Hematometra

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Hematometra
Hematometra as seen on ultrasound
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pelvic pain, amenorrhea, abdominal distension
Complications	Infection, infertility
Onset	Can occur at any age, often post-menstrual or postpartum
Duration	Variable, depending on cause and treatment
Types	N/A
Causes	Cervical stenosis, vaginal septum, Asherman's syndrome
Risks	Endometrial cancer, cervical cancer, uterine fibroids
Diagnosis	Ultrasound, MRI, hysteroscopy
Differential diagnosis	Pyometra, endometriosis, ovarian cyst
Prevention	N/A
Treatment	Dilation and curettage, hysteroscopy, hormonal therapy
Medication	NSAIDs, hormonal therapy
Prognosis	N/A
Frequency	Rare
Deaths	N/A

Hematometra is a medical condition involving the accumulation of blood within the uterus. It is often caused by the obstruction of the uterus or the cervix. Hematometra can lead to pain and pressure in the pelvic area, and in severe cases, it can cause infertility.

Causes

Hematometra typically occurs when the outflow of blood from the uterus is obstructed. This can be due to a variety of causes, including:

• Congenital anomalies of the reproductive tract
• Cervical stenosis
• Asherman's syndrome
• Endometrial polyps
• Uterine fibroids
• Endometrial cancer

Symptoms

The symptoms of hematometra can vary depending on the severity of the condition. Common symptoms include:

• Pelvic pain
• Abdominal distension
• Amenorrhea
• Infertility
• Dysmenorrhea

Diagnosis

Diagnosis of hematometra typically involves a combination of physical examination, medical history, and imaging studies. Ultrasound is often used to visualize the uterus and identify the presence of blood. In some cases, MRI may be used for further evaluation.

Treatment

Treatment for hematometra depends on the underlying cause of the condition. In cases where the obstruction is due to a physical anomaly, surgery may be required to correct the issue. Other treatments may include:

• Hormone therapy
• Dilation and curettage
• Hysterectomy in severe cases

See also

• Menstruation
• Uterine diseases
• Gynecology

References

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