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Transvaginal ultrasound results!


I am 46 yrs old and have had 3 missed periods and 2 weeks ago, I started spotting for 12 days, followed by my period. I have had my hormones checked few months ago and my primary care indicated that I was peri menopausal.
I went to the GYN and had an ultrasound done by the technician and here are some of the findings:

Endo. Thickness: 4.92mm
1 cm echogenic MID UT polyp suspected.
RT OV follicle 1.8cm
Post RT subserosal fibroid 1.5cm

I have been so anxious and living in fear of having a serious uterine cancer. I struggle with health anxiety, I would be forever grateful if you can shed some light on the finding.

Is it necessary to have a biopsy at this point?

Thank you for reading my post.

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603463 tn?1220630455
If you were my patient, I would recommend either an endometrial biopsy done in the office with ultrasound guidance, OR a D&C with hysteroscopy.
The ultrasound indicates that there is a polyp within the uterine cavity.  Polyps are almost always benign, but need to be checked.  They can also cause bleeding and spotting.
Hope this helps!
Dr B
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