Hematometra refers to blood accumulation in which location?

Hematometra refers to blood accumulation in which location?

• A. Vagina
• B. Uterus
• C. Cervix
• D. Ovary

Answer: (B)

Hematometra is blood accumulating in the uterine cavity. It happens when menstrual blood cannot exit through the cervix due to obstruction or narrowing, so the blood backs up into the uterus rather than draining through the vagina. This is different from blood in the vagina (hematocolpos) or both uterus and vagina (hematometrocolpos); blood in the ovary isn’t described as hematometra. In ultrasound, you’d expect a distended uterus with intrauterine fluid or echogenic material, sometimes with clots, reflecting trapped blood behind an obstructed outflow.

Hematometra is blood accumulating in the uterine cavity. It happens when menstrual blood cannot exit through the cervix due to obstruction or narrowing, so the blood backs up into the uterus rather than draining through the vagina. This is different from blood in the vagina (hematocolpos) or both uterus and vagina (hematometrocolpos); blood in the ovary isn’t described as hematometra. In ultrasound, you’d expect a distended uterus with intrauterine fluid or echogenic material, sometimes with clots, reflecting trapped blood behind an obstructed outflow.