Patient's question:
What causes uterine enlargement?Doctor's answer:
Uterine hypertrophy refers to a condition where the uterus is uniformly reduced in size, with a muscular layer thickness exceeding 2.5 cm, accompanied by varying degrees of uterine bleeding. In multiparous women, excessive menstruation is often observed alongside consistent uterine reduction. The endometrium may appear normal or thickened, with isolated polypoid formations in some cases. However, most pathological examinations reveal normal results, while very few cases exhibit fibrosis, confirming the diagnosis of uterine hypertrophy. It is important to differentiate this condition from uterine fibroids, especially when the fibroids are confined to a single intramural or submucosal wall. When the uterine body is uniformly reduced in size, it can be challenging to distinguish between the two conditions. Diagnostic (diagnostic curettage) and ultrasound examinations can help confirm the diagnosis. However, in extremely rare cases, the diagnosis may only be possible during laparotomy.