A 40-year-old has heavy menstrual bleeding and a bulky irregular uterus. What is the most likely diagnosis?
Answer and explanation
Correct answer: A. Uterine fibroids
- Step 1: The picture of a bulky irregular uterus with heavy periods fits Uterine fibroids.
Answer
Uterine fibroids.
Why not the others: 'Adenomyosis': it gives a tender globular uterus rather than a lumpy irregular one. 'Endometrial polyp': it gives intermenstrual bleeding with a normal-sized uterus. 'Ovarian carcinoma': it gives bloating and ascites with a raised CA 125.
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