women: In the uterine muscle layer of multiparous women, the elastic fibers within the smooth muscle and around the blood vessels become fibrotic, leading to uterine hypertrophy.
2. Ovarian dysfunction: Persistent estrogenic influence can cause thickening of the uterine muscle layer. Clinically, functional uterine bleeding patients, especially those with longer durations of illness, often exhibit varying degrees of uterine enlargement.
3. Inflammation-induced: Chronic adnexal inflammation, pelvic connective tissue inflammation, and chronic uterine myitis can cause fibrosis of collagen fibers within the uterine muscle layer, resulting in uterine fibrosis.
4. Pelvic congestion: This can lead to fibrosis of the uterine connective tissue, which in turn causes uterine hypertrophy.