Conversation: The conversation between human and AI assistant.
[|Human|] 3 weeks ago, began having intense severe lower abdominal/pelvic pain, no bleeding, felt like severe contractions, felt a lot of pressure like I needed to push and my bladder felt as though I was 9 months pregnant by how often it felt like I needed to use the restroom. After all the urine came out, there was a shooting pain sensation that shot up into my abdomen. ER did at CT and U/S, enlarged uterus and 7 cm mass located within the lower uterine segment. Followed up w/gyno, he did pelvic and said he felt a baseball sized mass and couldnt locate my uterus and said everything felt all twisted up. Referred me to gyno/onc.Saw one and he also did pelvic & rectal exam, looked at the ct & u/s images and said it was a fibroid and recommended total abdominal hysterectomy.Saw another gyno/onc and he is saying that I have complete cervical stenosis and Hematometra.I now dont know who to believe.
[|AI|]  HI ! From your history, it seems that irrespective of the pathology (whether it is a fibroid or a hemaometra), the mass pressed on your bladder due to which you had to push for passing urine. After passing urine, the pressure on the bladder was relieved, which gave you a sense of relief. One point in your history is perplexing, that is how couldn't both the ultrasound and the CT scan could not differentiate between the hematoma and fibroid. I would suggest you to carry your reports to an experienced radiologist, and get the opinion from him. Wishing you an early recovery.