••• Chapter 26^ Benign Disorders of the Upper Genital Tract^267
❍ What is hematometra?
Hematometra is a uterus distended with blood secondary to partial or complete obstruction of the lower genital
tract.
❍ What are the causes of hematometra?
In older women, this usually occurs at the cervical level (cervical stenosis, cervical fibroid, etc). In younger patients,
this usually results from some congenital anomaly such as imperforate hymen and transverse vaginal septum.
❍ What are the acquired causes of lower tract stenosis?
Senile atrophy of the endocervical canal, cervical stenosis associated with surgery, radiation, cryocautery or
electrocautery, and malignant disease of the endocervical canal.
❍ What are the symptoms of hematometra?
Primary and secondary amenorrhea and cyclic lower abdominal pain.