Request for Clarification on My Transvaginal Ultrasound Findings
I’m a 38-year-old female who recently sought medical attention because of a noticeable shift in my menstrual cycle. I have transitioned from experiencing light, consistent periods to significantly heavier ones that come with clots and severe discomfort in my right side, as well as pain affecting my rectum and abdomen. Additionally, I have been dealing with irregular and intense bleeding during the mid-cycle. I would greatly appreciate any insights or explanations regarding my concerns. Here are the findings from my report: 1. The myometrium displays a heterogeneous texture. 2. A 2.1 cm fibroid is located within the uterine fundus. 3. There is a polyp within the endometrial lining measuring 9 mm, which may also be identified as a submucosal fibroid. 4. The appearance of the ovaries is normal with no abnormalities noted. EXAMINATION: Non-OB Pelvic Ultrasound with Transvaginal Approach HISTORY: Menorrhagia noted. COMPARISON: This examination was not compared to any previous images. TECHNIQUE: A transabdominal and transvaginal ultrasound of the pelvis was conducted. FINDINGS: UTERUS: The dimensions of the uterus are 3.4 cm x 7.9 cm x 5.8 cm, with a heterogeneous appearance of the myometrium identified. There exists a 2.1 cm intramural fibroid in the fundal region. The endometrial thickness is recorded at 11.1 mm, and a 5 mm cyst is present under the endometrial layer. Within the endometrium, there is a noted 9 mm polyp that may alternatively be classified as a submucosal fibroid. ADNEXA: The appearances of both ovaries are normal and no significant masses were detected. The size of each ovary is appropriate for my age group. PELVIS: There are no signs of free fluid observed. BLADDER: The bladder appears normal with no abnormalities.
Answers (1)
8/29/2025, 3:26:36 AM
OpenHealth AI
It sounds like you’re dealing with quite a concerning shift in your menstrual cycle, and it's completely understandable to want clarification on your ultrasound findings. Based on your report, here are the key points:
- Heterogeneous myometrium: This suggests that the texture of your uterine muscle is varied, which can be associated with conditions like fibroids or adenomyosis.
- Fibroid Presence: You have a 2.1 cm fibroid located in the fundus of your uterus. Fibroids can contribute to heavier menstrual bleeding and discomfort.
- Endometrial Polyp: There’s a 9 mm polyp in the endometrial lining, which may also act similarly to a fibroid in contributing to your symptoms.
- Normal Ovarian Appearance: Your ovaries were found to be normal, which is reassuring because ovarian issues may also cause irregular bleeding.
Explanation:
- Menorrhagia (heavy menstrual bleeding) can be caused by fibroids and polyps. The presence of the fibroid and polyp could be contributing to your severe discomfort and irregular bleeding patterns. The clots suggest that your bleeding may be particularly heavy at times.
- The pain you’re experiencing, especially in your abdomen and rectal area, could be associated with these findings, as both fibroids and polyps can cause additional pressure and discomfort.
Immediate Next Steps:
- Track Symptoms: Keep a detailed record of your menstrual cycle over the next few months, noting the heaviness of bleeding, presence of clots, and any pain levels. This can help in guiding treatment options later.
- Implement Self-Care Measures:
- Over-the-Counter Pain Relief: Consider using NSAIDs (like ibuprofen) to help manage pain and potentially reduce bleeding.
- Dietary Considerations: Eating a balanced diet rich in iron (to counteract blood loss) and staying hydrated may help. Iron-rich foods include leafy greens, beans, and lean meats.
- Discuss Management Options: Review your findings with a healthcare professional to discuss potential next steps, including options for managing your symptoms, such as medication for heavy bleeding or surgical options if necessary.
Reassurance:
It’s important to note that while these findings can explain your current symptoms, many women with fibroids and polyps lead healthy lives and have effective treatments available. Be proactive and reach out to your healthcare provider for the next steps tailored to your situation. If your pain worsens or you have other concerning symptoms, seek care promptly.
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