Patient's question:
AgeDetailed medical condition and consultation purpose: I have an 8-year-old child. During a gynecological examination at the hospital, uterine enlargement was detected, but it is not severe. A Pap smear test showed everything normal. Please ask, how serious is this condition? How quickly could it worsen if left untreated, making it difficult to treat? What would happen if it is left untreated, and what are the treatment methods?
Duration of the current illness and persistence: Detected three and a half months ago.
Current general condition: There is a noticeable dull pain in the lower left abdomen during menstruation, intermittent. It occurs a few times a day, with normal menstrual flow.
Medical history: Suffered from mold
Doctor's answer:
Hello: A benign gynecological disease. It is characterized by hypertrophy of the uterine smooth muscle, proliferation of connective tissue, and uniform enlargement of the uterus. The thickness of the muscular layer can increase to 2-3 centimeters, and the uterine cavity also enlarges, with the endometrium often remaining normal. The causes include: ① Repeated infections after childbirth or miscarriage, leading to incomplete uterine involution and fibrosis of the uterine muscle layer. ② Multiple pregnancies in multiparous women, resulting in increased connective tissue in the uterine muscle layer. ③ Dysfunctional ovarian function, excessive estrogen, causing hypertrophy of the uterine muscle layer. ④ Chronic pelvic congestion. This condition is more common in multiparous women,、、、。、、、。 Gynecological examination shows a uniform enlargement of the uterus. It should be differentiated from uterine fibroids and other uterine enlargement diseases. Sometimes, diagnostic curettage or even surgical removal of the uterus may be required for pathological examination to confirm the diagnosis. Treatment can involve general hemostatic drugs or estrogen-antagonistic drugs. If drug treatment is ineffective, hysterectomy may be considered.