What shape is typically associated with a uterus containing leiomyoma (fibroids)?

The shape typically associated with a uterus containing leiomyomas, also known as fibroids, is irregular. Leiomyomas are benign tumors that can distort the normal architecture of the uterus due to their growth patterns and locations within the uterine wall. As they grow, they may cause bulging or protrusions that alter the typical rounded shape of the uterus, resulting in an irregular contour during palpation or imaging studies.

In clinical practice, an irregularly shaped uterus can be identified through pelvic examination or imaging techniques such as ultrasound, where the presence of fibroids tends to create varying contours rather than maintaining a smooth, uniform surface. This distortion is particularly common when multiple fibroids are present or when a single large fibroid significantly impacts the uterine structure. Regular shapes, perfect symmetry, or simply enlarged without irregularity would not accurately describe the changes typically observed in the presence of fibroids.