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.
Related Questions
Concerns About My Toes
Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!
Strange Jelly-Like Substance Observed from Wound
I’m a 21-year-old female living with an auto-inflammatory condition known as hidradenitis suppurativa (HS). Recently, I've experienced a concerning issue with one of my wounds. This particular wound causes significant pain and excessive bleeding. However, whenever I attend to it, I tend to find this unusual jelly-like substance present within it. Interestingly, this phenomenon has only occurred with this one wound and not any of the others I have. The bleeding seems to persist until I manage to remove this jelly substance, after which it typically slows down and comes to a halt completely. I’m seeking insights into what this might signify so that I can effectively discuss it with my healthcare provider.
Battling Chronic Nausea and Vomiting for Over Two Years
For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!
Strange Stomach Sensation Leading to Waking Up
Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.
Understanding Tuberculosis Exposure Risk
A 26-year-old male, who neither drinks alcohol nor smokes, seeks to understand the implications of exposure to tuberculosis (TB). As an anesthesia technician, I became concerned after I encountered a TB-positive patient about a month ago. I had to enter the patient’s room several times to perform blood gas tests. On my first entry, I mistakenly wore my N95 mask incorrectly due to the hectic nature of attending to multiple rooms. From my research, it appears that TB is quite transmissible; direct exposure can pose a serious risk of infection. Transmission usually requires prolonged contact with an infected individual, particularly in a close or face-to-face setting. In this case, the patient was lying face down and appeared to be sleeping when I entered. I have already undergone testing for TB, but I am eager to deepen my understanding of the risks involved in these situations.