Brief Answer:
You should perform a pregnancy test if there is any chance of pregnancy

Detailed Answer:
Hello, and I hope i can help answer your query today.

The ultrasound test you had, to help diagnose your abnormal bleeding, measured the thickness of your uterine lining (which is the tissue that grows inside your uterus as part of your normal menstrual cycle). A 10mm measurement is within the normal range, however the radiologist noted that they saw a tiny (less than 3mm) rounded structure in the uterus. The rounded structure could be a collection of blood, but it also can be a very early pregnancy. An anteverted uterus just means your uterus is tilted forwards towards your navel, which is normal, and your ovaries are also normal.

So the most important thing to know for sure at this point is to see if you could be pregnant. If you have not yet performed a pregnancy test or your doctor hasn't performed one, i suggest you do so. If your pregnancy test is positive, then you may be having a very early miscarriage and you need to be followed by an OBGYN doctor for further treatment.

If you are not pregnant, you may just be having an irregular menstrual cycle, which is not unusual in your 40's.

I want to reassure you that they do not see anything abnormal on your ultrasound test, the only thing to determine is if the 2.4 mm sac in the uterus is truly a pregnancy, or just some blood inside the uterus. A pregnancy test should be able to determine your diagnosis, and then your doctor should be able to suggest treatment options if they are needed.

I hope i was able to adequately answer your question today and that my advice was helpful. If you need any further information or need more information, please do not hesitate to contact me.

Best wishes,

Dr. Brown

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Brief Answer:
So you have a very early pregnancy, which may or may not be viable

Detailed Answer:
Hello again,

So if you are pregnant and having some bleeding there are a few possibilities.

For one, 15 percent of normal women bleed in the early part of pregnancy as the pregnancy burrows into the uterine wall. So at this point the bleeding may not be a sign of any problems.

However, 1 in 5 pregnancies will miscarry if you are over 40 years of age.

At this point, you should make an appointment to see an OBGYN doctor, who will need to check the hormone levels of the pregnancy, and then repeat an ultrasound test to see if the gestational sac is continuing to grow. This is the only way to determine if the pregnancy is healthy. In the meantime, you should begin taking prenatal vitamins.

If you begin to experience heavy bleeding with severe clots and pain, then those are symptoms of miscarriage and you should see a physician promptly.

If receiving the news that you are pregnant is positive then i want to wish you the best of luck for the rest of the pregnancy.

Thank you for using healthcaremagic.com and my services.

Regards,

Dr. Brown

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