OpenHealth Q&A

Get answered by medical professionals

Understanding Changes in My Uterus

7/8/2025, 10:20:31 PMMale25-34

Hello! I’m 21 years old and recently received the results from a transvaginal ultrasound, which left me feeling a bit perplexed. Since I was around 18 or 19, I have experienced irregular periods that are rather unusual. Although they aren't painful, their unpredictability has been quite concerning. The bleeding has often been a dark brown color and rather thick, deviating from the typical bright red. I had an ultrasound at 19 due to these symptoms, but the findings at that time were considered normal. Recently, I underwent another ultrasound after experiencing my period three times within one month along with changes in bleeding patterns and intermittent pain in the lower left region of my abdomen over the past couple of months. I still notice the strange brown discharge, but now there is also a more watery red blood, without any clots, which tends to soak through pads, leaving only faint pink stains on the surface. According to the report, my uterus appears smaller than expected, contains some fluid, and has a thinner endometrial lining. However, the aspect that particularly concerns me is the noted deviation of the uterus, especially since I find it challenging to interpret ultrasound results accurately and am unsure about its implications. I have been using the Implanon contraceptive implant for over a year and a half, and it was advised that this should not be influencing my recent symptoms. For further context, I have included summaries of both ultrasound examinations I had at ages 19 and 21. **First Ultrasound - December 26, 2022** **Uterus:** Position: Midline, anteverted Size: 6.6 cm (longitudinal) Shape: Normal morphology, with regular contours Myometrium: No significant changes in echotexture Endometrium: Appears normal Ovaries: Presence of small follicular cysts Largest cyst: 13 mm on the left (functioning) Douglas Pouch (posterior cul-de-sac): No free fluid detected **Second Ultrasound - July 2, 2025** **Uterus:** Position: Anteverted with left lateral deviation Size: Longitudinal: 56.8 mm; Anteroposterior: 23.5 mm; Transverse: 32.2 mm Contours: Regular Myometrium: No significant changes recorded Endometrium: Thin and regular (“filiform”) Endoluminal fluid layer observed at the transition of the lower uterine body and isthmus Ovaries: Normal size with a few small follicular cysts on both sides Largest cysts: 11.3 mm (left), 8.1 mm (right) Douglas Pouch (posterior cul-de-sac): Small amount of free fluid noted I appreciate any insights or clarifications regarding these findings and what they might mean for my health.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

7/8/2025, 10:20:48 PM

OpenHealth AI

It sounds like you are understandably concerned about the changes in your menstrual cycle and the findings from your recent ultrasound. I’ll break down the key points from your situation and provide some insights that might help clarify what you’re experiencing.

Main Points

  1. Menstrual Changes: Irregular and unpredictable periods, along with different bleeding patterns (including dark brown and watery red blood), can be distressing.
  2. Ultrasound Findings: Your recent ultrasound indicates a smaller uterus with a thinner endometrial lining and some fluid present, along with a noted lateral deviation.
  3. Contraceptive Impact: The Implanon implant is generally not expected to cause significant changes in these ultrasound findings, though it can affect menstruation.

Explanation

  • Irregular Menstrual Cycle: Changes in your menstrual cycle, including the color and flow of bleeding, can be influenced by several factors, including hormonal imbalances, stress, weight changes, or the contraceptive you use. Since you’ve had irregular periods since 18 or 19, it might be indicative of a condition like polycystic ovary syndrome (PCOS) or hormonal fluctuations.

  • Ultrasound Findings: A uterus that is smaller and has a thinner endometrial lining might suggest various conditions. However, the presence of fluid could indicate several benign issues, such as follicular activity in the ovaries or other transient conditions. The left lateral deviation of the uterus is not uncommon and may not be clinically significant unless associated with symptoms.

Next Steps

  1. Monitor Symptoms: Keep a record of your menstrual cycles over the next couple of months. Note any changes in bleeding patterns, pain, or other symptoms to identify any trends.

  2. Self-Care Practices: Focus on maintaining a healthy lifestyle, which includes regular exercise, a balanced diet, and managing stress, as these can influence menstrual regularity.

  3. Consultation: Given your ongoing symptoms and the recent ultrasound findings, consider arranging a follow-up appointment with a healthcare provider (like a gynecologist). Present the history of your symptoms and the ultrasound results. They might consider additional tests, like hormone level assessments or an examination of the fluid, to provide a clearer picture.

  4. Educate Yourself: Research conditions that could relate to your symptoms, such as PCOS or endometriosis, which can present with irregular periods and pelvic pain. Understanding these can help in discussions with your healthcare provider.

A follow-up with your healthcare provider is essential for personalized advice since they can give insights tailored to your results and symptoms. Remember, your health matters, and seeking clarity is a strong and responsible step. Don’t hesitate to reach out if you have more questions or need further information!

Related Questions

Recently Noticed Spot on Breast

Greetings, community. I’m intending to consult a physician shortly regarding an issue I’ve noticed, but I’d appreciate hearing your thoughts in the meantime. There is a small area on my breast that has changed color. It doesn’t have any unusual texture, and though it resembles a bruise in appearance, I assure you it isn't one. The discoloration is merely a bit darker than the surrounding skin. I’m grateful for any insights you might offer!

Family MedicineInternal MedicinePreventive Medicine
Male25-34
6 minutes ago

How Do Performers Bulk Up for Roles Without Developing Diabetes?

Rob McElhenney, known for his role in "It's Always Sunny in Philadelphia," managed to add 55 pounds to his physique by consuming a staggering 5,000 calories daily, including drinking melted ice cream. He mentioned on a talk show that he was downing a gallon, which seems implausible as that would already exceed 5,000 calories. It’s hard to believe anyone could stomach that amount without feeling unwell. Similarly, Christian Bale is well-known for dramatically increasing his body weight by 40 pounds to portray Dick Cheney in the film "Vice." This raises an interesting question: just how quickly can someone develop diabetes when following such extreme diets? Is it possible that the timeline for acquiring diabetes through such lifestyle choices is longer than many assume?

NutritionAgingLifestyle Changes
Male25-34
16 minutes ago

Experiencing Full Body Numbness?

Since I was 16 and contracted flu B last year (despite being vaccinated), I have been dealing with a strange issue: my entire body has moments of numbness. Unlike typical numbness, there’s no tingling sensation, pain, or loss of mobility; it’s more about a diminished sense of feeling. This sensation seems to be more pronounced in areas like my face, neck, stomach, and genital region, but it’s present throughout my entire body. After consulting my doctor, she recommended that I see a neurologist. However, due to her early departure, another doctor saw me instead and dismissed my concerns, attributing the numbness to a mere "immune response." We left the appointment assuming it was nothing serious. While the numbness usually fades away after a few days, it tends to reappear every few months. Is this something that is considered normal? Additionally, I’ve been experiencing a few other symptoms, and I am uncertain if they are connected: - Intense headaches that begin upon waking and do not improve with pain relievers. - Discomfort and blurred vision in my left eye. - Episodes of tremors that affect my entire body for about an hour, resembling the sensation of shivering but occurring in a warm environment.

WellnessInternal MedicinePreventive Medicine
Male25-34
16 minutes ago

Seeking Medical Advice for Ongoing Health Issues

I am a 30-year-old male residing in the Philippines. I have been experiencing several health concerns, including post-nasal drip, rhinitis, a persistent cough, stomach pain, and a sore throat. Recently, I underwent a blood examination, which revealed that my red blood cell count is elevated at 5.31/L, while the standard range is between 3.8 and 5.1/L. Additionally, my hemoglobin level measured 156 g/L, exceeding the normal limits of 115 to 150 g/L. My hematocrit level stands at 45.1%, which is within the acceptable range of 35% to 46%.

AgingFamily MedicineInternal Medicine
Male25-34
26 minutes ago

Is This Cause for Concern?

My husband, who is 29 years old, has been experiencing swelling in a lymph node located in his left armpit for the past few days. On the initial day of this issue, he mentioned feeling somewhat unwell, similar to the sensation one gets before developing a fever, although he never actually got one. Today, he reported feeling okay overall, yet the lymph node remains painful. Upon inspection, I noticed a noticeable bump, and the skin in that area appears inflamed. Additionally, he recently experienced diarrhea, which has heightened my anxiety regarding the possibility of a more serious condition, such as lymphoma, especially since he is not exhibiting other symptoms typically associated with the flu. Should I be concerned about this situation?

AgingWellnessFamily Medicine
Male25-34
26 minutes ago