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What Do My Ultrasound Test Results Indicate?
Question: I am a 46 year old woman who has been having an irregular menstrual cycle for about 9 months. My periods may come regularly for 3 months, then miss a month, then come back. I had brownish/pink discharge between my periods in February and March 2016, this went on for several days and does not appear to be related to the timing of ovulation in my cycle.
I had a pelvic ultrasound in February 2016, which said 'Trans-abdominal and trans-vaginal examinations were performed. Uterus and Myometrium: The uterus is anteverted and appears normal in size, shape and echogenicity. Endometrium: Normal. Ovaries: Normal. Adnexa: There is no adnexal mass or significant free peritoneal fluid. Cervical canal length: 26mm. Endometrial thickness: 3mm (10/27). Uterine volume: 80cc. Right ovarian volume: 6cc. Uterine canal length: 32mm. Left ovarian volume: 2cc. Conclusion: The uterus and adnexa appear within normal limits''.
The discharge was sometimes heavier and sometimes light. I then had normal periods with no spotting in March, April and May 2016, then missed my period in XXXXXXX 2016, and now have had spotting from July 9-12, with no period since May.
I have had 2 more incidences of discharge/spotting since this examination and am very worried. Is this just peri-menopause or should I have further tests?
MY apologies, I forgot to add that I also had a pap smear test in February 2016 that was all clear. I have regular pap smears every 2 years and have never had a problem detected. I hope I was clear enough in my question, as I am worried and maybe not so coherent.
My main issue is that I received an all-clear from an ultrasound and pap smear in February 2016 when the problem started, yet I am still having issues with spotting/discharge unrelated to ovulation or my cycle. Should I just relax as the tests were clear and this is probably peri-menopause? Or should I have further tests? Thank you so much.
I had a pelvic ultrasound in February 2016, which said 'Trans-abdominal and trans-vaginal examinations were performed. Uterus and Myometrium: The uterus is anteverted and appears normal in size, shape and echogenicity. Endometrium: Normal. Ovaries: Normal. Adnexa: There is no adnexal mass or significant free peritoneal fluid. Cervical canal length: 26mm. Endometrial thickness: 3mm (10/27). Uterine volume: 80cc. Right ovarian volume: 6cc. Uterine canal length: 32mm. Left ovarian volume: 2cc. Conclusion: The uterus and adnexa appear within normal limits''.
The discharge was sometimes heavier and sometimes light. I then had normal periods with no spotting in March, April and May 2016, then missed my period in XXXXXXX 2016, and now have had spotting from July 9-12, with no period since May.
I have had 2 more incidences of discharge/spotting since this examination and am very worried. Is this just peri-menopause or should I have further tests?
MY apologies, I forgot to add that I also had a pap smear test in February 2016 that was all clear. I have regular pap smears every 2 years and have never had a problem detected. I hope I was clear enough in my question, as I am worried and maybe not so coherent.
My main issue is that I received an all-clear from an ultrasound and pap smear in February 2016 when the problem started, yet I am still having issues with spotting/discharge unrelated to ovulation or my cycle. Should I just relax as the tests were clear and this is probably peri-menopause? Or should I have further tests? Thank you so much.
Brief Answer:
The spotting seems to be due to hormonal imbalance of perimenopause.
Detailed Answer:
Hi
Welcome to Healthcare magic.
I am Dr Ramadevi Wani. I appreciate your concerns.
I have read your notes carefully. Your concerns are clearly written.
It is good to know that your pap test and ultrasound are normal. This rules out so many conditions that can cause spotting like cevical erosion, polyp etc. During perimenopause estrogen and progesteron are not secreted in regular pattern. This is the most likely cause for the spotting you are having.
Discuss with your doctor and take Progyluton for three months to try and set the hormonal clock back to normal. The estrogen in this tablet helps to compensate for the low estrogen levels in the body.
Is there any family history of breast /ovarian/endometrial cancer? If yes, I suggest you to have a office endometrial biopsy to rule out any serious cause for this spotting (although from the ultrasound I am sure that the endometrial biopsy will be normal).
I hope I have answered to your satisfaction.
If you have further concerns, I will be happy to answer.
Best wishes,
Dr Ramadevi Wani.
The spotting seems to be due to hormonal imbalance of perimenopause.
Detailed Answer:
Hi
Welcome to Healthcare magic.
I am Dr Ramadevi Wani. I appreciate your concerns.
I have read your notes carefully. Your concerns are clearly written.
It is good to know that your pap test and ultrasound are normal. This rules out so many conditions that can cause spotting like cevical erosion, polyp etc. During perimenopause estrogen and progesteron are not secreted in regular pattern. This is the most likely cause for the spotting you are having.
Discuss with your doctor and take Progyluton for three months to try and set the hormonal clock back to normal. The estrogen in this tablet helps to compensate for the low estrogen levels in the body.
Is there any family history of breast /ovarian/endometrial cancer? If yes, I suggest you to have a office endometrial biopsy to rule out any serious cause for this spotting (although from the ultrasound I am sure that the endometrial biopsy will be normal).
I hope I have answered to your satisfaction.
If you have further concerns, I will be happy to answer.
Best wishes,
Dr Ramadevi Wani.
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. Priyanka G Raj
Answered by
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