Ultrasound, Transvaginal

My pelvis was examined both transabdominally and transvaginally.
My uterus is anteverted in position in position, bulbous i contour and heterogenous in echogenicity measuring 8.3 x 3.7 x 5.1 cm. The endometrial echo measure 1.0 cm. in A - P diameter.
The right adnexa measures 3.0 x 2.0 x 2.1 cm. and the left adnexa measures 3.2 x 2.0 x 2.1 cm. There are multiple simple ovarian follicles. There is no adnexal mass or significant free fluid in the pelvis. The urinary bladder is unremarkable.
Conclusion:
Bulbous and heterogenous uterus without discrete leiomyoma
normal endometrial echo thickness
no adnexal mass.

What does heterogenous uterus without discrete leiomyoma means? Is there any reason I should be concerned with these results. I had a transvaginal sono done 3 months ago and they told me to come back within 2-3 months to do another sono which is the results I staged above.

[Annekathryn Goodman, M.D.]

hi there
that sounds pretty normal.
I see that you are 39 years old.
for women who have had children, it is very common to see the uterus looking a bit bulky. (Think about it, that uterus has been through alot expanding and contracting with a baby inside.)  Even for women who have not had children, the muscle wall of the uterus can thicken over time.

The only question, I would suggest you ask your doctor about is whether you need an endometrial biopsy. The endometrial thickness is 1 cm which may be normal but if you just had your period, it is a bit thick and should be evaluated.
take care