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Urogynecology (Expert Forum)
Mild endometrial prominence, normal.
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Mild endometrial prominence, normal.
by damvt, Jul 15, 2007 12:00AM
53 on 07/05/07. Overweight. Last period Feb'05. 1 brief episode light spotting in '06. 11 days ago had brief, sharp pain lower R side (almost in groin) and light spotting. Sharpness gone, pain persisted (a dull ache). Pain nonexistent when sitting, resting. Pain when I walk. Light spotting persisted except for the past 2 days. Saw GP and GYN. Results of tests: Sono Transvaginal: INDICATION:52 year-old female, post menopausal bleeding. FINDINGS:the uterus is normal in size and configuration measuring 7.3x4.6x3.4 for a total uterine volume of 60cc. The myometrium is somewhat heterogeneous. No fibroids are identified. A nabothian cyst is present of no significance. The endometrial stripe is mildly heterogeneous and measures 4.6 mm in double layer thickness. The ovaries are normal in size and configuration. R ovary measures 1.6x1.5x1.0. L ovary measures 1.7x1.5x10cm. No evidence of adnexal mass. No fluid in cul-de-sac. IMPRESSION 1.Hetergenous uterus probably representing diffuse fibroid changes. 2.Mild endometrial prominence, normal. If further evaluation of bleeding is desired hystersonography may be of value. CA 125 in normal range at 4. GP reviewed tests and said I have fibroids and they are diffuse. GYN said I do not have fibroids and must have D&C and hysteroscopy. Both are excellent physicians, in practice many years. I had hernia surgery 3 x in same area. Last 12 years ago and mesh installed. I am confused, concerned. Thank you.
Doctor's Answer
by Lennox Hoyte, M.D., Jul 15, 2007 12:00AM
, Jul 15, 2007 12:00AM
Heterogenous myometrium, likely something called adenomyosis, which is an ingrowth of the endomerial lining into the uterine muscle. Not likely cancer, not fibroids. It can cause terrible crampy pelvic pain. Treatment is D+C if there is excessive bleeding (this can also rule out cancer of the endometrium), followed by supressi0on of the endometrium with birth control pills, Lupron, progestin IUD. In extreme cases patients may benefit from hysterectomy
Member Comments (2)
by damvt, Jul 15, 2007 12:00AM
To: Dr. Hoyte
THANK YOU for this information. It has helped ease my concerns greatly. I plan on having the D&C and whatever else my GYN recommends. You were the only person to clarify the findings to me. Thank you again!
by guthrisa, Sep 04, 2008 08:13PM
A related discussion, Do I need surgery for this type of cysts and what is a prominence on the endometrium? was started.
