Aa
Follow-up advice needed
Since my previous posted I had my appt. with my OB/GYN for my annual and I took the CT films. He wanted me to have an ultrasound. Also did a quick scrapping of my uterus since I was getting my PAP done, basically to put my mind at ease because my grandmother died at 39 yrs. from gyn. cancer. Got the call - everything was normal.
I went for the ultrasound & transvaginal ultrasound. Report reads: " 1 cm mass seen along the posterior fundus. An additional mass is seen along the posterior aspect measuring 1.8 x 1.7 cm. There is a mass seen within the superior endometrium measuring 2 x 1.5 x 2.2 cm that also demonstrates arterial flow on color examination. The endometrial strip is also thickened at 2.1 cm. Left ovary contains a 1.6 x 1.6 cm cyst. There is no free fluid in the cul-de-sac."
I am 37 yrs. old. My period began on Sept. 1st and the ultrasound was done on Sept. 13th. I have been experiencing extremely heavy periods which cause me not to leave the house because I go through a super plus tampon every 1-2 hrs. I also pass enormous clots and am in sometimes severe pain. The flow has been erratic at times starts very heavy, period stops, then wham back to heavy duty gushing again. Sometimes it will lighten up changing color to a brownish then start back to bright red and almost seems watery. I have been experiencing mild low back pain since August - not sure if it is kidney related. Most of the time sex is a bit painful.
Not sure what to make out of all this. I am a bit scared because of the note on the endometrial thickness. Could that scrapping done have been wrong or not enough for a biopsy? What do I make sure my dr. does next? I want to be very informed when I talk to him. Or am I being crazy and this is all nothing to worry about and I should just sit back and relax?
Please, any advice I can get will be greatly appreciated!
I went for the ultrasound & transvaginal ultrasound. Report reads: " 1 cm mass seen along the posterior fundus. An additional mass is seen along the posterior aspect measuring 1.8 x 1.7 cm. There is a mass seen within the superior endometrium measuring 2 x 1.5 x 2.2 cm that also demonstrates arterial flow on color examination. The endometrial strip is also thickened at 2.1 cm. Left ovary contains a 1.6 x 1.6 cm cyst. There is no free fluid in the cul-de-sac."
I am 37 yrs. old. My period began on Sept. 1st and the ultrasound was done on Sept. 13th. I have been experiencing extremely heavy periods which cause me not to leave the house because I go through a super plus tampon every 1-2 hrs. I also pass enormous clots and am in sometimes severe pain. The flow has been erratic at times starts very heavy, period stops, then wham back to heavy duty gushing again. Sometimes it will lighten up changing color to a brownish then start back to bright red and almost seems watery. I have been experiencing mild low back pain since August - not sure if it is kidney related. Most of the time sex is a bit painful.
Not sure what to make out of all this. I am a bit scared because of the note on the endometrial thickness. Could that scrapping done have been wrong or not enough for a biopsy? What do I make sure my dr. does next? I want to be very informed when I talk to him. Or am I being crazy and this is all nothing to worry about and I should just sit back and relax?
Please, any advice I can get will be greatly appreciated!
Heard from doctor today. He suggested doing a hysteroscopy and endometrial ablation.
He said the two on the outside are most definite fibroids and aren't much concern. The one inside is of concern. The ultrasound can not definitely say that it is a fibroid or a polyp - only way to tell for certain would be to do a hysteroscopy and if possible it can be removed depending on how much apart of the uterus it is. At the very least a sample will be taken to determine for certain what it is. He doesn't feel that it is anything serious because the small sample of lining he took (blindly) in the office didn't show anything suspicious. He said the endometrial ablation will help with the heavy horrible periods and if the masses can't be taken out during the hysterscope this will vaporize it. Only downfall is this doesn't promise any return fibroids/polyps/masses. The only thing to ensure that would be a hysterectomy and wouldn't suggest that route just yet. He said the endometrial thickening is from what is inside there even if it is just a fibroid that can cause it. The ovarian cyst isn't of concern because it could just be an egg - if it doesn't go away and gets bigger than it is of concern.
I asked if this would be the cause of the mild low back pain I have everyday mainly when sitting or on my feet for long periods of time - he doesn't feel this would be the cause because the fibroids aren't grossly huge. I also mentioned the low abdominal pain (strange feeling this one sort of crampy and tingly) again worse when sitting - he couldn't say if there was any relation or not. Again, I felt crazy for asking, like this is all in my head.
Does anyone else have any experience with these procedures or symptoms?
He said the two on the outside are most definite fibroids and aren't much concern. The one inside is of concern. The ultrasound can not definitely say that it is a fibroid or a polyp - only way to tell for certain would be to do a hysteroscopy and if possible it can be removed depending on how much apart of the uterus it is. At the very least a sample will be taken to determine for certain what it is. He doesn't feel that it is anything serious because the small sample of lining he took (blindly) in the office didn't show anything suspicious. He said the endometrial ablation will help with the heavy horrible periods and if the masses can't be taken out during the hysterscope this will vaporize it. Only downfall is this doesn't promise any return fibroids/polyps/masses. The only thing to ensure that would be a hysterectomy and wouldn't suggest that route just yet. He said the endometrial thickening is from what is inside there even if it is just a fibroid that can cause it. The ovarian cyst isn't of concern because it could just be an egg - if it doesn't go away and gets bigger than it is of concern.
I asked if this would be the cause of the mild low back pain I have everyday mainly when sitting or on my feet for long periods of time - he doesn't feel this would be the cause because the fibroids aren't grossly huge. I also mentioned the low abdominal pain (strange feeling this one sort of crampy and tingly) again worse when sitting - he couldn't say if there was any relation or not. Again, I felt crazy for asking, like this is all in my head.
Does anyone else have any experience with these procedures or symptoms?
Thank you! If he doesn't suggest further testing then I will. I will post again when I found more out.
MEDICAL PROFESSIONAL
hi There,
You are not crazy! My guess is that this sounds like fibroids which are benign muscle tumors that can distort the shape of the uterus and cause heavy periods. However, i would suggest that you ask your doc about doing a D&C (dilation and curettage) and hysteroscopy in the operating room. It is possible to miss lesions int he office.
let me know what happens
take care
You are not crazy! My guess is that this sounds like fibroids which are benign muscle tumors that can distort the shape of the uterus and cause heavy periods. However, i would suggest that you ask your doc about doing a D&C (dilation and curettage) and hysteroscopy in the operating room. It is possible to miss lesions int he office.
let me know what happens
take care
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