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Heavy Bleeding. Trans-vaginal Ultrasound Found Enlarged Non-gravid Retroverted Uterus. Surgery Needed?

Posted on Sat, 6 Apr 2013

Question: I am 46 years old and just have tvs and pelvic ultrasound because of my heavy menstrual flow. The results are enlarged non-gravid retroverted uterus that measures 7.71 x 6.92 x 7.59 with thick endometrium of 1.10cm and posterior intramural fibroid measures 5.23 cm. I was on my 5th day of period when i had the test..... is it advisable to undergo a surgery? My ovaries are normal .... though 2 years ago I had a nephrectomy (left kidney ) due to renal cell carcinoma with no methastisis stage 2 what will be the implication on me?

Answered by Dr. Nilofer AR (38 minutes later)

Hello,
Thanks for the query.

Let me answer your question one by one.

1. is it advisable to undergo a surgery? No. Since you are in perimenopausal age group, surgery is not advised because fibroids are known to regress after menopause. Till then you can use Mirena IUCD for heavy bleeding.

2. renal cell carcinoma with no metastasis stage 2 what will be the implication on me? Since renal cell carcinoma was treated in an early stage before metastasis, there is nothing to be concerned.

Hope i have answered both your queries. Feel free to ask for further clarifications. I will be happy to help.

regards,
Dr Nilofer

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar