An 8 cm Subserosal Fibroid in a Patient with Unexplained Infertility and Pain

In: Uterine Fibroids · 2017 · pp. 107–123 · doi:10.1007/978-3-319-58780-6_4 · W2761875149
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A 37-year-old woman presented with infertility, abdominal discomfort, and urinary frequency due to an 8 cm subserosal fibroid.

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This case report describes a 37-year-old nulligravid woman with 1 year of unexplained infertility and more than 6 months of gradually increasing abdominal discomfort with weekly episodes of severe cramping pain, plus urinary frequency, but with otherwise unremarkable history and no changes in menstrual flow pattern. The paper presents an 8 cm subserosal uterine fibroid as the relevant finding in this context, detailing the clinical presentation that led to consideration of the fibroid as a potential explanation for infertility and pain. A major limitation is that it is a single-patient report, providing no comparative data and offering limited ability to establish causality between the fibroid and the symptoms. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

A 37-year-old nulligravid woman presents with a chief complaint of a 1-year history of infertility. Prior to this, she used oral contraceptives for 18 years, and she does not currently take any medications. Her menses occur every 28–30 days, are of moderate flow, and last 3–4 days. There have been no recent changes in her menstrual flow volume or duration. She also complains of >6 months of gradually increasing abdominal discomfort that she describes as a feeling of abdominal fullness with weekly episodes of severe cramping pain. Her pain is unrelated to activity or menses. She also complains of urinary frequency, but denies any other urinary symptoms or changes in bowel habits or dyspareunia. Her past medical, surgical, and social histories are unremarkable. Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer International Publishing AG About this chapter Cite this chapter Baikpour, M., Moawad, N.S., Eaton, J.S., Hurd, W.W. (2018). An 8 cm Subserosal Fibroid in a Patient with Unexplained Infertility and Pain. In: Moawad, N. (eds) Uterine Fibroids. Springer, Cham. https://doi.org/10.1007/978-3-319-58780-6_4 Download citation DOI: https://doi.org/10.1007/978-3-319-58780-6_4 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-58779-0 Online ISBN: 978-3-319-58780-6 eBook Packages: MedicineMedicine (R0)

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