Hematometra Pictures: Blood Trapping By The Uterus

Ultrasound of a Uterus with Hematometra the darkened area is the entrapped blood

Ultrasound of Hematometra

Ultrasound of the Uterus with Hematometra and Scarring that is Responsible for the Blood Entrapment

Thicker Uterine Scar show in the Mid-Uterus of a Woman with Hematometra
Not only Blood But Clots Shown Within The Uterus that Has the Blood Trapped, also called Hematometra

Measurements of the Hematometra Blood Within the Uterus Shown In the Other Direction

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? Well, gynos not always sure, but many women who do not have complete success in eliminating the lining tissue from the uterus may have some inadvertent consequences of the persistent menstrual bleeding on a cyclic basis. Remember the process of having an endometrial ablation does not change your hormones and the cycles persist as they were before. One source of the syndrome might be some pain due to the distention of the end of the fallopian tube that is closest to the wall of the uterus when it fills, or a part of the uterus fills with blood that cannot completely shed out as previously,thus producing these symptoms. Particularly if that tubal end is really a stump from a previous tubal ligation. In those cases small amounts of menstrual blood each month can accumulate in the tubal stump. Scarring and trapped blood or secretions in a pocket might cause it. If in fact there is an entrapped pocket of blood, it may be very small, or like in these pictures, it may be an area of about an inch by an inch.  Ultrasound might offer a solution and be able to diagnose these pockets. In these ultrasound pictures the scarring that causes the hematometra is clearly seen as well.  Other women might have a scaring of the internal structure of the uterus, for instance the cervix, preventing the outflow of what menstrual blood is produced monthly. If you do have pain, first is to try to get an accurate diagnosis. Make sure there is no infection, no precancerous problems, or ovarian condition causing the symptoms that are bothersome.  which can produce pelvic pain. Once the diagnosis is made of entrapped blood, or hematometra, then you and your gyno can establish a planned solution.Often a draining procedure can be done, in some cases the best course of action is a repeat endometrial ablation. In other cases the solution will be a hysterectomy. At Women's Health Practice we help you diagnose and treat this condition if it occurs.

Comments

  1. Hello, I had an ablation in April 2013. I have had normal menstrual cycle every month except for this month may 2014. I saw a gynecologist who gave me a prostaglandin today to help soften the cervix. She never discussed this with me until after she gave me the tablet. I can not find any information about the benefits of this medication for those not pregnant. I would greatly appreciate your experience with this medication

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  2. There are many causes of a cervix that is closed, or medically speaking stenotic. The most common cause of a closed cervix is not a prior ablation, but a prior surgery on the cervix for dysplasia, including a prior LEEP or a cone. Once a cervix is closed attempts can be performed to dilate mechanically, surgically repair, or open through the use of medication as in the reader's case. There are very few medical studies that have found that these treatments are successful in most cases, but they do work in some cases, if in fact cervical stenosis is the only diagnosis.

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  3. After a curettage, and a hematometra occurs, is this a mistake by the doctoror Iits just part of the complications. Tari

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  4. Pls I meant mistake on the part of doctor or it's just part of the complication

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  5. Depending upon the technique of ablation, the presence of complication, the reason the ablation was done to begin with, and subsequent uterine factors, such as development with fibroids there are a host of reasons hematometra occurs. There are situations of the technique of the performance of the ablation, but not commonly, commonly it is the healing that is the reason for this finding. Only a complete evaluation can help determine the cause.

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  6. I had the endometrial ablation done about 3 years ago with no after effects. Now 3 years after I'm experiencing severe pain that is so bad I cannot walk and bleeding thats brown and a smelly discharge. My obgyn moved and the new one doesnt have an appointment for another month. My question is is this somehow fatal if I don't get treatment.

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  7. At Women's Health Practice we have a policy of offering patients with severe pain same day appointments, and we do consider it important to see patients with acute pain, bleeding, and the discharge you describe the day they call. This blog is for information, and not designed to treat individual cases.

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  8. Natuividad TangleMay 6, 2015 at 8:40 AM

    How do you know if it didnt work and If you develop blood clots in the uterus is there a diffrent treatment then in the office causing more pain

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    1. I had the ablation 4-8-2015 around the third week I started my first period then I started with extremly bad cramping that never stopped and I was prescibed Provera to help stop the bleeding. I went in were I was told I have several blood clots i. My uterus , the doctor put some intrument and it seemed like he was moving it back and forth and it created severe cramping to the point that later I was on the couch crying I didnt let him finish I was sent for a sono and they said that it looks like I do have several blood clots but they want me to take 600mg of motrin when I have to take 800mg to get rid of the cramps can I refuse that procedure and request a hysterectomy i am 33 I have 3 kids I had a tubal already and I was told my endometrial lining is thick I am tired of being in pain.

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    2. I really happy that i and my husband are cured of (HERPES SIMPLEX VIRUS) with the herbal medicine of Dr Odioa , i have been suffering from this disease for the past 3 years without solution until i came across the email of this doctors who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follows his instruction for use and he ask us to go for a check up after 3 weeks and which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this DR who is ready to help anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this Dr and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me. His contact on: odioaherbalcurehome@gmail.com or call on +2348086418634,

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    3. I really happy that i and my husband are cured of (HERPES SIMPLEX VIRUS) with the herbal medicine of Dr Odioa , i have been suffering from this disease for the past 3 years without solution until i came across the email of this doctors who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follows his instruction for use and he ask us to go for a check up after 3 weeks and which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this DR who is ready to help anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this Dr and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me. His contact on: odioaherbalcurehome@gmail.com or call on +2348086418634,

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  9. What is the name of the procedure for draining blood trapped in the uterus

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  10. There is no formal definition of draining hematometra, other than specifically using terminology for the exact procedures used during the treatment such as D and C, or, uterine curettage, or uterine aspiration or hysteroscopy. It would be uncommon to just drain the blood without also getting an endometrial sample at the same time. In some cases cultures for infection can be helpful as well.

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  11. Hi, I'm 25 and was experiencing an extreme amount of bleeding about 2 weeks after my period. I went in to my gyno and they did a transvaginal ultrasound and found I had developed hematometra. I have never had any procedures done, so I'm not sure why this has developed. I can't seem to find much information anywhere about it developing for any reason other than complications after a procedure. My doctor perscribed me progesterone and doxycycline (I also presented symptoms suggesting I had an infection). I haven't found anything on line about treating this with anything other than a D and C (which my doctor wants to avoid doing). Anyone have any insight for me? I feel like I'm at a loss for information here. Thanks.

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  12. Progesterone given in the right form and dosage can accomplish what some physicians have named a 'medical curettage' meaning the therapy will thin the lining over time and if a woman is not acutely ill it is a very good therapy for a variety of bleeding conditions and the associated complications.

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    1. Thank you so much! This is exactly what I was looking for.

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  13. 14 yr old daughter, never had bleeding, but has been having cycles. Just found out she has stenosis, closed cervix. Blood is trapped in uterus. She is in extreme pain. Doctor is seeing us next week to go over MRI results and to plan surgery. So scary.

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  14. 14 yr old daughter, never had bleeding, but has been having cycles. Just found out she has stenosis, closed cervix. Blood is trapped in uterus. She is in extreme pain. Doctor is seeing us next week to go over MRI results and to plan surgery. So scary.

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  15. Fortunately hematometra in young patients is very uncommon. Cervical stenosis is the most common cause and may be able to be handled in an office setting. For young women who do not have cervical stenosis the hematometra is more likely to be associated with other gynecologic disorders including variations on the shape and type of uterus, and conditions of the hymen such as a hymen without it's natural opening. For those who have hematometra due to the hymen issue the solution is relatively simple in that in most cases when it is surgically repaired the hematometra resolves quickly. Your daughter is lucky she has a concerned and involved mother who can help her understand the medical findings and options.

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  16. I am currently in hospital undergoing tests for my abdominal pain. The doctor has suggested that it may be this but nothing has been picked up on scan and they are talking about sending me home. I'm still in severe pain and taking regular pain relief here in hospital. What do you advise I do? I'm uncomfortable going home in this pain and nothing has been explained or any procedure offered to me if I do have this bleeding?

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  17. I had a ablation did over a year ago and haven't had a cycle yet went to the doctor and she said that I was bleed on the inside but my cycle wasn't bleeding out now I hurt all the time in my pelvic area and in my stomach can't see my ob because I don't have insurance and can't afford the 300 dollar office visit is there anything else I can do

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    1. cant you find a cheaper doctor? most office visits should be around $100

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  18. There truthfully would not be a specific home remedy for the actual condition of hematometra. However, it is very possible to control chronic pain more effectively with holistic interventions such as better nutrition, exercise (to the extent one can), breathing, stretching, and yoga. Heat and ice are also affordable home remedies for pain management. When establishing whether a certain medical intervention is too costly we urge women to establish the 'cost effectiveness.' This is medical-speak for 'a stitch in time saves 9' ...in otherwords there may be ways to treat a condition early and inexpensively rather than intervene late when more drastic, and costly, interventions are necessary.

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  19. For the woman getting evaluated for abdominal pain: there are many causes. The best way is to 'systematically' evaluate the possible causes. We use 'decision trees' or paths of yes or no questions that direct a logical set of steps to investigate the cause of abdominal pain. Effective treatment always begins with an accurate diagnosis.

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  20. Started having abnormal uterine bleeding back in March 2016. Had a biopsy done on cervix that came back inconclusive. 3 weeks after biopsy, had a D&C which stopped the bleeding. However, 10 days post D&C a blood clot in my uterus was found. I'm now on Lovenox injections for 90 days. My body feels beat up.

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  21. Women on blood thinners who are no longer planning pregnancy may have to consider therapy for heavy uterine bleeding. It is possible you suffer from a condition called adenomyosis which is diagnosed by examination with an ultrasound. For women interested in participating in a clinical trial of heavy menstrual bleeding, please contact the Clinical Research Division of Womenshealthpractice.com

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  22. I had an ablation in October 2015. I have continued to have monthly bleeding (not as heavy) and the pain has been worse.

    I was ill for a few weeks this month with abdominal and back pain. I have just come out of hospital after being admitted for five days - I was told I had pyometra in humans (I was literally oozing a smelly green pus from my uterus) and had a severe infection. They cleaned out my uterus and I was told the infection was caused by menstrual blood being trapped. I was lucky it eventually found its way out through the cervix as there was a risk of the infection perforating the uterus.

    I have a follow up appointment in two weeks and they have suggested I will need a hysterectomy. I wish they had done this in the first place as a high percentage of women who undergo ablation go on to have a hysterectomy.

    I wouldn't wish this infection on anyone x

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  23. A reader under the impression that a high percentage of women after an ablation go on to a hysterectomy is very wrong. It is very uncommon to need a hysterectomy, although a relatively large percentage of women will begin to have some sort of menstrual cycles in the years after an ablation. We feel the rate of women having no more periods ever and the rates of women having heavy menstrual bleeding will go down as more offices like ours adopt the Minerva system of ablation. For women who do fail, adenomyosis may be a cause of heavy bleeding after an endometrial ablation. For women wanting to know if they have this problem, we encourage you to contact womenshealthpractice.com

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  24. I was diagnosed with endometriosis and had a surgery to remove cyst and suspected fibroid. My Dr later told me he didn't remove the mass (blood clot in the uterus) bcos of it's position. He later told me that it is unlikely that I can get pregnant. 3 years ago routine scan showed 5 fibroids in my uterus( I was bleeding heavily) and Dr said surgery is not recommended bcos of their location and I might end up losing my uterus in the process. I have had 8 failed IVF so far.

    I am a victim of female genital mutilation. Could this be the source of my problems? What can I do?
    I am broken and tired.
    Please help.

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  25. For women needing to treat uterine fibroids and preserve their fertility for pregnancy there are many alternatives. There are medications, surgeries called myomectomes and uterine artery embolization procedures. Anyone who feels they have not resolved a gynecologic problem with their physician should ask for a second opinion. This blog is informational only, all consultations have to be done in person. 217-356-3736. Thank you.

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  26. How does hematometra cause in postmenopausal women?

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  27. How does hematometra cause in postmenopausal women?

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  28. Women with post menopausal bleeding can develop hematometra though similar means as what causes this in premenopausal women. Post menopausal bleeding is potentially serious and needs evaluation.

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  30. I had ablation 3 yrs ago ..it was fine at first .. the pass 3 months I have been feeling real bad cramps and pain in my stomach... I found out today I have blood in my uterus.. what should I do

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