Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

131 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have pinched nerve at the L-4 and increased thickness of endometrium. Any solution?

Answered by
Dr.
Dr. Asra Ishtiaq Ahmed

OBGYN

Practicing since :2008

Answered : 689 Questions

default
Posted on Wed, 26 Dec 2012 in Vaginal and Uterus Health
Question: My GP sent me for an x-ray to diagnose pain in my right leg from hip to foot. He determined there was a pinched nerve at the L-4. I am set up to see a neurosurgeon. But there was something in the x-ray that caused him to send me for an MRI. They saw excess matter in the uterus, which the person who read the MRI stated was unusual for a female of my age (59). My GP said it warranted further investigation so I had an abdominal and a trans-vaginal sonogram. I was given a copy of the report but I don't understand what it says and now I have an appointment with a gynecologiost. I would like to know before my appointment, what I may expect to hear. The "discussion": portion stated that the pelvic ultrasound transabdominal and transvaginal shows a uterus measureing 8.6 x 5.5 x 6.9 cm. No myometrial lesions are seen. In the expected endopmetrial region, there is heterogernous echogenicity with shadowing measuring up to 2.3 cm. in thickness. This could represent an endometrial polyp, submucosal fibroid, or endometril hyperplasia/dysplasia. The right ovary measures 2.4x1.4x1.9 c, and the left ovary meaures 1.9x1.8x2.7 cm. No ovarian abnormality is seen. Ultrasound color Doppler and spectral waveform shows arterial waveform in both ovaries. No free fluid is present.
Could you please explain thiis to me? My GP did not take the time to do so and would not come to the phone to speak with me. Thank you, XXXXXXX
doctor
Answered by Dr. Asra Ishtiaq Ahmed 1 hour later
Hello there.

Thanks for writing.

Yes the finding of increased thickness of endometrium is a bit worrisome until investigated completely.

The endometrium refers to uterus lining which is shed during menses.
The myometrium refers to uterus muscle.

In your case your ultrasound shows heterogenous which means varying, echogenesity which refers to density of the matter seen which is around 2.3cm (23mm). In other words, it is likely that your endometrium (uterus lining) is increased and which is definitely suspicious for your age.

Considering your post menopausal, it further makes evaluation of this finding necessary as after menopause the uterine lining is very thinned out and is usually less than 4 mm.

The increased thickness of endometrium at your age could range from anything like a benign endometrial polyp to a hyperplastic endometrial tissue which can be either benign or malignant (cancerous). These can be differentiated only after a biopsy report which studies the nature and composition of the growth.

Do not panic. It is always better to get your problems investigated before them manifesting.

Endometrial lesions usually manifest with problems like post menopausal bleeding, unexpected vaginal bleeding or spotting.

You need to visit your gynecologist for an XXXXXXX examination with Pap smear tests.
Also any endometrial lesion is best evaluated by a minor surgical procedure called endometrial biopsy.
Hysteroscopic endometrial biopsy is an alternative and better procedure wherein first the uterine cavity and lining are visualized with the help of a scope (camera probe) inserted through vagina followed later by biopsy of the abnormal area and uterus lining.


I hope I have given you clarity.

Kindly revert back if any doubts remain.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Procedures ,  
Lab Tests ,   ,  
Medical Topics

Recent questions on  Uterus

doctor1 MD

I have flank discomfort in both sides a full feeling . I had a swelled kidney 1 year ago due to my uterus being enlarged and pushing on it . I had a hysterectomy ...everything removed . I had my blood checked 2 times after my operation to see how my kidney function was and 1 year ago they said it was fine. I have had at least 3 bladder infections in the last year also. Most recently in the Spring of 2012 . I have the full feeling on both sides and sometimes a crampy feeling .

doctor1 MD

Hello, My mother recently developed a cardiac problem , of arthymatic heart beat. she has undergone ileostomy in 2003, and hernia in 2007. Her uterus was removed in 1993. Our botheration is does it really a case of criticality. Now she has been advised 2 weeks bed rest and complete diet plan. Is it advisable to take 2 to 3 opinions. Please advice

doctor1 MD

hi im cheresa i had a baby on may 11 2012 i also had my tubes cut because after 11 years they came un tied ansd i got pregnant. ever since ive been bleeding on and off about 20-25 days per month i have severe pain in my abdominal area and my right overy i was put on a med because my blood is sitting in the uterus however i had to move to florida and need a dr i need to know what is going on with me, cancer runs in my family in this area all the females have had it before 30 i am 34. i was told i had 6 cysts on my right overy and 2 on my cervix yet like i said i had to move here due to my other medical conditions so i need help can u please tell me whats going on with my body

doctor1 MD

Why do I have pain in the bladder area and irritation in the vagina after sex it lasts for days. Iam 80 years old

doctor1 MD

What should be the normal cervical length during each stage of pregnancy?

doctor1 MD

Hi doctor, I have PCOD and prominent symptoms of it like facial hairs, lethargy , thinning of hair, irregular period with gaps of 2-3 months usually. I already have a kid of 10 years and my age is 38 years. I am quite heavy with 80 kgs weight as...