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Case 82 - A 26-Year-Old G0 Woman with Large Multifibroid Uterus Desiring Myomectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
University of Alabama, Birmingham
Lisa Keder
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Mayo Clinic, Rochester
Kimberly S. Gecsi
Medical College of Wisconsin
David Chelmow
Virginia Commonwealth University School of Medicine
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A 26-year-old nulligravid woman presents with concerns of heavy menses and pelvic pain. Her last menstrual period was one week ago. She describes a long history of cyclic heavy menses which were initially improved on combination oral contraceptive pills but have worsened in the last two years. On her heaviest days, she soaks through a tampon in 1 hour and has soiled her clothes. She notes worsening pelvic pain which was previously limited to her menses but now feels like a constant fullness in her lower abdomen. She reports urinary frequency and denies dysuria or malodorous urine. She is not sexually active and denies a history of pelvic infections. She had a negative Pap test last year. She has a history of anemia, but no other medical problems. She has never had surgery. She desires future childbearing. She takes no medications other than her contraceptive pills.

Surgical Gynecology
A Case-Based Approach
, pp. 250 - 253
Publisher: Cambridge University Press
Print publication year: 2021

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