Patient's question:
The uterus does not grow, and the menstrual cycle is irregular. The doctor recommended a chromosomal test. Do I need to do it?Doctor's answer:
1. Irregular menstruation: A small uterus can be a significant problem! Patients with a small uterus primarily exhibit symptoms such as increased menstrual flow and prolonged periods, which may be related to endometrial hyperplasia or ovarian dysfunction.2. Dysmenorrhea and pain: Dysmenorrhea is usually secondary and progressive. The pain is primarily located in the lower abdomen and lumbosacral region, worsening progressively with the menstrual cycle. The severity of pain does not necessarily correlate with the size of the lesion, and it typically subsides on its own after the period.
3. Pain during intercourse: This is one of the main harms of a small uterus. Due to the presence of nodular lesions formed by ectopic endometrium in the rectouterine pouch of the pelvic cavity, pain may occur when the cervix collides with the uterus or when the uterus is lifted during sexual activity.
4. Infertility: A small uterus can be a significant problem! Many patients with endometriosis do not have blocked fallopian tubes, but adhesions between the tubes and surrounding tissues may restrict their motility. In some cases, the fallopian tube walls may thicken nodularly, and the lumen may become blocked. Additionally, factors such as retroverted and fixed uterine position and ovarian dysfunction contribute to high infertility rates.