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Gynecology (Expert Forum)
Changes of life??
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
Changes of life??
by jmbull85, Feb 13, 2008 12:49PM
I had a ultrasound exam & the uterus measured 10.8 x 8.2 x 5.8. The mometrium shows extensive leiomyomatous changes present with distinct fibroids measuring 3.7, 2.6, 1.6 & 4.9cm. The
endometrial echo complex is 3.2 mm. The right ovary is nonvisualized. The left ovary measures 1.9 x
1.4 x 1.7 cm. No ovarian or adexal mass lesions are seen. A small amount of free fluid is present. On color flow, spectral doppler imaging, there is flow in the left ovary with peak systolic velocity of approx. 7.2 cm/sec seen. Can you tell me what any of this means? I just turned 46 & have had abnormal periods/missing periods(went 1 year without a period-also 6 mths-now over 2 mths at a time) then extra periods, changes. Please help
endometrial echo complex is 3.2 mm. The right ovary is nonvisualized. The left ovary measures 1.9 x
1.4 x 1.7 cm. No ovarian or adexal mass lesions are seen. A small amount of free fluid is present. On color flow, spectral doppler imaging, there is flow in the left ovary with peak systolic velocity of approx. 7.2 cm/sec seen. Can you tell me what any of this means? I just turned 46 & have had abnormal periods/missing periods(went 1 year without a period-also 6 mths-now over 2 mths at a time) then extra periods, changes. Please help
Doctor's Answer
by Keith Downing, MD, Feb 15, 2008 09:55AM
, Feb 15, 2008 09:55AM
Hello,
This means you have a fibroid uterus and a thin endometrial stripe.
Irregular bleeding in a woman your age is usually due to one of the following causes: pregnancy, thyroid hormone abnormality, perimenopausal anovulation, endometrial polyp, endometrial hyperplasia (overgrown endometrial tissue) with or without atypia or endometrial cancer.
A proper work up will include checking a thyroid hormone level (TSH), undergoing an endometrial biopsy and now that you have had a pelvic ultrasound, a study to look inside the uterus for polyps (e.g., hysteroscopy, sonohysterogram).
Most commonly this type of bleeding is due to a polyp or perimenopausal anovulation.
Talk to your ob/gyn about your evaluation and test results.
Best regards,
Dr. Downing
This means you have a fibroid uterus and a thin endometrial stripe.
Irregular bleeding in a woman your age is usually due to one of the following causes: pregnancy, thyroid hormone abnormality, perimenopausal anovulation, endometrial polyp, endometrial hyperplasia (overgrown endometrial tissue) with or without atypia or endometrial cancer.
A proper work up will include checking a thyroid hormone level (TSH), undergoing an endometrial biopsy and now that you have had a pelvic ultrasound, a study to look inside the uterus for polyps (e.g., hysteroscopy, sonohysterogram).
Most commonly this type of bleeding is due to a polyp or perimenopausal anovulation.
Talk to your ob/gyn about your evaluation and test results.
Best regards,
Dr. Downing
Member Comments (2)
by jmbull85, Feb 18, 2008 12:35PM
To: Dr. Downing
Thanks so much for the info! I'm going to have blood work tomorrow & surgury (total abdominal hysterectomy & possible bilateral salpingo-oophorectomy) on the 27th. My gyn & doctor said no other test were needed. Does a thin dndometrial stripe mean no cancer generally? Thanks for all your help!
