Post Date November, 16 2024
The appearance of uterine hypertrophy has caused great concern to many friends. The importance of the uterus to women is clear to us, and when problems arise, we must take it seriously, especially with immediate examination and diagnosis.
Symptoms of uterine hypertrophy
1. Increased vaginal discharge: The typical symptom of patients with cervical hypertrophy is an increase in vaginal discharge. Acute cervicitis with purulent vaginal discharge is accompanied by pain in the lower abdomen and lumbosacral region, as well as bladder irritation signs such as frequent urination, urgency, and pain. Chronic cervicitis with white discharge presents as milky white mucus or light yellow purulent.
2. Cervical congestion and edema: Acute inflammation can show cervical congestion, edema, or erosion, with purulent secretions discharged from the cervical canal. When the cervix is touched, there may be pain. Chronic cervicitis can be characterized by varying degrees of erosion, hypertrophy, polyps, glandular cysts, and eversion of the cervix, or purulent secretions at the cervical opening that come into contact with cervical hard tissue. If it is cervical erosion or polyp, there may be contact bleeding.
3. Sexual bleeding: When severe cervical erosion or cervical polyps occur, it can appear as bloody vaginal bleeding after sexual intercourse. Mild cases may have no systemic symptoms. When inflammation spreads along the uterosacral ligament to the pelvic cavity, there may be pain in the lumbosacral region, bloating in the lower abdomen, and dysmenorrhea, which worsens during bowel movements and sexual activity.
4. Infertility: Thick purulent vaginal discharge is not conducive to sperm passage and can also cause infertility.
Uterine hypertrophy examination
1. Colposcopy examination: Colposcopy examination is one of the examinations for uterine hypertrophy. According to experts, colposcopy can observe minor lesions on the cervical epidermis that are not visible to the naked eye, and can distinguish whether cervical cell changes are benign or malignant. In addition, biopsy under the guidance of colposcopy can improve the positive detection rate and assist in the early detection of precancerous and cancerous changes in clinical practice.
2. Cervical smear examination: What tests should be done for uterine hypertrophy? According to experts, cervical coating examination is also a test for uterine hypertrophy. Traditionally, uterine hypertrophy is usually screened through cervical scraping, but cervical scraping is limited by many objective conditions, so the false positive rate of a single scraping is relatively high. Therefore, when using cervical coating to check for uterine hypertrophy, it is necessary to continuously check three times and the result is positive.
Diagnosis of uterine hypertrophy
1. The uterus is uniformly enlarged, with a muscular layer thickness of 2.5-3.2cm. The cut surface is grayish white or pink, with increased hardness and a woven arrangement of fiber bundles. Vascular protrusions within the outer 1/3 muscle layer, with normal or thickened intima, sometimes accompanied by small leiomyomas (diameter less than 1cm) or endometrial polyps.
