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Uterine Fibroids pp 151–161Cite as

Submucosal Fibroid, Menorrhagia, Anemia, and Dysmenorrhea

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Abstract

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.

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Authors and Affiliations

  1. Minimally Invasive Gynecologic Surgery, Newton Wellesley Hospital, Harvard Medical School, Newton, MA, 02462, USA

    Christina Salazar MD & Keith Isaacson MD

Authors
  1. Christina Salazar MD
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  2. Keith Isaacson MD
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Correspondence to Keith Isaacson MD .

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Editors and Affiliations

  1. Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA

    Nash S. Moawad

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Salazar, C., Isaacson, K. (2018). Submucosal Fibroid, Menorrhagia, Anemia, and Dysmenorrhea. In: Moawad, N. (eds) Uterine Fibroids. Springer, Cham. https://doi.org/10.1007/978-3-319-58780-6_7

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  • DOI: https://doi.org/10.1007/978-3-319-58780-6_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58779-0

  • Online ISBN: 978-3-319-58780-6

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