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Pelvis and transvaginal ultrasound

I am 51, in perimenopause, having periods twice montly over a year and half.  Gynocologist  PA did nothing, Internist sent me for a pelvic ultrasound.  Am being asked to go back to gynocologist.  Can only find bits and pieces of info on ultrasound findings.  What do they mean? : 1) endometrial thickness 8MM double air, 2) A 1.4 CM simple cyst or dominant follicle in left ovary, 3) mild culd-de-sac free fluid, 4) mild endocervical fluid, 5) bilateral paruterine varices, 6) nonvisualized right ovary.  Any help you can provide before I see my doctor is appreciated.  Thanks.
4 Responses
Avatar universal
Hi.  I'm going to try explaining the ultrasound findings per item as follows:

1. "endometrial thickness 8mm..."  Endometrial thickness refers to the thickness of the mucosal lining of the uterus.  The normal thickness varies depending on what phase of the mentrual cycle the woman is in.  The lining is virtually absent during menstruation (day 1-4), and thickens to an average of 14-16 mm during the secretory phase (day 15-28) of the cycle.  A thickness of 8mm is probably normal.

2. "a 1.4 cm simple cyst or dominant follicle in the left ovary". A cyst is a fluid filled mass or  lump.  An ovarian follicle is a spherical structure inside the ovary which contains the egg.  This follicle ripens over time, and eventually results in the release of the egg into the fallopian tube during ovulation.  The 1.4 cm cyst seen on ultrasound could be a ripe follicle (or "dominant follicle") ready to release an egg.

3. "mild cul-de-sac fluid" and "mild endocervical fluid".  These are non-specific findings, and may be considered as normal. The cul-de-sac (literally, "a pouch sealed at one end") is the topmost part of the vaginal canal which contain ligaments which support the uterus and cervix. Since this area forms a blind sac, fluid  discharged from the cervix tends to pool in this area.  The endocervix is the mucosal lining of the cervical canal.

4. "bilateral paruterine varices". Again, this is a non-specific finding. The uterus is a very vascular organ, and veins can be found running along the its sides.  When these veins become enlarged or dilated, these are called "varices".  

5. "non-visualized right ovary".  This means that your right ovary was not seen on ultrasound. It may be that the technician doing the ultrasound did not find the right ovary on its expected location.  If your right ovary has been surgically removed previously, it will also not be visualized.

Hope the explanations help.
Avatar universal
Your explanation is very helpful!  I really appreciate the time you took, your detail sounds like what I was expecting.  It was really confusing to me on why my Internist thinks I need to go back to my GYN, unless for an explanation.  I now feel like I can go in more educated!  Thanks again!
Avatar universal
i am 29 and have had my tubes tied for 6 yrs. My periods aren't normal as they go for about 1 week full on then stop but when I have relations with my partner they start again and go for another 2 weeks. I went for an ultrasound and the findings were my uterus is anteverted and has a bicornuate configuration. The endometrium is 6 mm. I also have a 1.4 cm dominate follicle in the left ovary. All this is confusing to me so any explaination would help. Also would any of these findings allow me to have a full hysterectomy?
Avatar universal
would fluid in the endometrial and endocervical canal cause the sensation of a constant uti, which turns into alot of pain after weeks, and months of feeling this?  also noted is a prominent uterus with possible uterine fibroids and prominent cervix.
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