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What Does My Ultrasound Report Suggest?

Posted on Tue, 1 Apr 2014

Question: Please see my Ultrasound report below. I'd like to know whether this fibroid prevents me from pregnancy. Is there any option beside surgery to get rid of it without damaging uterus? CLINICAL INDICATIONS: pelvic mass SE (LOCATION) CLINICAL COMMENTS: Pregnancy Information:N TRANSABDOMINAL PELVIC ULTRASOUND; TRANSVAGINAL ULTRASOUND: Transabdominal and transvaginal evaluation of the pelvis was done. The uterus is 10.0 cm in length and 1.8 x 7.4 cm in transverse dimension. The endometrium is 4 mm in thickness. There is a 6.7 cm mural and subserosal mass in the posterior fundus. There is no evidence of intrauterine pregnancy.No significant abnormality of the bladder is demonstrated. There is suboptimal visualization of the ovaries. The right ovary is 2.5 x 1.8 x 1.5 cm in size. The left ovary is 2.3 x 1.7 x 1.4 cm in size. There is no evidence of cysts, adnexal masses, or free fluid in the pelvis. IMPRESSION: Fibroid uterus

Answered by Dr. Cori Baill (10 hours later)

Brief Answer: Most women have fibroids. Detailed Answer: Hi Thanks for your query This is a single fibroid of him unimpressive size. It does not extend to the lining of the uterus. That is what subserosal and intramural meetings. It is not responsible for irregular cycles or ovarian cysts. Most of that has to do with the transition to menopause. Most women have fibroids if looked for. It can be as high as 80% in autopsy series. There is no reason this requires surgery or any intervention. You can go to your grave with this fibroid even if that is hopefully 60 + years from now. I apologize for having taken so long to answer. I hope you have not been unnecessarily worried.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Cori Baill (37 hours later)

When would it be necessary to remove the fibroids? Under what circumstance is the surgery required? Why would some doctor advise to remove the fibroids? Thanks,

Answered by Dr. Cori Baill (11 hours later)

Brief Answer: Fibroids usually cause no problems. Detailed Answer: Occasionally fibroids which grow under the influence of estrogen, become so large as to cause back pain, pelvic fullness, abdominal discomfort. Or they can stretch the lining of the womb, casing excessive bleeding with menses. After menopause fibroids shrink. Even if fibroids cause symptoms-the only other indication for surgery is rapid growth, there are alternatives to surgery. There is a radiology procedure to track and block the fibroid's blood supply, uterine artery embolization, or a progesterone intrauterine device can also cause shrinkage. For women close to menopause lupron is a medication to induce it early so the fibroid w/o estrogen will regresss. I don't know why your doctor advises surgery for a small single fibroid. Be well. Thank you for your confidence.

Above answer was peer-reviewed by : Dr. Vaishalee Punj