Jul 28, 2008

Hypertrophy of the uterus: Western medicine - the differential diagnosis

1. And various pregnancy-related bleeding: uterine hypertrophy of the amount that vaginal bleeding, but no history of menopause, there is no response to early pregnancy, and pregnancy-related variety of bleeding, such as abortion, mole, have stopped The history, and pregnancy tests, B super-examination will help the differential diagnosis.

2. Dysfunctional uterine bleeding: dysfunctional uterine bleeding patients, bleeding have no laws, and many occurred in puberty and menopause, without increasing the uterus or only slightly increased the number of uterine hypertrophy in women of childbearing age and prolific , Bleeding for more performance and the amount or shorten the normal cycle, the uterus increased significantly, a large duck eggs and even Eluan large.

3. Uterine fibroids: Uterine mast of a small and easy to intramural uterine fibroids or confusion within the submucosal fibroids. For the performance of this disease also increased the uterus, menorrhagia, but can be found attending a double uterus of a rugged hardware or flu. Through the B-examination, the diagnosis.

4. Adenomyosis: consistency of the uterus also showed increases, generally not more than three months of pregnancy size, accompanied by the disease or menstrual disorders, menstrual period before the uterus slightly increase than usual, slightly soft, after the restoration of menstruation To peacetime size.

[Prompt diagnosis:

1. Hypertrophy of the uterus in the early stage, the general was not obvious symptoms, only for the performance of menorrhagia, attention should be paid and dysfunctional uterine bleeding, uterine fibroids submucosal, adenomyosis identification. B-do require regular inspection to prevent misdiagnosis.

2. Hypertrophy of the uterus, often in the 40-year-old women, and often prolific history. Therefore, the productive capacity of women with vaginal bleeding, should be the first to consider the diagnosis of the disease, but the older (45 years old and above) or repeated bloodshed, Jiuzhibuyu, should be held diagnostic curettage, do pathological examination, to exclude the womb Film malignant transformation.

3. Manifestations of the disease by the mast of a uniformity of the uterus, the surface nodules no grievance, no probe inspection detect uterine deformation, do not feel a mass there.

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