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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Vaginal Ultrasound Report Indicate?

I had a period of prolonged bleeding for 4weeks with clots. Gp prescribed traxemic acid for 5days, increased to 8days after they failed to stop the bleeding. Was sent for a pelvic ultrasound which included a vaginal ultrasound. Results come back showing an abnormal endometrium thickness of 22mm containing multiple tiny cystic areas. Go has refered to gynaecologist. What could this be? I am 29years old.
Tue, 18 Oct 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Abnormally thickened endometrium on imaging may occur due to a number of reasons. It can be categorised based on whether or not they are related to pregnancy.
Pregnancy related causes include:
1. Early pregnancy, prior to sac being visualized (2. Ectopic pregnancy
3. Retained products of conception
​4. Intra-uterine blood clot
5. Molar pregnancy, which has thickened endometrium with multiple small cystic spaces
6. Endometritis
Non-pregnancy related causes include:
1. Endometrial carcinoma
2. Endometrial hyperplasia due to PCOS
3. ndometrial polyp
4. Tamoxifen-related endometrial changes
5. Endometritis
6. Presence of adhesions
7. Ovarian tumours associated with endometrial thickening
Since these differential diagnosis needs to be ruled out, you have been referred to Gynecologist for further clinical evaluation. You may require endometrial biopsy investigation done to know precisely what could be the cause for it. Accordingly, appropriate treatment could be instituted.
Hope the information provided would be helpful.
All the best.
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What Does This Vaginal Ultrasound Report Indicate?

Hi, Thanks for posting in HCM. I understand your concern. Abnormally thickened endometrium on imaging may occur due to a number of reasons. It can be categorised based on whether or not they are related to pregnancy. Pregnancy related causes include: 1. Early pregnancy, prior to sac being visualized (2. Ectopic pregnancy 3. Retained products of conception ​4. Intra-uterine blood clot 5. Molar pregnancy, which has thickened endometrium with multiple small cystic spaces 6. Endometritis Non-pregnancy related causes include: 1. Endometrial carcinoma 2. Endometrial hyperplasia due to PCOS 3. ndometrial polyp 4. Tamoxifen-related endometrial changes 5. Endometritis 6. Presence of adhesions 7. Ovarian tumours associated with endometrial thickening Since these differential diagnosis needs to be ruled out, you have been referred to Gynecologist for further clinical evaluation. You may require endometrial biopsy investigation done to know precisely what could be the cause for it. Accordingly, appropriate treatment could be instituted. Hope the information provided would be helpful. All the best.