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Non-modifiable factors:
Diet
Stress Age
Genetics
Early Menarche
Estrogen Dominance
Overgrowth of the endometrial lining Diagnostic Tests: -Transvaginal/ transrectal Ultrasonography , Interference in the vascular supply Development of uterine fibroid
Management: Continued growth of the fibroid Increase abdominal girth Endometrial distention -Subtotal hysterectomy -TAHBSO
Rectosigmoid compression
Constipation Urinary frequency and urgency(at least 10-11 times preop) (at least 1-2 days before she defecate preop)