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What Causes Fluid In The Uterine Cavity?

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Posted on Sat, 2 Aug 2014
Question: 65 yoa, ultrasound came back with tiny amount of fluid in the endometrium, but stripe measures 1.5 mm..no masses, ovaries ok...but free fluid in the cul de sac. I have ocassional lymphodema from surgery to remove urotheial carcinoma and left kidney in 2009...everything else is normal...does this sound like cancer reoccurrence
doctor
Answered by Dr. Aarti Abraham (10 minutes later)
Brief Answer:
REPORT SOUNDS NORMAL

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Can you please upload the ultrasound scan report ?
As such, a tiny amount of fluid in the endometrium is nothing to worry about, as long as the stripe is less than 4 mm in a post menopausal woman.
Free fluid in the cul de sac is also normal, as long as the amount is minimal and it is not a huge amount.
In short, there is nothing in the report to suggest a cancer recurrence.
All the best
PLease feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (14 minutes later)
I can e mail the report..to?
doctor
Answered by Dr. Aarti Abraham (3 minutes later)
Brief Answer:
EMAIL PROVIDED.

Detailed Answer:
Yes, for sure, you can email it.
THe address is - YYYY@YYYY .
The team would forward it to me.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (32 minutes later)
Did you receive e mail?
doctor
Answered by Dr. Aarti Abraham (44 minutes later)
Brief Answer:
NORMAL SCAN, CAN GO FOR FURTHER IMAGING.

Detailed Answer:
Yes, I got the email just now.
THe scan is normal according to me.
There is a small amount of fluid inside the uterine cavity, to be on the safer side, you could have an endometrial biopsy which is a 2 minute office procedure.
ALso, the free fluid is minimal, therefore, not a cause for concern.
In addition to the scan, I would advice further intensive imaging with CT/ MRI , as the bladder has not been commented upon unequivocally.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (8 minutes later)
Bladder was fine in March. Had cystoscope every 3 months since 2009. Have not had contrast scan for a couple of years...did not want contrast harming remaining kidney. Urology is scheduled for cystoscope July 18...it's this ultrasound that was basically a mistake...thought he has scheduled renal...then get a phone call to see GYNO.asap...it threw me for a loop
doctor
Answered by Dr. Aarti Abraham (1 minute later)
Brief Answer:
CYSTOSCOPY IS FINE.

Detailed Answer:
I can understand.
The cystoscopy coming up should cover the bladder, if that is normal, the contrast study is really not needed.
See the gynecologist for a thorough internal exam and an endometrial biopsy as suggested.
You can relax for the rest.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (0 minute later)
Also called original doc and have follow up in 2 weeks back at Mayo...just wanted another opinion ....thanks so much
doctor
Answered by Dr. Aarti Abraham (7 minutes later)
Brief Answer:
TAKE CARE.

Detailed Answer:
By the original doc, do you mean the Urologist ?
Thank you for the appreciation.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (19 minutes later)
Mayo clinic in XXXXXXX ...seeing internal md....called when I got the you need specialist ASAP after having ultrasound where I live now...New Mexico....I was originally from northern MN...but after health scare thought I needed to be closer to daughter... It was a nightmare finding the original tumors on the ureters...they removed a small bladder tumor in northern Mn and I kept going back saying something is wrong...finally called mayo...by then it was too late to save the kidney...and it was low grade transisitonal cell...which I suppose could pop up again somewhere ....just trying to save the still good kidney...thanks again
doctor
Answered by Dr. Aarti Abraham (12 minutes later)
Brief Answer:
PRAYERS FOR YOU

Detailed Answer:
Wish you all the luck and good health always.
Take care.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Fluid In The Uterine Cavity?

Brief Answer: REPORT SOUNDS NORMAL Detailed Answer: Hello Thanks for writing to us with your health concern. Can you please upload the ultrasound scan report ? As such, a tiny amount of fluid in the endometrium is nothing to worry about, as long as the stripe is less than 4 mm in a post menopausal woman. Free fluid in the cul de sac is also normal, as long as the amount is minimal and it is not a huge amount. In short, there is nothing in the report to suggest a cancer recurrence. All the best PLease feel free to discuss further.