I'm 41... Went to my doctor complaining of heavy bleeding during periods, painful cramps that shoot down into my thighs. My doctor sent me for an internal sonogram and told me my uterus is enlarged. But no reason for why it's enlarged. Should I get a second opinion ?
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Enlarged Uterus
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Abnormal or heavy bleeding is usually caused by either structural or hormonal/endocrine abnormalities and a full workup is usually best to determine what the cause or causes of the bleeding are. Given that you have an enlarged uterus, structural causes will definitely play a role here for you.
The most likely reason that you have an enlarged uterus and bleeding is fibroids (benign muscular growths within the uterus) although adenomyosis (a variant of endometriosis that affects the uterus) and malignancy are possible also (but less likely).
You don't necessarily need a second opinion but rather an explanation and a discussion as to treatment options which can vary depending on the cause.
The most likely reason that you have an enlarged uterus and bleeding is fibroids (benign muscular growths within the uterus) although adenomyosis (a variant of endometriosis that affects the uterus) and malignancy are possible also (but less likely).
You don't necessarily need a second opinion but rather an explanation and a discussion as to treatment options which can vary depending on the cause.
The reason is either fibroid
enlargement or adenomyosis.
The bleeding can be easily
treated and you can have
relief soon, either with this
or a different doctor.
enlargement or adenomyosis.
The bleeding can be easily
treated and you can have
relief soon, either with this
or a different doctor.
It could be uterine fibromyoma. The treatment plan (surgical, non surgical) depends on the size , type (submucous, subserous, intramural), and location (fundus, corpus, isthmus, cervix) of fibromoyoma, severity of the bleeding and pain syndrome, and parity (number of pregnancies in lifetime). There are also other histological types of myoma (leiomyoma, rhabdomyoma) depending on the muscle/fibrous ratio of the benign mass. If the doctor has not discussed a treatment plan with you then yes, the second observation is required.