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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hematometra sensation in abdomen, no spotting. Previous hematometra cured by dnc. Suggestions?

I had an ablation 15 months ago and developed hematometra 6 months later. I never had any spotting or bleeding after the procedure. Which he said that some women do and some don't, so I never thought anything about it. The physician did a DNC and all was good. No I am starting to have that same feeling in my abdomen agian. I have not spotted for several months either. What is the probabilty of getting a hematometra again? Also can this blood collection in the Uterus cause you hormones to be all crazy?

Fri, 14 Jun 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Hematometra is collection of blood in the uterine cavity.
Normally, the contents of the uterine cavity- blood or mucus drains from the uterine cavity via the cervical canal and vaginal canal to the exterior.
Any obstruction to the flow of the blood will cause hematometra. It could be due adhesions in endometrial cavity, cervical stenosis (cervical blockage), etc.
This collection does not affect the hormonal levels.
If only causes localized changes in the endometrial cavity and the cervical canal.

Any procedure done on the endometrial cavity eg ablation, dilatation and currettage can cause adhesions. This has happened as you have mentioned in your history.
This condition can reoccur.
Consult your gynecologist for clinical examination, relevant investigations and management.
An ultrasound abdomen will determine if there is distension of the uterine cavity by any fluid.

Thanks and take care
Dr Shailja P Wahal

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