[53F] Experiencing a non-painful lump in the lower abdomen

Patient Description

A 53-year-old female reports a non-painful, hard lump in the lower abdomen, about the size of a lime, that fluctuates in size with her menstrual cycle, first noticed a couple of months ago. The patient is perimenopausal with a history of irregular, light periods and occasional spotting over the last year. She experiences frequent urination at times and has been dealing with increased anxiety and stress, which she has had on and off throughout her life. The patient has no chronic illnesses, allergies, or adverse reactions to medications, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Fibroids: These are noncancerous growths in the uterus that often appear during childbearing years. They can change in size during your menstrual cycle and can cause irregular periods and frequent urination. However, they are usually painless.

    • Treatment options for fibroids can range from watchful waiting to medication to surgery, depending on the severity of your symptoms and your personal preferences.
  • Ovarian cysts: These are fluid-filled sacs or pockets in an ovary or on its surface. They are common and usually form during ovulation. They can also cause irregular periods and frequent urination.

    • Most ovarian cysts present little or no discomfort and are harmless. The majority disappears without treatment within a few months.
  • Perimenopause: This is the transition to menopause, during which you might experience irregular periods and changes in flow. The hormonal changes can also cause anxiety and stress.

    • Treatment of perimenopause depends on your symptoms. Lifestyle changes, such as getting regular exercise and enough sleep, can help. Hormone therapy might also be an option.

Please note that this is not a definitive diagnosis and it's important to consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform a physical exam or order imaging studies to further evaluate the lump.
  2. Keep track of your symptoms and any changes. This can help your healthcare provider in making a diagnosis.
  3. Try to manage your stress and anxiety. Regular exercise, a healthy diet, and good sleep habits can help. Consider talking to a mental health professional if your anxiety continues to interfere with your daily life.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Heavy vaginal bleeding
  • Sudden increase in the size of the lump
  • Fever or chills

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are fibroids and how do they affect menstrual cycles?

Fibroids are noncancerous growths in the uterus that can cause changes in menstrual cycles, such as irregular periods and changes in flow. They can also fluctuate in size during the menstrual cycle.


How can ovarian cysts impact urinary frequency?

Ovarian cysts can press on the bladder, leading to increased urinary frequency. They are fluid-filled sacs that often form during ovulation and are usually harmless.


What are common symptoms of perimenopause?

Common symptoms of perimenopause include irregular periods, changes in menstrual flow, hot flashes, night sweats, mood swings, and anxiety. These symptoms are due to hormonal changes as the body transitions to menopause.


How can stress and anxiety be managed during perimenopause?

Stress and anxiety during perimenopause can be managed through regular exercise, a healthy diet, adequate sleep, and relaxation techniques. Consulting a mental health professional can also be beneficial if anxiety significantly impacts daily life.


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