Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urogynecology (Expert Forum)
Urinate frequently--Is it due to enlarged uterus?
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Urinate frequently--Is it due to enlarged uterus?
by gromit12, Apr 17, 2007 12:00AM
I urinate frequently, 10-12 times per day, especially in the morning. I have to go at least 5 times in the first few hours of the morning. I have sudden urges to go and often don’t feel like I completely empty my bladder. I have leaked urine after a sneeze a few times. I have cut back on caffeine and don’t drink coffee. I am 43 and don’t drink or smoke. I am about 50 lbs overweight. My gynecologist said I have an enlarged uterus.
I had a transabdominal and transvaginal pelvic ultrasound.
Right ovary: 3.2 X 2.4 X 2.2 cm
Left ovary 2.5 x 1.5 x 1.5 cm
Uterus: 10.7 x 5.3 x 6.6 cm
Endometrium 20 mm Free fluid 1.2 cm
Impression: slightly enlarged uterus with no evidence of fibroids. Thickened endometrium. Minimal free fluid within the cul-de-sac.
My periods have gotten heavier and last 6 days with three days of heavy flow. I have migraine headaches, which usually occur around the time of my period. The migraines have increased over the past few months. I take Maxalt 10 mg for migraines but take no other medications.
What might be causing the frequent urination? Is there any way to treat it? Also, is there anything to be concerned about regarding the enlarged uterus?
I had a transabdominal and transvaginal pelvic ultrasound.
Right ovary: 3.2 X 2.4 X 2.2 cm
Left ovary 2.5 x 1.5 x 1.5 cm
Uterus: 10.7 x 5.3 x 6.6 cm
Endometrium 20 mm Free fluid 1.2 cm
Impression: slightly enlarged uterus with no evidence of fibroids. Thickened endometrium. Minimal free fluid within the cul-de-sac.
My periods have gotten heavier and last 6 days with three days of heavy flow. I have migraine headaches, which usually occur around the time of my period. The migraines have increased over the past few months. I take Maxalt 10 mg for migraines but take no other medications.
What might be causing the frequent urination? Is there any way to treat it? Also, is there anything to be concerned about regarding the enlarged uterus?
Doctor's Answer
by Lennox Hoyte, M.D., Apr 18, 2007 12:00AM
, Apr 18, 2007 12:00AM
10-12 times daily is high normal for urinary frequency. That is about every 1.5 hrs or so.
If you are able to defer without leaking, you should attempt to void every 2 hrs while awake. If you try that for 2 weeks, you may notice some improvement in your urgency. If you are leaking, if you try to defer voiding, that may suggest urge incontinence, which would need a workup by your provider. If the leakage with sneezing is frequent, you may benefit from an evaluation by a urogynecologist or urologist. Neither of these problems is life threatening.
From what you wrote, The uterus is not unduly large, but the 20mm endometrial stripe may require further evaluation by your gynecologist. The ovary sizes appear within limits.
If you are able to defer without leaking, you should attempt to void every 2 hrs while awake. If you try that for 2 weeks, you may notice some improvement in your urgency. If you are leaking, if you try to defer voiding, that may suggest urge incontinence, which would need a workup by your provider. If the leakage with sneezing is frequent, you may benefit from an evaluation by a urogynecologist or urologist. Neither of these problems is life threatening.
From what you wrote, The uterus is not unduly large, but the 20mm endometrial stripe may require further evaluation by your gynecologist. The ovary sizes appear within limits.
My endometrial appearance with a bilamina thinkness of 8 mm. Well, yours is 20mm. Do you know what is the normal limit? My GP said I got the thick uterus wall, need to see Gynae?
I also get urine leaking when I cough and sneeze. My uterus has fallen out in the middle of the passage. I noticed when I pushed too hard during my bowel movement. After that, I felt a mass in between my legs. I went to bed and it slipped back. After that, I had the lower abdomen pain which the GP told me the result of the uterus didn't slipped back all the way up.
I'm still waiting for the appointment to see the Gynae which is in July. Take care.