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Ultrasound shows retroverted uterus, punctate achodensities with some sonolucencies. Is this serious ?

Hi Im AAAAA I had an ultra scan and vagina scan 2days ago and recieved my results which is I have an Retroverted Uterus which measured 8.5 x 5.6 x 5.8 cm in dimension. Endometrial thickness 9.9 mm No polyp within. No discrete uterine.But there was evidance of punctate achodensities with some sonolucencies and acoustic shadowing producing some what Venetian blind effect and the appearances are thought to be consistent with adenomyosis . Ovaries measure 11.8 x 12.6 cc in volume on right and left side and contained follicles. there is an echodensity in the right ovary significance uncertain. There was no gross Hyperaemia ? haemorrhagic, possibly old standing. I was just wondering is this serios and will i need surgery I am a mother of 8 children. Thank you.
Asked On : Mon, 26 Nov 2012
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
Before commeting on the ultrasound report, I would like to give you an overview of normal structure and position of the reproductive organs.
The uterus is normally anteverted. It forms an angle with the cervix. Retroverted position is less common than the anteverted position.
A retroverted uterus causes complications of painful intercourse and painful menstruation.
The thickness is endometrium (endometrial lining) is more in your case. There may be associated endometrial hyperplasia. You may require an endometrial biopsy or endometrial curretting.
Adenomyosis is an usual finding and of no consequences.
Presence of follicles is a normal finding. Follicles of variable sizes are common and are asymptomatic in majority of cases.
Symptoms appear in case of large or painful follicles.
Focus of hemorrhage is a normal finding. It is a natural history of corpus luteum.
Corpus luteum is formed when the ovum is released from the follicle.

Only abnormal finding is that of thickened endometrium for which an endometrial biopsy/ curreting is required.

Thanks and take care
Dr Shailja P Wahal
Answered: Mon, 26 Nov 2012
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