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4 results

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

  • Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
  • Book: Surgical Gynecology
  • Published online: 19 November 2021
  • Print publication: 02 December 2021, pp 250-253

  • Summary

    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.