Brief Answer:
Need proper evaluation and some treatment.

Detailed Answer:
Hello dear,

Thanks for writing to us.

I have reviewed your attached report. Followings are my comments:

1) Uterus is slightly enlarged (normal size 7.5 x 4.5 cm) and MOSTLY due to underlying adenomyosis or fibroid, leads to pelvic pain and menstrual cycle disturbance. Estrogen dominance has additional role and it can cause thick endometrium. Here, it is slightly thickened (8 mm). These are NOT much problematic for your conception, but it is better to get some treatment.

2) Nabothian cyst should be removed as you are trying to get pregnant for last 2 years. It can cause chronic cervicitis or inflammation of cervix, leads to unfavorable condition for sperm ascent and proper fertilization. Colposcopy and or biopsy is advisable before removing those cyst. Two common procedures are done - electrocautery and cryofreezing.

3) Some additional investigations should be done(if NOT undergone earlier) like Husband semen analysis, Serial follicular study to check for ovulation, diagnostic hysteroscopy or Laparoscopy to check tubal patency, Anti-sperm anti body test, Post-coital test, complete hormone profile, Thyroid study etc.

4) You have quite chance of get pregnant if above factors are treated and monitored properly. Progesterone supplement and ovulation induction drug should be added in this case. Here, I suggest you to consult with Infertility Specialist for proper management of the case.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

---

Brief Answer:
LSIL. Need further evaluation and management.

Detailed Answer:
Hello dear,

Thanks for follow up query. I have reviewed your attached report.

According to test report, it is suggestive of Low-grade Squamous Intraepithelial Lesion (LSIL), which include mild dysplasia and CIN, which are usually indicative of transient HPV cytopathic effect.

It is seen that there is 10–15% chance of progression to more severe dysplasia. It needs further follow-up examination and monitoring through Colposcopy and biopsy.

Do pap smear at periodic interval. Cryosurgery or Cone biopsy may be necessary as treatment in persistent cases. You must consult with Oncologist for further evaluation and management.

Hope, it helps for your information. Good luck and take care.

Regards,

---

Brief Answer:
First Consult with gynecologic oncologist.

Detailed Answer:
Hello Dear,

Thanks for follow up query.

1) Ultrasound scan report shows mid degree cervical dysplasia (LSIL) and it needs further follow up after 3-6 months. It has LOW risk for future cervical cancer.

Therefore, you should get examined by GYNECOLOGIC ONCOLOGIST during follow up visit and you may need to repeat Colposcopy and Biopsy to see any changes in cervical cytology.

2) Your next step would be Follow-up examination to Gynecologic oncologist and proceed surgical treatment like Cryosurgery, LEEP or laser ablation. Nabothian cyst should be removed to reduce chronic inflammation and cervicitis.

3) There is NO permanent cure for endometriosis, but, associated pelvic pain and infertility can be managed. Medical intervention through progesterone supplements, NSAIDs (for pelvic pain) can be initiated. For surgical treatment, Laparoscopy would be helpful in this case.

For infertility related issue - In Vitro Fertilization (IVF) is best solution. In that case you should consult with Infertility Specialist.

Hope, I have answered your query with detailed solution. It will be helpful.

Wish your good health and take care. Good luck.

Regards,

---