Submucosal Fibroid, Menorrhagia, Anemia, and Dysmenorrhea
The clinical case of a 32-year-old nulliparous female with heavy abnormal uterine bleeding, anemia, and dysmenorrhea, and a 4 cm submucosal fibroid is presented. The key clinical components are reviewed regarding classical presentation of heavy prolonged bleeding with associated painful cramping, as well as examination findings and diagnostic workup. Consideration of the differential diagnosis of leiomyoma, adenomyoma, focal adenomyosis, and leiomyosarcoma is reviewed. The approach to management of uterine fibroids including medications, surgery, or minimally invasive embolization or ablative techniques is reviewed. Surgical treatment with transcervical resection of submucous leiomyoma is discussed in detail.
KeywordsSubmucous fibroid Hysteroscopy Resectoscope Abnormal uterine bleeding Dysmenorrhea
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