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Blood test and sonography showed thick uterus lining and cyst on ovary. Suggest? - Online Doctor Chats

Date : 03-Jul-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:Hi Doctor
User:The other day I mentioned I wanted to speak to a gynacelogist...I have seen a gyneac for my problem
User:Just wanted your second opinion
User:I am 38 years and have heavy menstrual flow for 12 days today...I have got my blood test and sonography done
Doctor:Please proceed with your concern, I shall give you my opinion.
User:I m told my uterus lining has thickened and is 8 mm
User:there is a cyst on the left ovary.
User:is the cyst a cause of concern as I m told its a normal feature and appears alternatively on each ovary
Doctor:When was the scan performed?
User:I have been advised capsule C.V.P and Ceff 500 2 tablets each a day
User:sonography was done on saturday which was day 10
User:along with capsules I have been prescribed Tonoferon and Visyneral
Doctor:Do you mean Day 10 of menstrual cycle or on the 10th day of bleeding?
User:10th day of bleeding
Doctor:Thanks for confirming the details.
Doctor:Cyst in the ovaries is a feature found in many women.
Doctor:The number of cyst, size of cyst, presence of loculations and other features inside the cyst give us clues about the seriousness of this cyst.
Doctor:That being said, the endometrial thickness of 8mm on day 10 of bleeding definitely indicates your endometrium had grown to a large size giving rize to the heavy bleed.
Doctor:Therefore at this point, it is right to think that cyst has no role to play with this bleeding episode.
Doctor:Capsule CVP as you might known is a vitamin K supplement. It is useful in stopping bleeding.
Doctor:I would suggest you to continue the medications as advised.
Doctor:You can discuss with your gynecologist about repeating the scans as your dates get close to your period days this month.
Doctor:If endometrium is similarly thickened, then you can plan for endometrial biospy.
Doctor:Have you followed?
User:The sonography report reads
User:uterus is anteverted in position and normal in size...53*28*21 mms cyst seen on left adnexal
User:appears to be left ovarian free fluid seen in XXXXXXX pouch
User:..Unilocular cyst
Doctor:Unilocular cyst are benign in nature.
User:thank you...I was a little worried...hopefully the medicines should help
User:control the bleeding
Doctor:It needs attention only when they are very huge in size and causing severe abdominal pain.
Doctor:The medicines prescribed are helpful in treating excessive bleeding.
Doctor:Like I said earlier, the cyst may not be the cause of it.
User:Thank you Dr XXXXXXX for your guidance.
Doctor:Once your current excessive bleeding is controlled, you can plan a review with the gynecologist and get investigated further.
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