What causes uterine hypertrophy? Understand the causes and take precautions

Patients with uterine hypertrophy will experience symptoms such as increased leucorrhea, excessive and prolonged menstrual flow. Women who have given birth multiple times are prone to symptoms of uterine hypertrophy, which is caused by the failure of the uterus to recover properly. Another type of uterine hypertrophy is ovarian dysfunction causing it.

1. Causes of uterine hypertrophy

Chronic uterine involution in multiparous women (20%):

In multiparous women, elastic fiber tissue in the myometrium proliferates between smooth muscles and around blood vessels. Chronic inflammation and long-term stimulation cause cervical congestion and edema, and hyperplasia of cervical glands and stroma, leading to varying degrees of cervical hypertrophy.

Ovarian dysfunction (20%):

Continuous stimulation of estrogen can cause hypertrophy of the uterine muscle layer. Clinically, patients with functional uterine bleeding, especially those with a long course of illness, often have varying degrees of uterine enlargement. Cervical hypertrophy generally does not require treatment. If there is erosion, cervical erosion can be treated.

Inflammation (10%):

Chronic adnexitis, pelvic connective tissue inflammation and chronic uterine myositis cause collagen fiber proliferation in the myometrium, resulting in uterine fibrosis.

Pelvic congestion (5%):

It causes hyperplasia of uterine connective tissue and may also lead to uterine hypertrophy.

Myometrial vascular sclerosis (5%):

Primary uterine vascular disease, etc.

2. Prevention of uterine hypertrophy

Since the causes of the disease are multifaceted, some of them can be prevented, such as doing a good job in family planning and preventing postpartum infection. Those with poor postpartum uterine contraction should be given uterine contraction drugs in time, and attention should be paid to proper prone or knee-chest position and postpartum exercise to prevent uterine retroversion and reduce pelvic congestion. Active treatment of ovarian dysfunction and avoidance of continuous stimulation of estrogen should be carried out.