Which condition is indicated by a patient experiencing prolonged, heavy menses with irregular enlargement of the uterus and multiple firm masses?

The condition indicated by prolonged, heavy menses accompanied by irregular enlargement of the uterus and the presence of multiple firm masses is leiomyoma, also commonly known as uterine fibroids.

Leiomyomas are benign tumors that grow from the smooth muscle layer of the uterus, and they can vary in size, number, and location. Patients often experience menorrhagia (heavy menstrual bleeding) due to increased surface area for blood supply and potential distortion of the uterine cavity. The irregular enlargement of the uterus is a hallmark feature, as these fibroids can cause the uterus to take on an asymmetrical shape or size.

Additionally, the presence of multiple firm masses within the uterine wall is characteristic of this condition. These tumors can be submucosal, intramural, or subserosal, affecting their presentation and the symptoms experienced by the patient. If left untreated, they may lead to significant complications, including anemia due to heavy bleeding, pelvic pain, and potential reproductive issues.

Other conditions listed may have overlapping symptoms but do not align with the specific features presented in the question. For instance, adenomyosis typically presents with diffuse uterine enlargement and pain with menstruation rather than discrete masses. Endometriosis is associated with ect