How do you treat hematometra?
Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery.
How is hematometra diagnosed?
The diagnosis of hematometra is generally suspected by the history of amenorrhea and cyclic abdominal pain. The diagnosis is usually confirmed by vaginal ultrasound or probing the cervix with a narrow metal dilator, with release of dark brownish black blood from the endocervical canal.
What is a hematometra of the uterus?
Hematometra is a collection or retention of blood in the uterus most commonly due to an imperforate hymen or transverse vaginal septum. 1 Acquired causes leading to cervical stenosis include radiation treatment, ablation, cervical conization, or malignancies.
Can hematometra be cured?
If the hematometra is caused by obstruction of the cervical canal by adhesions (scar tissue) or remnants of foetal membranes after abortion, it can usually be surgically managed and fertility can be successfully restored.
Can hematometra be cancerous?
Hematometra is pathognomonic of endometrial cancer. Only about 15 percent of women seeking advice for postmenopausal bleeding have endometrial cancer, according to a study published in The Obstetrician & Gynaecologist.
Is hematometra cancerous?
What happens if blood gets trapped in uterus?
The collection or retention of blood in the uterine cavity presents a potential basis for bacterial growth, leading to inflammation and accumulation of pus in the uterine cavity, a condition called pyometra.
Why is my uterus filled with blood?
Hematometra is a collection or retention of blood in the uterus most commonly due to an imperforate hymen or transverse vaginal septum. Acquired causes leading to cervical stenosis include radiation treatment, ablation, cervical conization, or malignancies. Diagnosis can be confirmed with pelvic exam and ultrasound.
Can hematometra come back?
How common is hematometra?
It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing an obstruction of the genitourinary outflow tract. We present an unusual case of hematometra in a healthy and active adolescent female with no prior risk factors.