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Concern

  Evaluating Your Fertility
  Understanding Fertility
  Maximise Your Fertility
  Infertility: An Introduction
  Infertility in Females
  Impact of Age
  Ovulatory
  Anatomical
  Vulva & Vagina
  Cervix
  Uterus
  Fallopian Tube Damage
  Ovaries
  Endometriosis
  Chromosomal Disorders
  Other Causes (Idiopathic)
  Infertility in Males
  Implications of Infertility
  Questions to Ask Your Doctor
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Uterus

Uterus

Uterine infections (endometritis) are uncommon during the reproductive years because the uterus is protected from ascending infection by the acid vaginal secretions and by the cervical mucus. Childbirth or abortion, surgical procedures or intra-uterine contraceptive insertion are all associated with an increase in the risk of infection of the uterus.

Lack of progesterone in the second half of the menstrual cycle may cause intermenstrual bleeding or menorrhagia (heavy menses). It usually responds to cyclic administration of progesterone.

Benign tumours of the smooth muscle of the uterine wall, called fibroids, occur in about 25% of women. They are usually multiple and can vary in size from quite small up to 10 cm or more in diameter, but are often asymptomatic. The most common symptom is menorrhagia, which occurs when the endometrial surface area is greatly increased by the presence of multiple large fibroids. Fibroids also prevent the uterus from contracting adequately to stop the menstrual bleeding. When the fibroids bulge into the uterine cavity, they can increase the rate of abortion. Fibroids that cause symptoms may be surgically removed.




Endometrial carcinoma is the third most common gynaecological cancer. This cancer usually presents in women after the age of 55. Bleeding is usually the earliest symptom and any unexplained vaginal bleeding in a postmenopausal woman must therefore be thoroughly investigated. Cancer of the uterus spreads locally before it metastasises to distant organs. It is treated by surgery and radiotherapy when spread is confined to the pelvis or with chemotherapy if metastasis has occurred outside the pelvis. 


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