Patient's question:
I had a medication abortion, and now I want to get an IUD. But the doctor said my uterus is enlarged and it's difficult to insert. I want to ask, what's going on? Is this a disease? Do I need to take medication?Doctor's answer:
Uterine hypertrophy refers to a condition where the uterus uniformly decreases in size, with the muscular layer thickness exceeding 2.5 cm, accompanied by varying degrees of uterine bleeding. The causes of uterine hypertrophy include:1. Chronic incomplete involution of the uterus in multiparous women: In the muscular layer of the uterus in multiparous women, elastic fibers within the smooth muscle and around blood vessels undergo fibrosis, leading to uterine hypertrophy.
2. Ovarian dysfunction: Persistent estrogen stimulation can cause thickening of the uterine muscular layer. Clinically, functional uterine bleeding patients, especially those with longer durations of the condition, often exhibit varying degrees of uterine enlargement.
3. Inflammation-induced: Chronic adnexal inflammation, pelvic connective tissue inflammation, and chronic uterine myitis can cause collagen fiber fibrosis within the uterine muscular layer, leading to uterine fibrosis.