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

147 Doctors Online
Doctor Image
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.

What does my pelvic ultrasound report indicate while having persistent irregular menstrual bleeding?

Answered by
Dr. Aarti Abraham


Practicing since :1998

Answered : 6013 Questions

Posted on Fri, 12 Jan 2018 in Women's Health
Question: I have been having irregular menstrual bleeding for the past year. Gyn found polyp during pap. Ordered Ultrasound. Please translate this ultrasound report into human language because I don't understand any of it. Thx. EXAMINATION: Ultrasound pelvis. CLINICAL HISTORY: Irregular menstruation with vaginal bleeding.. COMPARISON: 5/30/2008 ultrasound FINDINGS: Transabdominal, transvaginal ultrasound exam of the pelvis. Examination with fluid-filled bladder. Transabdominal: Uterus is homogeneous echotexture. The uterus approximately 7.4 x 3.6 x 4.3 cm sagittal plane. Endometrial thickness of 6.9 mm. Free fluid posterior to the mid body of the uterus is present. Decreased echogenicity left ovary from cyst is present. Left ovary measuring 4.3 x 2.7 x 3 cm. Cyst measuring 3.2 x 1.6 x 2.1 cm. Doppler blood flow to the ovary is present. Right ovary unremarkable for solid or cystic masses from this approach. The right ovary approximating 1.7 x 1.2 x 1.3 cm. Transvaginal: Homogeneous echotexture of the uterine myometrium is present. There is a massive lower uterine signal abutting the N XXXXXXX cavity adjacent to the endocervix. The mass measuring 2 x 1.42 cm. Distortion of the endometrial cavity is present at the lower uterine segment. Right ovary unremarkable for solid or cystic masses. From this approach estimate 2 x 1.2 x 1.3 cm. Doppler blood flow is present. Left ovary measuring 4.2 x 2.9 x 2.6 cm with Doppler blood flow. Hypoechoic complex mass measuring 2.9 x 2.2 x 1.7 cm. IMPRESSION: 1. Lower uterine segment mass is present resulting endometrial distortion. Differential diagnosis to include uterine fibroid with further assessment to exclude remote possibility of a endocervical neoplasm. 2. Complex left ovarian mass with internal echoes with differential diagnosis hemorrhagic cyst, endometrioma. Short-term follow-up evaluation to exclude neoplasm radiology is recommended. The 2008 exam did show a dominant cyst of the left ovary.
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer:
Need the uploaded report.

Detailed Answer:
Thanks for trusting us with your health concern.
Please upload the exact ultrasound report with images, not this report that has been typed or copy pasted.
IT is important for me that you should upload the exact images and report, so that I can explain you in a better manner.
Also, what is the Pap smear report ?
Upload that as well.
All the best.
Please feel free to discuss further.
Apart from irregular menstrual bleeding, is there any other problem or issue ?
Since when have periods been irregular ?
Do you have any children ?
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Aarti Abraham 6 hours later
I sent you exactly what I have. I copied the exact text. I do not have imaging nor pap test results.

I'm looking for you to translate the info in the report I sent you into laymen's terms.
Answered by Dr. Aarti Abraham 26 hours later
Brief Answer:
As below

Detailed Answer:
The report shows a mass or a lump near the mouth of the uterus..
This could be a simple or cancerous tumour.
It is difficult to differentiate based on ultrasound.
There is a cyst in the ovary but that is same as previously found and not worrisome.
My recommendation is to go ahead and have an MRI scan done to know further details of the lump.
All the best
Please feel free to discuss further
Above answer was peer-reviewed by : Dr. Yogesh D

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  Uterine fibroid

doctor1 MD

What are the symptoms of necrosis of fibroids? I have had fibroids for at least 10 years, non-problematic (very unusual since they are large). For some odd reason, today I am experiencing extreme abdominal pressure and some bleeding. Do I need to go to an emergency room or will this pass until I can get to a doctor this week? Thank you!

doctor1 MD

Hi, i am on prostap prior to surgery for fibroids on June 18, however the side effects i am experiencing are awful, the back pain i am experiencing is excruciating and it is making me very depressed, i am reluctant to refuse the next injection on may 6 th ss i am worried they wont continue with surgery if i don t agree to the injection. I am sceduled to have a hysterectomy.

doctor1 MD

I had a partial hysterectomy in September due to fibroids in my uterus. I had a great recovery with little down time. One month ago I started having some pain on the left side of my abdomen where I believe my ovaries are located. Tonight I had some bloody (old blood) discharge. Could this be fibroids on my ovaries now?

doctor1 MD

Is it normal or not to have being diagnosed with multiple fibroids and having excruciating pain and expelling tissue from my vagina? My cycles over the past six months have been very very painful and will come on strong and last three days, go completely off for two days and will come back on just as red and heavy as ever for at least three more days. Is this normal?

doctor1 MD

Hello, I have had unusually heavy flooding during my period, and now I have cramping two days after. I had an endometrial biopsy and a transvaginal ultrasound about a year ago, to reveal a uterine fibroid that was fairly small. What could cause...

doctor1 MD

I have been bleeding constantly since my September period with clotting and severe pressure in my lower abdomen area, I am experiencing roughly 5 headaches in a 7 day period. Within the last month I am going through 2 pads in an hour, I have been...