A 42-year-old, African woman comes to the office due to pelvic pressure and urinary urgency that has worsened over the past year. She frequently has an uncomfortable sensation of incomplete emptying during voiding. Menses is regular and occurs every 30 days with no pain. BMI is 26 kg/m2. Does examination show irregularly enlarged uterus Which of the following is the most likely etiology of the patient's constipation?

Question

Quizplus · Accepted Answer

Eductional Objective: Subserosal Uterine leiomyoma presents with pelvic pressure symptoms and irregularly enlarged uterus. Posterior subserosal fibroids cause constipation, while anterior fibroids cause urgency and incomplete bladder emptying.

A 42-Year-Old, African Woman Comes to the Office Due to Pelvic