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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Pain?

I went through menopause in 2000. For months now my lower abdominal area is uncomfortable to very painful. All tests were ok except my ultrasound which shows my uterine wall thickening and blood is forming in the area. My Dr. says not sure why but no concern but this really is so uncomfortable I can t stand it. why would this happen so long after menopause and what can be done?
Tue, 24 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Uterine wall thicken so long after menopause with blood forming is suggestive of an Uterine cancer unless proved otherwise.
I would advise you to go for Laparoscopic Hysterectomy and exploration of the abdomen.
Prior CT scan or MRI helps much more.
Hysterectomy will also may help you to get rid of teh symptoms.
This achieves few more thing:
1 you get rid of the diseased part of the body
2. you get a confirmed diagnosis on Histo-pathology examination.
3. Symptoms may go away and life becomes comfortable.
4. You get to see the whole abdomen from within with the help of Laparoscopy and a chance to rule out any other problems.

So go ahead with Hysterectomy.
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What Causes Lower Abdominal Pain?

Hi. Thanks for your query. Uterine wall thicken so long after menopause with blood forming is suggestive of an Uterine cancer unless proved otherwise. I would advise you to go for Laparoscopic Hysterectomy and exploration of the abdomen. Prior CT scan or MRI helps much more. Hysterectomy will also may help you to get rid of teh symptoms. This achieves few more thing: 1 you get rid of the diseased part of the body 2. you get a confirmed diagnosis on Histo-pathology examination. 3. Symptoms may go away and life becomes comfortable. 4. You get to see the whole abdomen from within with the help of Laparoscopy and a chance to rule out any other problems. So go ahead with Hysterectomy.