[53F] Experiencing pelvic heaviness and a palpable hard area

Patient Description

A 53-year-old female reports a sensation of pelvic heaviness and random cramps that have been present for a few months. The patient finds relief from these symptoms when sitting or lying down, or when taking ibuprofen. Additionally, the patient has noticed a hard area in the uterus, described as a 'hard ball,' which is not painful. This has also been present for a few months. There are no other accompanying symptoms. The patient's medical history is unremarkable with no known chronic illnesses, allergies, or adverse reactions to medications. The patient is currently on thyroid medication and has no other medications reported.

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Arora's Assessment

What might be happening

Based on your symptoms of pelvic heaviness, occasional cramping, and a hard feeling in your uterus, the following conditions could be possible:

  • Uterine Fibroids: These are non-cancerous growths in the uterus that can cause a feeling of heaviness or fullness in the pelvic area, along with occasional pelvic pain. They are common in women during their reproductive years.

    • Treatment options include medication to manage symptoms, and surgical options for larger fibroids or those causing significant symptoms.
  • Ovarian Cysts: These are fluid-filled sacs that can develop in the ovaries. They can cause a feeling of pelvic heaviness, but are often painless.

    • Most ovarian cysts resolve on their own without treatment, but larger cysts may require surgical removal.
  • Pelvic Organ Prolapse: This occurs when the muscles and tissues supporting the pelvic organs (uterus, bladder, or rectum) become weak or loose. This can cause a feeling of heaviness or dragging in the pelvis.

    • Treatment can include pelvic floor exercises, pessary devices, or surgery in more severe cases.

Please note that these are only possibilities and it's important to see a healthcare professional for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform a pelvic examination or order imaging studies like an ultrasound to better understand what's causing your symptoms.

  2. Continue to take over-the-counter pain relievers like ibuprofen as needed for discomfort, but don't exceed the recommended dosage.

  3. Try to maintain a healthy weight, as excess weight can put more pressure on the pelvic organs.

  4. If you're comfortable with it, you could try doing pelvic floor exercises to strengthen the muscles in your pelvic area.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe or sudden pelvic pain
  • Heavy vaginal bleeding
  • Fever or chills
  • Nausea or vomiting
  • Difficulty urinating or having a bowel movement

Remember, I'm an AI and can't replace a real doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are uterine fibroids and how are they treated?

Uterine fibroids are non-cancerous growths in the uterus that can cause symptoms like pelvic heaviness and pain. Treatment options include medications to manage symptoms and surgical options for larger fibroids or those causing significant symptoms.


Can ovarian cysts cause pelvic heaviness and do they require treatment?

Ovarian cysts are fluid-filled sacs that can develop in the ovaries and may cause pelvic heaviness. Most cysts resolve on their own without treatment, but larger cysts may require surgical removal.


What is pelvic organ prolapse and what are the treatment options?

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs become weak or loose, causing a feeling of heaviness. Treatment options include pelvic floor exercises, pessary devices, or surgery in more severe cases.


When should I seek immediate medical attention for pelvic symptoms?

Immediate medical attention should be sought if you experience severe or sudden pelvic pain, heavy vaginal bleeding, fever or chills, nausea or vomiting, or difficulty urinating or having a bowel movement.


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