Understanding My Ultrasound Results
I’m a 27-year-old female who recently underwent a transvaginal ultrasound due to experiencing an unusual change in my menstrual cycle, something that has not occurred in the ten years I've had regular periods. Currently, I find myself past the date that my period was due, but multiple pregnancy tests have come back negative. Additionally, there is a history of uterine fibroids in my family. I received my ultrasound results from the radiologist, and my doctor has requested that we discuss them. I’m seeking some clarity about the findings before my appointment later this week. I appreciate any insights you could offer. **RESULTS:** **Date of Exam:** 12/20/2025 **UTERUS:** Positioned retroverted and retroflexed, measuring 5.7 x 3.4 x 3.9 cm. **MYOMETRIUM:** No focal fibrous growths noted. **ENDOMETRIAL STRIPE:** Measures 8 mm. **RIGHT OVARY:** Measures 3.7 x 2.5 x 2.7 cm with a total ovarian volume of 12.9 mL. There is a solid lesion within it, which is heterogeneously echogenic and partially vascular, measuring 1.9 x 1.3 x 1.6 cm. Additionally, numerous follicles are noted, presenting a "peripheral string of pearls" configuration, a nonspecific finding that could suggest polycystic ovarian syndrome. **LEFT OVARY:** Measures 2.6 x 1.2 x 2.3 cm. **ADNEXA:** There are no masses found in the adnexal region. **PELVIC FLUID:** No significant free fluid detected in the pelvis. **INTERPRETATION:** 1. A heterogeneously echogenic, partially vascular solid lesion in the right ovary measuring 1.9 x 1.3 x 1.6 cm. 2. Numerous follicles that are arranged in a "peripheral string of pearls" pattern, a nonspecific indicator that might relate to polycystic ovarian syndrome. **Category:** 3: Indeterminate A gynecological consultation is recommended to assess for possible malignancy.
Answers (1)
2/8/2026, 4:20:32 PM
OpenHealth AI
Thank you for sharing your ultrasound results and concerns. It’s understandable to feel anxious when faced with changes in your menstrual cycle and complex ultrasound findings. Here’s a breakdown of the results and what they mean, along with steps you can take.
Key Findings Summary
- Retroverted Uterus: This is a normal anatomical variation and usually does not cause issues.
- No Fibroids Detected: Good news considering your family history.
- Endometrial Stripe: An 8 mm thickness is within the normal range for a non-menstruating individual.
- Right Ovary: There’s a solid lesion that appears partially vascular, and the presence of multiple ovarian follicles suggests a possibility of polycystic ovarian syndrome (PCOS).
- Indeterminate Category: The lesion falls into Category 3, which indicates an unclear result, warranting further evaluation to rule out malignancy.
Explanation of Terms
- Heterogeneously Echogenic: This means the lesion has varying densities, which can indicate different tissue characteristics.
- Partially Vascular: This suggests blood flow to the lesion, which can be relevant in determining its nature.
- "Peripheral String of Pearls": Refers to the arrangement of small follicles around the ovary, often associated with PCOS.
Next Steps
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Prepare for Your Appointment:
- List Questions: Write down any specific questions or concerns you want to address with your doctor. This may include inquiries about the implications of the solid lesion, symptoms of PCOS, or potential next steps.
- Monitor Symptoms: Pay attention to any additional symptoms you may experience, such as pain, weight changes, or more menstrual irregularities.
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Understand the Urgency:
- While indeterminate results can be concerning, many lesions are benign. The follow-up happens to ensure comprehensive evaluation.
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Lifestyle Considerations:
- If you suspect PCOS, consider maintaining a balanced diet, regular exercise, and managing stress, as these can help regulate menstrual cycles.
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Follow Up on Recommendations:
- Follow through with your gynecological consultation for further evaluation of the ovarian lesion, which may include potential imaging studies or blood tests.
Conclusion
It’s great that you are seeking clarity before your appointment. Gathering information and being prepared will help you feel more confident discussing your results with your doctor. Remember, further evaluation is a common step in such cases, and many women find reassurance upon discussion with their healthcare providers.
If you have more questions or need additional information before your appointment, feel free to ask!
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