Monday, August 20, 2012

Ask Us Anything: What Causes an Enlarged Uterus?

"I have been told that I have an enlarged uterus. I am 52 years old. What could be the cause?"

Dr. Ali Ghomi Responds:

This is a very common question and finding in women of all ages.

The most common cause of the enlarged uterus is fibroid uterus. A patient with symptomatic fibroid uterus usually experiences excessive bleeding and pressure sensation in the lower abdomen, depending on the size of the uterus.

The second most common cause of an enlarged uterus is a condition called adenomyosis. This is also another benign condition caused by migration of the lining of the uterus into the muscle wall, leading to enlargement and excessive bleeding and cramping.

Last but not the least, uterine cancer is always a possibility. The most common presenting symptom in patients with uterine cancer is vaginal bleeding. An in-office biopsy of the uterine lining would exclude cancer of the uterine lining. Cancer of the muscle wall of the uterus cannot be ruled out without surgery. The indications for surgery would depend on the size of the uterus, other associated findings, findings on ultrasound and possibly MRI, and the age of the patient.

— Dr. Ali Ghomi

Dr. Ghomi is the Director of Minimally Invasive Gynecologic Surgery and Chair of The Robotic Surgical Committee at Sisters of Charity Hospital. He is the only physician in Western New York who performs Sacrocolpopexy Prolapse surgery using the da Vinci® robot. Sacrocolpopexy is a proven “gold standard” procedure worldwide to repair severe pelvic prolapse. Click here to learn more about Catholic Health's OB/GYN services.

Dr. Ghomi sees patients at the M. Steven Piver, M.D. Center for Women’s Health & Wellness in Buffalo.

If you have a question about your health, click here to ask our experts.

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