Concerns Regarding Endometrial Polyps
For the last couple of months, my menstrual cycles have been unusually prolonged, often extending for two weeks at a time. Recently, I've experienced irregular bleeding patterns, where some days I have bleeding and other days I do not, which feels quite unusual for me. To address my concerns, I consulted with my physician, who recommended that I undergo a transvaginal sonogram (TVS). The results revealed an echogenic mass in the endocervical canal, measuring 1.81 x 1.51 x 1.88 cm, with a total volume of 2.7 cc. Is this something I should be anxious about? Thank you in advance for your insights.
Answers (1)
6/29/2025, 5:30:41 AM
OpenHealth AI
It's understandable to feel concerned about your symptoms and the findings from your transvaginal sonogram (TVS). The presence of an echogenic mass in the endocervical canal can be associated with endometrial polyps, among other conditions. While this sounds worrisome, it's important to keep in mind that not all masses are cancerous or indicate a serious problem.
Explanation: Endometrial polyps are growths that develop in the lining of the uterus and can cause irregular menstrual bleeding. Your symptoms of prolonged menstrual cycles and irregular bleeding do align with what can occur with polyps. Many women experience these types of polyps without any significant health issues, and they can often be benign (non-cancerous). However, monitoring and further evaluation are essential to determine the nature of the mass.
Next Steps:
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Understand the Findings: Review your TVS results with your physician. They can explain the significance of the echogenic mass and what it may mean in your specific context.
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Monitor Symptoms: Keep a record of your menstrual cycles, noting any additional symptoms such as changes in pain levels, frequency of bleeding, or any other unusual changes in your health.
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Follow Up on Recommendations: Discuss with your physician about further evaluation options. This may include a follow-up ultrasound or other imaging studies to assess the mass more closely.
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Lifestyle Adjustments: Maintain a healthy lifestyle with good nutrition and hydration which can help manage menstrual health. Regular exercise can also support hormonal balance.
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Stay Informed: Do not hesitate to ask your doctor any questions you might have regarding treatment options, including whether removal of the mass (if indicated) would be necessary.
Remember, it's natural to have concerns, but staying proactive and informed can provide reassurance and lead you to the right path for management.
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