Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • asymptomatic
  • menorrhagia
  • irregular firm central pelvic mass

Other diagnostic factors

  • pelvic pain
  • pelvic pressure
  • dysmenorrhea
  • bloating
  • infertility
  • urinary complaints
  • constipation
  • enlarged uterus (regular contour)

Risk factors

  • increased patient weight
  • age in the 40s
  • black ethnicity
  • hypertension
  • dietary intake high in beef and other red meat
  • sex hormone exposure
  • cigarette smoking
  • menstrual history
  • obstetric history

Diagnostic investigations

1st investigations to order

  • ultrasound
  • endometrial biopsy
Full details

Investigations to consider

  • sonohysterography
  • hysteroscopy
  • MRI
  • laparoscopy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Mohamed Mitwally

Medical Director

Reproductive Endocrinology & Infertility

Baptist Medical Center

San Antonio Reproductive Associates

San Antonio

TX

Disclosures

MM declares that he has no competing interests.

Intisar Elnahhas

Laboratory Director

San Antonio Reproductive Associates

Odessa Reproductive Medicine Center

San Antonio

TX

Disclosures

IE declares that she has no competing interests.

Dr Mitwally and Dr Elnahhas would like to gratefully acknowledge Dr Robert J. Fischer the previous contributor to this monograph. RJF declares that he has no competing interests.

Peer reviewers VIEW ALL

Chairman

Department of Obstetrics and Gynecology

Naval Medical Center

Portsmouth

VA

Disclosures

EM declares that he has no competing interests.

Doctor

Department of Obstetrics and Gynecology

Naval Medical Center

Portsmouth

VA

Disclosures

AN declares that she has no competing interests.

Consultant Gynaecologist

University Department of Obstetrics and Gynaecology

Royal Free Hospital

London

UK

Disclosures

AM declares that he has no competing interests.

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