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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bulky Uterus And Ovaries, Signs Of Echo Texture, Consistent With Adenomyosis And Small Smear Fluid Pouch. Suggestion?

Hi my name is Marion, My guestion ( report came back saying, uterus slightly bulky showing signs of course echotexture, consistent with adenomyosis . The endometial lining is measuring 8 mm. Both ovaries are also slightly bulky, but no evidence of any solid or cystic masws could be seen. there is a small smear of fluid in the pouch of douglus.
Mon, 22 Jul 2013
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General & Family Physician,  's  Response
Hello Marion.

Based on your report, the suspected diagnosis is adenomyosis. This is a condition in which the normal cells that line the inner portion of the uterus, which are responsible for implantation of a fetus, and also is the layer that is shed every month during your period; is present in the muscle layers of the uterus.

This can cause symptoms like pain abdomen, bleeding per vagina; etc. It can result in complications like adhesions, infertility, etc.

In my opinion, the next best diagnostic and treatment approach should be exploratory laproscopy. Please discuss the same with your doctor.

Hope this helps.

Take care.
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Bulky Uterus And Ovaries, Signs Of Echo Texture, Consistent With Adenomyosis And Small Smear Fluid Pouch. Suggestion?

Hello Marion. Based on your report, the suspected diagnosis is adenomyosis. This is a condition in which the normal cells that line the inner portion of the uterus, which are responsible for implantation of a fetus, and also is the layer that is shed every month during your period; is present in the muscle layers of the uterus. This can cause symptoms like pain abdomen, bleeding per vagina; etc. It can result in complications like adhesions, infertility, etc. In my opinion, the next best diagnostic and treatment approach should be exploratory laproscopy. Please discuss the same with your doctor. Hope this helps. Take care.