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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pelvic Ultrasound Report Of Bulky Uterus And Normal Myometrial Echoes Indicate?

Hi - My pelvic ultrasound shows bulky uterus with myometrial echoes normal, thickened endometrium(16 mm) with no mass.normal ovaries and normal adnexa with no free fluid in POD. I have longer periods this month(already 9 days where usual is 6 days) hence saw the doctor. could you advise please?
Wed, 26 Jun 2019
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General & Family Physician,  's  Response
Hello,

In my opinion, you have adenomyosis. There are layers of the uterus. Simply put, one layer has invaded another, causing bleeding for the longer time duration. Now, the important part is that I will give medicinal treatment which can do upto a mark. But after that, if you continue to have the same as now, we should think about surgery (removal of Uterus) depending on your family planning status and severity of this condition.

I would like to give this treatment:
1. Danazol 200 mg twice a day for 6 months. After that, you must do another Pelvic Ultrasound. Then, We must reconsider what should be done. There are two options - 1) continue the Danazol medicine. 2) Danazol has not done anything good. So, go for surgery depending upon the factors said above.

2. For extreme pain, take Dicyclomine hydrochloride.

Please post the results of the tests here so that a doctor can follow you up after 6 months of treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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What Does Pelvic Ultrasound Report Of Bulky Uterus And Normal Myometrial Echoes Indicate?

Hello, In my opinion, you have adenomyosis. There are layers of the uterus. Simply put, one layer has invaded another, causing bleeding for the longer time duration. Now, the important part is that I will give medicinal treatment which can do upto a mark. But after that, if you continue to have the same as now, we should think about surgery (removal of Uterus) depending on your family planning status and severity of this condition. I would like to give this treatment: 1. Danazol 200 mg twice a day for 6 months. After that, you must do another Pelvic Ultrasound. Then, We must reconsider what should be done. There are two options - 1) continue the Danazol medicine. 2) Danazol has not done anything good. So, go for surgery depending upon the factors said above. 2. For extreme pain, take Dicyclomine hydrochloride. Please post the results of the tests here so that a doctor can follow you up after 6 months of treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician