- Uterine disease is a broad category of conditions affecting the uterus, which may include both benign and malignant diseases.
- Related factors may include hormonal imbalance, thyroid problems, fibroids, polyps, infection, pregnancy, cancer, etc.
- Uterine diseases cause symptoms in various ways, such as structural changes in the endometrium, myometrium, and surrounding tissues; inflammation/infection; and abnormal hormonal responses.
- Typical manifestations include abnormal uterine bleeding, postcoital bleeding, pelvic pain, menstrual changes, and reduced fertility.
- Risks and prognosis vary depending on the type and cause of the disease, and individual factors such as obstetric history, menopause, obesity, and hormonal status may be associated with some diseases.
- Symptoms range from asymptomatic to continuous bleeding and pain, and the natural course varies greatly depending on the cause and whether it is benign or malignant.
- Diagnosis proceeds by identifying symptoms and medical history, performing pelvic examinations, and combining blood tests, imaging tests, and biopsies as necessary to find the cause.
- Specific uterine diseases cannot be confirmed by abnormal bleeding or pelvic pain alone, as symptoms may overlap across different diseases; therefore, test results must be interpreted in conjunction with the clinical context.
- Management is structured around a broad framework of selecting observation, medication, hormone therapy, procedures, or surgery, while considering the cause, severity of symptoms, future pregnancy plans, and the possibility of malignancy.
- Current treatment is not fixed to a single method; analgesics, hormone therapy, surgery, etc., may be used depending on the cause.