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Cervical region shows nabothian cysts in ultrasound of uterus

hello, i am 41 years of age. My menstrual period is going on .I have an ultrasound of my uterus today. The uterus size is 8.1x4.7x4.4 and averted in position. Myometrial echo texture appears normal. Endometrial echo complex measuring 9.6 mm in thickness. Cervical region shows Nabothian cysts . Right ovary: measures 2.9x 2.1cm. Left ovary: measures 4.lx 2.1cm. Both ovaries are appears normal sonologically. Pouch of Douglas is clear. i also had an ultrasound 10 months before the report is as below • ULTRASOUND OF LOWER ABDOMEN (Both by transabdominal and transvaginal methods) Ljterusis bulky anteverted and measures 10.0 x 5.3 mm, Myometrial echotexture appears normal except a Myometrial cyst Endometrial echo complex measuring 20 mm in thickness. Cervical region shows Nabothian cyst seen Rt ovary: 3.7x2.7mrn. Lt ovary: 37x21rnrn. Both ovaries are normal sonologically.
Asked On : Mon, 9 Apr 2012
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General & Family Physician 's  Response
Dear Vinita,
Both USG of your uterus shows that endometrium has some complex Echo texture,increased endometrial thickness, continuous bleeding and your age ( perimenopausal) suggest that you must go for Dilatation and curettage for your endometrium followed by hist-pathological examination of the sample. it is important to rule out any endometrial abnormalities. Histopathology will rule out any pre-cancerous or cancerous changes in endometrium. It could be just hormonal disturbances which are common during this age, but better to rule out other endometrial abnormality. D& C will not only help in diagnosis, but it will stop your bleeding also.
Myometrial cyst could just be a co-incidental findings, but again it is better to rule out the above said abnormalities.Though in second USG, there is no myometrial cyst.
Nabothian cysts are not responsible for bleeding, but shows chronic infection of endocervical glands. It may or may not require any treatment depending on related symptoms like excessive vaginal discharge.
better to be safe, prevent, and diagnose early .
Difference in size of uterus in both usg, could be due to subjective errors.
Answered: Mon, 9 Apr 2012
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