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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Abdominal Pain, Irregular Periods, Back Ache. Fibroids, PCOD Detected In Sonograph. Hormone Evaluation Required?

hi, I am 36 year old, mother of two children aged 12 and 8. I approached a gynaec due to severe abdominal pain and irregular priods(35 to 50 days). the bleeding post periods is severe for two days and painful with severe lower back ache. The sonograph result suggests (a) The uterus is retroverted, measuring 6.2x6.1x5.3 cms and is heterogeneous in echotexture due to seedling intramural fibroids . the endometrial canal is well delineated and ET=.8 cm. there is no evidence of any focal lesion (b) both overies are well visualised and are bulky with multiple small peripherally aligned follicles suggestive of PCOD. suggest a hormone evaluation.
Wed, 7 Nov 2012
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Infertility Specialist,  's  Response
Hi,
Your symptoms are less likely to be due to seedling fibroids. Regarding PCOD, it is likely to the cause for irregular & heavy periods which can be treated with medicines. Pain might be due to endometriosis which is difficult to diagnose on ultrasound. If you are getting good symptomatic relief with medicines (tablets prescribed by your doctor) nothing needs to be done. If symptoms are severe & not responding to medicines, its better to go for laparoscopy for diagnosis as well as treatment of the cause.
Wish you good health.
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Severe Abdominal Pain, Irregular Periods, Back Ache. Fibroids, PCOD Detected In Sonograph. Hormone Evaluation Required?

Hi, Your symptoms are less likely to be due to seedling fibroids. Regarding PCOD, it is likely to the cause for irregular & heavy periods which can be treated with medicines. Pain might be due to endometriosis which is difficult to diagnose on ultrasound. If you are getting good symptomatic relief with medicines (tablets prescribed by your doctor) nothing needs to be done. If symptoms are severe & not responding to medicines, its better to go for laparoscopy for diagnosis as well as treatment of the cause. Wish you good health.