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What causes an enlarged uterus?

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Posted on Wed, 15 Jun 2016
Question: My uterus is enlarged at 11x6cm what are the reasons for enlargement? I'm not pregnant
Endometrial echogenic is 8mm is this of cornern?
I have several small cysts in lower uterine segment & uterine cervical junction
Please help what should my next step be.
doctor
Answered by Dr. S Patra (32 minutes later)
Brief Answer:
Need additional info. Upload scan and other reports.

Detailed Answer:
Hello Dear,

Thanks for writing to us. Let me know few things:

1) Do you have any H/O heavy period bleeding or abnormal discharge?

2) What was your last period date and when did you undergo the scan?

3) Are you trying for pregnancy or family completed? Current weight?

4) Do you experience painful intercourse every time or just sometimes?

5) Any family H/O genital malignancy? Do you have any systemic disease? Hypertension or diabetes.

Kindly, upload or attach your Trans vaginal Ultrasound scan and other test reports to interpret properly and give adequate suggestion.

I will be looking forward for your earliest response, detailed history and test reports.

Regards,
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. S Patra (4 hours later)
my last period was April 1st 2016 my ultrasound was on April 25th my current weight is 162 pounds I am 4 11 feet
I do experience painful intercourse every time says that when we have intercourse he feels hot warm inside of my vagina
I don't know of any malignancy in the reproductive system in my family I am not sure
doctor
Answered by Dr. S Patra (7 hours later)
Brief Answer:
Need further evaluation to oncologist.

Detailed Answer:
Hello dear,

Thanks for updated information. Followings are my comments:

1) Ultrasound report shows that uterus is slightly enlarged and endometrium thickness is within normal range as per cycle date.

2) Painful intercourse and pelvic pain are related with endometriosis. It should be treated to some extent through medical therapy (progesterone and NSAID) or surgical procedure (Laparoscopy). Use water based lubrication like KY jelly during intimation and give more time on foreplay or love making.

3) Nabothian cyst should be removed as it makes repeated inflammation of cervix or chronic cervicitis. Mild cervical dysplasia or LSIL is already diagnosed and therefore, you need further follow-up examination after 3 to 6 months through repeated Colposcopy and Biopsy. Cryosurgery, LEEP or laser ablation may be needed as surgical treatment in this case.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. S Patra (27 minutes later)
dr do u think i have different health issues ? so many things endometriosis chronic inflammation cysts ect?
doctor
Answered by Dr. S Patra (1 hour later)
Brief Answer:
Weight should be controlled. Remove cysts.

Detailed Answer:
Hello Dear,

Thanks for follow up query.

1) Body weight should be reduced or controlled to improve fertility. Your weight is more than normal range. Hypertension and blood sugar should be checked.

2) Nabothian cyst should be removed as it may interfere with fertilization by chronic inflammation. I suggest you to consult with Gynecologic Oncologist for proper management.

Hope, it helps for your information. Good luck and take care.

Regards,
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. S Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4048 Questions

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What causes an enlarged uterus?

Brief Answer: Need additional info. Upload scan and other reports. Detailed Answer: Hello Dear, Thanks for writing to us. Let me know few things: 1) Do you have any H/O heavy period bleeding or abnormal discharge? 2) What was your last period date and when did you undergo the scan? 3) Are you trying for pregnancy or family completed? Current weight? 4) Do you experience painful intercourse every time or just sometimes? 5) Any family H/O genital malignancy? Do you have any systemic disease? Hypertension or diabetes. Kindly, upload or attach your Trans vaginal Ultrasound scan and other test reports to interpret properly and give adequate suggestion. I will be looking forward for your earliest response, detailed history and test reports. Regards,