Enlarged uterus

by Anige
(Chicago, IL)

My doctor is prescribing progesterone therapy for an enlarged uterus and heavy menstral bleeding. i'm only in the first month of taking the pills but I've recently been experiencing a bad pain in my stomach which is waking me in the middle of the night.

I don't know what results are for the heavy bleeding i'm hoping it stops. Also, will an enlarged uterus ever shrink back down? What are my best options to consider? Ultrasound showed the size of my uterus is 13 cm and a normal one is 8 cm. how bad is this? Is a partial hysterectomy a good option?

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Enlarged uterus

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Sep 19, 2011
 Enlarged uterus
by: Wray

Hi Anige Please would you find out if it is progesterone you are taking, as often progestins are given. There is great confusion between the two, the progestin molecule is so changed it has little similarity with progesterone. It would also help me if I knew the dose are taking. If it is in fact progesterone, oral Delivery systems are the least effective, as most gets destroyed by the gut and liver. The uterus is enlarged because of excess oestrogen, it's a mitogen causing cells to divide and multiply. MMP's are enzymes that break down protein. They play a role in the breakdown of endometrial tissues at the end of the menstrual cycle. If they are over active, as would be the case with excess oestrogen in the body, as oestrogen stimulates their production, the result is a pathological reaction. A high level of MMP's can lead to inflammation and excessive bleeding in the uterus. If a low level of progesterone is present, and a high level of oestrogen, the lining will continue to grow. With a high level of MMP's the lining will also continue to break down. Progesterone suppresses both MMP's and oestrogen. It is essential to use a high amount of progesterone, between 400-600mg/day. If the bleeding is continual, use it both daily and hourly. Using it hourly keeps the level high throughout the day. If there is a cycle, it?s best to ignore it and use the progesterone daily, hourly too, until the bleeding is under control. Then slowly reduce the amount until the optimum is found. The progesterone can be used to regulate the cycle once bleeding has stopped, see our page on How to use progesterone. I see no reason why the uterus won't reduce in size, but only if sufficient progesterone is used. I would never recommend a hyst, not even a partial one, often symptoms are worse then they were. For more info see here. Please consider having a vitamin D test done, any inflammation indicates it's low. For more info see the Vitamin D Council, GrassrootsHealth and Birmingham Hospital websites. Take care Wray

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