Brief Answer:
Need additional info. Upload scan and other reports.

Detailed Answer:
Hello Dear,

Thanks for writing to us. Let me know few things:

1) Do you have any H/O heavy period bleeding or abnormal discharge?

2) What was your last period date and when did you undergo the scan?

3) Are you trying for pregnancy or family completed? Current weight?

4) Do you experience painful intercourse every time or just sometimes?

5) Any family H/O genital malignancy? Do you have any systemic disease? Hypertension or diabetes.

Kindly, upload or attach your Trans vaginal Ultrasound scan and other test reports to interpret properly and give adequate suggestion.

I will be looking forward for your earliest response, detailed history and test reports.

Regards,

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Brief Answer:
Need further evaluation to oncologist.

Detailed Answer:
Hello dear,

Thanks for updated information. Followings are my comments:

1) Ultrasound report shows that uterus is slightly enlarged and endometrium thickness is within normal range as per cycle date.

2) Painful intercourse and pelvic pain are related with endometriosis. It should be treated to some extent through medical therapy (progesterone and NSAID) or surgical procedure (Laparoscopy). Use water based lubrication like KY jelly during intimation and give more time on foreplay or love making.

3) Nabothian cyst should be removed as it makes repeated inflammation of cervix or chronic cervicitis. Mild cervical dysplasia or LSIL is already diagnosed and therefore, you need further follow-up examination after 3 to 6 months through repeated Colposcopy and Biopsy. Cryosurgery, LEEP or laser ablation may be needed as surgical treatment in this case.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

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Brief Answer:
Weight should be controlled. Remove cysts.

Detailed Answer:
Hello Dear,

Thanks for follow up query.

1) Body weight should be reduced or controlled to improve fertility. Your weight is more than normal range. Hypertension and blood sugar should be checked.

2) Nabothian cyst should be removed as it may interfere with fertilization by chronic inflammation. I suggest you to consult with Gynecologic Oncologist for proper management.

Hope, it helps for your information. Good luck and take care.

Regards,

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