The following discussion will refer to the common conditions of AUB, and the treatment options for the patient. Most are silent, and cause no symptoms. Fibroids do not grow in size indefinitely, but most often stabilize at some point, and grow no further. Fibroids may be associated with other symptoms such as pelvic pressure, urinary frequency, rectal pressure, backache, and painful intercourse. Thus when the woman has her menses, there is bleeding into the wall of the uterus itself, causing it to be tender, painful, and perhaps slightly enlarged.
Absolute confirmation requires a microscopic observation of uterine tissue.
Diagnosis is readily suspected based on the history, ultrasound examination, or hysteroscopy. The latter occasionally can be reverted to normal tissue by additional progestrone-like supplements. After appropriate diagnostic procedures have been performed, your physician may recommend a trial of hormone therapy. If the drug therapy is to be effective, only a trial will tell. Your specific condition might indicate that drug therapy is inappropriate.