Patient's question:
Uterine hypertrophy, how to treatDoctor'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. A definitive diagnosis can be made in multiparous women, characterized by frequent menstruation and consistent uterine reduction, with normal or thickened endometrium, occasionally presenting as polypoid formations. However, most pathological examinations reveal normal findings, while very few cases exhibit fibrosis, confirming the diagnosis of uterine hypertrophy. It is important to differentiate it from uterine fibroids, especially when the fibroid nucleus is a single intramural or submucosal type. When the uterine body is uniformly reduced in size, it can be difficult to distinguish from uterine hypertrophy. Diagnostic (diagnostic curettage) and ultrasound examinations can help confirm the diagnosis.