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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delayed Periods. Transvaginal Ultrasound Showing Intramural Lesion And Thickened Endometrium. Free Fluid In POD. Pregnant?

hi I am 23 years old aand my period is late for 10 days. I have done transvaginal ultrasound and the result are as follows uterus 53x33 mm no intraluminal and intramural lesion . Endometrial thickness 9mm. Cervical canal 27mm. Right ovary 35x15mm contains no dominant follicle . Left ovary 30x21 mm contains small multiple follicles one measuring 6x6mm. There is free fluid in POD. Inference PID. THE DOC SAID I AM NOT PREGNANT BUT I DID PREGNANCY TEST AFTER 9 DAYS OF DELAY OF PERIOD AND IT SHOWED ONE DARK PINK LINE AND ONE VERY LIGHT PINK LINE. FIVE TIMES I DID. I DO NOT WANT TO GET PREGNANT PLEASE HELP
Fri, 31 Aug 2012
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OBGYN,  's  Response
Hi,
PID has to be diagnosed based on the clinical symptoms in correlation with ultrasound findings. Your uterine findings on ultrasound are mostly normal. The free fluid in Pouch of Douglas could be due to various reasons like rupture of a follicle, pelvic inflammation, rupture of a hemorrhagic cyst and so on. Your pregnancy test is not strongly positive, so you may need to get your serum beta-hCG levels assessed. I advice you to consult your gynecologist for further management. Good luck.
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OBGYN, Maternal and Fetal Medicine,  Dr. Srividhya's  Response
Hi, it appears that you pregnancy test result is weakly positive. Pregnancy can not be ruled out by ultrasound alone in early weeks as nothing can be seen.I would suggest you to get B-HCG test done at the earliest( blood test), which would help to say whether you are pregnant or not.
You can consult your gynecologist with the report of B-HCG test and if you do not wish to continue , then you can go for medical termination( tablets) which is safe and easy.
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General & Family Physician,  Dr. Harish Naik's  Response
Hello,

Welcome to HCM,

Ultrasound is more specific and sensitive in detecting pregnancy, if it doesn't show any sac then you are unlikely to be pregnant.

If you are in doubt get repeat ultrasonography done.

Regards
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Delayed Periods. Transvaginal Ultrasound Showing Intramural Lesion And Thickened Endometrium. Free Fluid In POD. Pregnant?

Hi, PID has to be diagnosed based on the clinical symptoms in correlation with ultrasound findings. Your uterine findings on ultrasound are mostly normal. The free fluid in Pouch of Douglas could be due to various reasons like rupture of a follicle, pelvic inflammation, rupture of a hemorrhagic cyst and so on. Your pregnancy test is not strongly positive, so you may need to get your serum beta-hCG levels assessed. I advice you to consult your gynecologist for further management. Good luck.