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What Does My Ultrasound Scan Report Indicate?
Question: I have bleeding for last 15 days. Age 46 years. On advice unltrasound is taken. the report says
1. Bulby utereus with heteroginious eco texture
2.Blood clots seen in endometrium
3. Bulby cervex with multiple tiny nabothian cysts seen
pl advice
1. Bulby utereus with heteroginious eco texture
2.Blood clots seen in endometrium
3. Bulby cervex with multiple tiny nabothian cysts seen
pl advice
Brief Answer:
overall a normal USG ...explained
Detailed Answer:
Hello,
Thanks for the query to HCM,
The scan is more or less normal with enlarged uterus possibly due to adenomyosis , but with heterogenous echotexture which is common during bleeding.
Blood clots are seen indicating a shedding endometrium .
Cervix shows presence of benign nabothian cysts which are not malignant cysts but are mucous filled cysts , caused when stratified squamous epithelium of the ectocervix (toward the vagina) grows over the simple columnar epithelium of the endocervix (toward the uterus). This tissue growth can block the cervical crypts (subdermal pockets usually 2–10 mm in diameter), trapping cervical mucus inside the crypts.
It is suggested that you can start on antifibrinolytics like...
TAB TRANEXAMIC ACID 500mg thrice a day for 5 days. This shall reduce the bleeding and even stop it in few days . If the bleeding still continues then a dilatation and curettage may have to be done and the tissue would have to be sent for HPE examination in lab to look for hyperplasia and atypia of endometrium or for proliferative endometrium which can indicate luteal phase defect.
Regards
overall a normal USG ...explained
Detailed Answer:
Hello,
Thanks for the query to HCM,
The scan is more or less normal with enlarged uterus possibly due to adenomyosis , but with heterogenous echotexture which is common during bleeding.
Blood clots are seen indicating a shedding endometrium .
Cervix shows presence of benign nabothian cysts which are not malignant cysts but are mucous filled cysts , caused when stratified squamous epithelium of the ectocervix (toward the vagina) grows over the simple columnar epithelium of the endocervix (toward the uterus). This tissue growth can block the cervical crypts (subdermal pockets usually 2–10 mm in diameter), trapping cervical mucus inside the crypts.
It is suggested that you can start on antifibrinolytics like...
TAB TRANEXAMIC ACID 500mg thrice a day for 5 days. This shall reduce the bleeding and even stop it in few days . If the bleeding still continues then a dilatation and curettage may have to be done and the tissue would have to be sent for HPE examination in lab to look for hyperplasia and atypia of endometrium or for proliferative endometrium which can indicate luteal phase defect.
Regards
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. Chakravarthy Mazumdar
Answered by
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