<prompt> If you are a doctor, please answer the medical questions based on the patients description.3 weeks ago, began having intense severe lower abdominalpelvic pain, no bleeding, felt like severe contractions, felt a lot of pressure like I needed to push and my bladder felt as though I was 9 months pregnant by how often it felt like I needed to use the restroom. After all the urine came out, there was a shooting pain sensation that shot up into my abdomen. ER did at CT and US, enlarged uterus and 7 cm mass located within the lower uterine segment. Followed up wgyno, he did pelvic and said he felt a baseball sized mass and couldnt locate my uterus and said everything felt all twisted up. Referred me to gynoonc.Saw one and he also did pelvic rectal exam, looked at the ct us images and said it was a fibroid and recommended total abdominal hysterectomy.Saw another gynoonc and he is saying that I have complete cervical stenosis and Hematometra.I now dont know who to believe.  <response>: HI ! From your history, it seems that irrespective of the pathology whether it is a fibroid or a hemaometra, the mass pressed on your bladder due to which you had to push for passing urine. After passing urine, the pressure on the bladder was relieved, which gave you a sense of relief. One point in your history is perplexing, that is how couldnt both the ultrasound and the CT scan could not differentiate between the hematoma and fibroid. I would suggest you to carry your reports to an experienced radiologist, and get the opinion from him. Wishing you an early recovery. 