Problem: You are seeing a 43 year old female who complains of frequent and heavy menses with some breakthrough bleeding between menses. She denies the possibility of pregnancy stating she has not been sexually active in several months. On palpation she has an irregular nodule over the uterus. What is the most likely diagnosis? You are seeing a 43 year old female who complains of frequent and heavy menses with some breakthrough bleeding between menses. She denies the possibility of pregnancy stating she has not been sexually active in several months. On palpation she has an irregular nodule over the uterus. What is the most likely diagnosis? Cystocele Cervical Dysplasia Ectopic pregnancy Uterine Fibroid