Uterus pain not because of weight

Dear Dr. Gott: I am a 28-year-old female. I have a problem with my lower abdomen. In the area of my uterus, it is very tender (when pushed) and swollen. I look as if I am four months pregnant. It especially hurts if my children run up to me and hit the area (like when they hug me).

I have been to my doctor several times. He has done a few urine tests, all of which are normal. He then recommended I lose weight. I am 5 feet 3 inches tall and weigh 135 pounds. My BMI is within the normal range, and I don’t think I am fat. I did the diet thing but did not lose any weight.

I would like to know what is causing the swelling and pain. I am not pregnant and don’t want to look like I am. Please help.

Dear Reader: Your BMI is normal, meaning you are not overweight for your height. Women tend toward an increase in waist circumference as they age and after having children. Again, though, I do not believe this is your problem.

Pain and swelling of the abdomen is not normal. I believe your problem is coming from your uterus or another part of your reproductive system. You need to be examined by a gynecologist. He or she can do a physical evaluation and order tests. You may have ovarian cysts, fibroid tumors or other benign growths. These can often be removed while leaving the uterus and ovaries in working order. However, in severe cases, a hysterectomy may be necessary. The specialist also needs to rule out cancer.

See a gynecologist for an exam, testing and treatment. Let me know how this turns out.

To give you related information, I am sending you a copy of my Health Report “Vaginal Infections and Disorders.” Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Dear Dr. Gott: I am a 28-year-old woman in good health. In a recent column, you addressed changes of the breast. This really hit home for me. For the last few years, my nipples have emitted a clear-to-cloudy discharge when squeezed gently. Is this normal? Should I be concerned about cancer?

Dear Reader: As I have emphasized repeatedly, any breast abnormality, including nipple discharge, should be evaluated. Your physician or gynecologist should perform a careful examination along with a mammogram or ultrasound and other tests, such as a microscopic examination of the breast fluid. I cannot predict the findings, but this approach is appropriate.

To give you related information, I am sending you a copy of my Health Report “Breast Cancer and Disorders.” Other readers who would like a copy should send a self-addressed, stamped No. 10 envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.