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Questions about my Ultrasound Results

I was wondering if anyone could give me some input to my recent ultrasound results.  I am 43 and have been having pre-menopausal symptoms for over a year now.  My periods have been worse the older I have gotten and recently i have been experiencing abdominal pain.  During my recent yearly physical I explained to my doctor what has been going on and she sent me for some ultrasounds. My test results from my ultrasound are kind of confusing to me since I do not understand alot of medical terminology.  Here are what the results were:
Pelvic Ultrasound:
High-resolution real-time examination of the pelvis was performed transabdominally and transvaginally.  The uterus is within nomral limits for size measuring 9.8 x 4.7 x 6.4 cm.  The endometrium is homogeneous, but enlarged measuring 1.3 cm.  There is a hypoechoic small uterine fibroid at the posterior fundal aspect of the uterus measuring 7 x 9 x 6 mm.
The right ovary is normal in apperance measuring 2.8 x 2.2 x 2.8 cm.  Of note, the right ovary is immobile by manipulation with the probe.  There is a small amount of free fluid around the right ovary, which demonstrates normal Doppler arterial and venous flow.
The left ovary is normal in apperance measuring 1.6 x 1.4 x 1/4 cm.  Small amount of left periovarian free fluid is also seen. Normal arterial and venous flow is seen within the left ovary.
Impression:
The endometrium is enlarged, but may be related to the phase of the patient's menstrual cycle.  Endometrial hyperplasia, polyp for carcinoma may have this apperance and clinical correlation is recommended.  Ultrasound follow-up in approximately 6 weeks may be performed, if clinically indicated. Small uterine fibroid.

To note I have had 2 healthy prenancies: One c-section done in October of 1986 and Natural birth done in March 1988.  I had to have LEEP surgery back in 2003 due to Pre-Cancer of the Cervix and been having good paps ever since.  I have never really had any problems until recently.  My family history is horrible: (My grandmother-Cancer of the Uterus, My mother-Fibroid Cysts, one Aunt Colon Cancer and another Fibroid cyst as well) all of them had to have a hysterectomy.  My mother was close to my age and so was my grandmother when this happenedI have never had any problems until now.  Any input you could provide would be most appreciated!  

Thanks and God Bless,
Evonne
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Avatar universal
Thanks for the feed back.  I go to see a OB/GYN on March 23 and hopefully will know more shortly after that.  I have a strong faith in the Lord and know that everything will work out for the good, it always does! I have prayed for me to be cautious but not anxious.. I pray alot and have a strong faith but have a tendency to still worry about things from time to time but God continues to help me with that! :)
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Avatar universal
Ovaries are normal.  Might have had a small cyst rupture at some point, but it's not there anymore (free fluid).

They are wanting further investigation of the uterus and it is probably because of your family history.  They want to rule out cancer.  Sounds like more of a precaution than a true belief there's anything serious.

Having good paps is great but that only means your cervix is good now.  It will tell you nothing about the condition of the uterus or the ovaries.

I hope this helps.  Do let us know what the doctor thinks.  As patients, we are not that great at reading these reports ourselves.
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