Pelvic ultrasound report worried should I be

[angeldear73]

Hello, 3 yrs ago I was undergoing testing to have a complete pelvic floor relaxation fix when they found a possible questionable edometrium polyp. I was scheduled to have a biopsy done but lost my health insurance. 5 years later I finely was able to get insurance and started to have my work up again when another ultrasound & biopsy was scheduled. I just got the results of my ultrasound. It is much different than the last. I do always have pain and pressure.. with some times odd leakage and irr. periods as well. I am 36 years old and have 4 kids by natural birth but preg. 9 times in total. and I stated above I have prolapsed of bladder, uterus, and rectal.

I just wondering if I need to be concern by what they found and if anyone knows what this all means. My new Obgyn is very hard to get a appt. with and I have just learned he will be leaving this practice to start his own. The biopsy that was scheduled was for the questionable edometrium polyp.. so now that wasn't seen on this ultrasound report. Do I still need to have a biopsy? Could the questionable polyp been something else that cause all this?

TRANSABDOMINAL ULTRASOUND

Uterus is 9.3 cm in length x 4.3 cm transverse. The Edometrium measures appx. 1.2 cm in thickness. This should be more accurately evaluated and measured on the endovaginal images. No discrete myometrial abnormality was demonstrated on the transabdominal images.

The right ovary was normal in size. The is a cystic structure present measuring appx 2.2 cm

Left ovary not seen

ENDOVAGINAL ULTRASOUND

The endometrium measures appx. 1.1 cm in thickness. There is some heterogeneous internal echotexture. No asymmetric vascularity is seen. There is a mild heterogeneous echotexture to the myometrium and scattered vascularity., but no discrete mass is identified. The cervix has a few nabothain cysts.

The right ovary is 2.5 x2.7x2.5 cm. There is a 1.5 x1.8 x1.8 cm cyst. it has slightly thicken walls and some rim vascularity. No definite internal vascularity is seen.

Left ovary is not seen.

There is a tiny amount of free fluid within the pelvis.

IMPRESSION
1. The endometrium is 1.1 cm in thickness. It has heterogeneous internal echotexture with no discrete mass identified.
2. The myometrium is also heterogeneous in appearance without a discrete fibroid identified.
3. A 1.8 cm right ovarian cyst is slightly complex with thick walls and mild rim enhancement. No internal septations or asymmetric nodularity is seen.
4. The left ovary was not seen by either transabdominal or endovaginal imaging.