8 Months Of Progressively in Obstetrics & Gynecology — 39yo Woman | General Gynecology | SMLE Q#18002
SMLE Question #18002
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 39-year-old woman presents with 8 months of progressively worsening pelvic pressure and a sensation of vaginal heaviness. She reports heavy, prolonged menstrual bleeding requiring double pads and intermittent intermenstrual spotting. She denies fever or vaginal discharge. Pelvic examination shows a mildly enlarged, irregular uterus without adnexal tenderness. Transvaginal ultrasound shows a 4.5-cm uterine leiomyoma and no adnexal mass. Which type of uterine fibroid most likely explains her bleeding pattern?
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