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Case 19 - A 40-Year-Old Woman with a 3 cm Mass Prolapsing through the Cervix

Published online by Cambridge University Press:  19 November 2021

By
Tara J. Harris
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 40-year-old female, gravida 1, para 1, presents to the office with complaints of heavier, longer menstrual cycles and intermenstrual spotting. Her cycles were previously every 28 days, lasting 4 days, and using 3–4 pads per day. Now, her cycles are lasting 9–10 days, and she is soaking 8–9 pads on her heaviest day. She has spotting 2–3 days every week. She reports mild cramping but denies urinary or bowel complaints, dizziness, or weakness. She has had one prior normal pregnancy with spontaneous vaginal delivery, and she has been trying unsuccessfully to conceive for the past year. She has no significant past medical or surgical history, she is taking only prenatal vitamins, and she has no known drug allergies.

Keywords

leiomyomasubmucousalmyomectomy
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 52 - 54
Publisher: Cambridge University Press
Print publication year: 2021

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References

Practice Bulletin No. 128: Diagnosis of abnormal uterine bleeding in reproductive age women. Obstet Gynecol 2012; 120: 197–206.CrossRefGoogle Scholar
ACOG Practice Bulletin No. 96: Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol 2008; 112: 387–400.CrossRefGoogle Scholar
Baird, DD, Dunson, DB, Hill, MC, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol 2003; 188: 100–7.Google ScholarPubMed
AAGL: Advancing Minimally Invasive Gynecology Worldwide. AAGL Practice Report: practice guidelines for the diagnosis and management of submucous leiomyomas. J Min Invasive Gynecol 2012; 19: 152–71.Google Scholar
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Tsin, DA, Magos, A. Vaginal myomectomy. In: Tinelli, A, Malvasi, A, eds., Uterine Myoma, Myomectomy and Minimally Invasive Treatments. E-book. Springer: Cham; 2015. https://doi.org/10.1007/978-3-319-10305-1_14.Google Scholar

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