How we can differentiate between fibroid uterus and ovarian tumour clinically?

Differentiating between a fibroid uterus and an ovarian tumor clinically involves evaluating symptoms, physical examination findings, and diagnostic tests:

1. Symptoms:
-Fibroids: Often cause heavy menstrual bleeding, prolonged menstrual periods, pelvic pressure or pain, frequent urination, and difficulty emptying the bladder.
-Ovarian Tumors: May present with abdominal bloating, pelvic pain, changes in bowel habits, and urinary symptoms.

2. Physical Examination:
– Fibroids: A pelvic exam may reveal an enlarged, irregularly shaped uterus.
-Ovarian Tumors: A pelvic exam may detect an adnexal mass (mass near the ovaries) or an enlarged ovary.

3. Imaging Studies:
-Ultrasound: Helps visualize the uterus and ovaries, distinguishing between fibroids (which appear as well-defined masses within the uterine wall) and ovarian tumors (which appear as masses within or on the surface of the ovaries).
-MRI: Provides detailed images of the pelvic organs, helping to differentiate between fibroids and ovarian tumors.

4. Laboratory Tests: CA-125 Blood Test: Elevated levels of CA-125 can be associated with ovarian tumors, but it is not specific and can also be elevated in other conditions

5. Biopsy: In some cases, a biopsy may be performed to determine the nature of the mass.

Consulting a healthcare provider for a thorough evaluation and appropriate diagnostic tests is essential for an accurate diagnosis.