these are the results from my ultrasound exam of the pelvis. i am 51 years old.
findings: transabdominal and endovaginal scans were performed. urinary bladder is suboptimally assessed due to imcomplete distention.
anteverted uterus measures 7.8 X 5.1 X 5.7 cm (length X thickness X width). the endometrial stripe measures 14mm which is prominent and heterogeneous. no obvious discrete masses, feeding vessels or polyps are seen. no discrete myoma is identified.
there is no significant free pelvic fluid.
the right ovary measures 2 X 1.4 X 1.4 cm. the left ovary measures 2.4 x 1.3 x 1.4. there is a bilobed cyst on the right measuring 12 X 8 X 10 mm, smaller than previous measurement. no suspicious adnexal masses are identified.
impression: the endometrium remains abnormal in appearance, however it appears less prominent than prior exam (which was 8.5 months ago...writer's explanation). continued follow up should be obtained. biopsy correlation/hysterosonography may also be considered.
small bilobed right ovarian cyst. no suspicious adnexal masses.
should i do the hysterosonography or a D & C or nothing? An endometrial biopsy was done 8.5 months ago when i had the long and at times heavy bleeding.
Usually if the endometrial stripe is thickened and if there is any abnormal/atypical uterine bleeding, an endometrial biopsy is done to ensure that the cause is not due to endometrial malignancy. Recommend that you consult your OB/GYN to see what he/she thinks is best given your other additional clinical information and medical history. Kind regards.
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