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What Does My Ultrasound Report Indicate?
Question: findings of my pelvic ultrasound are the uterus is anteverted and measures 10.8x5.8 x 7.9 cm, appears bulky. Myometrium is heterogeneous. There are a number of intramural fibroids. The larger 6 measurements are: 2.9cm fibroid within the uterus fundus. 2 uterine fibroids right side of uterus measureing 2.3 and 3.8cm. 3 left uterine fibroids measuring 1.9-4.3cm what does this mean and is there treatment i am 49 yrs old with heavy flooding periods but regular 28 days cycle.i also am been seen for back problems reports are below
Brief Answer:
MULTIPLE FIBROIDS PRESENT, DRUGS AVAILABLE.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I would explain your report for you.
You have multiple fibroids in your uterus ( womb ).
The uterus is made up of smooth muscle, and fibroids are smooth muscle tumours, in more than 99 % of cases, these are benign, and not cancerous.
However, if they are too many, too large or cause symptoms ( such as heavy menstrual bleeding in your case ), treatment is indicated and definitely possible.
The first line of treatment involves drugs or medications.
Cyclical progesterone therapy and more advanced hormonal injections can be given to induce a menopause like state and decrease the fibroid size and number ( shrink them ) because these tumours are hormone dependent. Also, you are 48, so natural menopause is not very far, if drugs can help you tide over this phase, menopause will only make it better.
IF medical management fails, then surgery ( generally hysterectomy ) is the next step.
Regarding the back problems, further MRI should be done as suggested and consult an Orthopedic surgeon for the same.
All the best
Please feel free to discuss further.
MULTIPLE FIBROIDS PRESENT, DRUGS AVAILABLE.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I would explain your report for you.
You have multiple fibroids in your uterus ( womb ).
The uterus is made up of smooth muscle, and fibroids are smooth muscle tumours, in more than 99 % of cases, these are benign, and not cancerous.
However, if they are too many, too large or cause symptoms ( such as heavy menstrual bleeding in your case ), treatment is indicated and definitely possible.
The first line of treatment involves drugs or medications.
Cyclical progesterone therapy and more advanced hormonal injections can be given to induce a menopause like state and decrease the fibroid size and number ( shrink them ) because these tumours are hormone dependent. Also, you are 48, so natural menopause is not very far, if drugs can help you tide over this phase, menopause will only make it better.
IF medical management fails, then surgery ( generally hysterectomy ) is the next step.
Regarding the back problems, further MRI should be done as suggested and consult an Orthopedic surgeon for the same.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Prasad
thankyou for your answer I appreciate it, I am frustrated as I got put to the hospital for an assessment of my back I got a physiotherapist who said your back is normal we all have that. he has not referred me on to a specialist says he will fix it within 3 months I am in terrible constant pain for the last 2.5 months especially when i try to walk and am on endone and tramadol tablets to be able to even do that. he stopped my assessment saying the pain going down both my legs was ovarian problems hence the other scan been done and fibroids found. I am concerned if I should be doing excercises etc and if I should push or not to get to a specialist
Brief Answer:
YES PUSH TO SEE A SPECIALIST.
Detailed Answer:
Thank you for the appreciation.
I understand your frustration, however yes you should push to be seen by a Specialist.
There are disc changes , and the sooner you are evaluated and treated, the better.
I can see no ovarian problems, and the pain is clearly due to the spinal changes, and not ovarian changes.
Regarding the fibroids, try medical management first.
Take care.
YES PUSH TO SEE A SPECIALIST.
Detailed Answer:
Thank you for the appreciation.
I understand your frustration, however yes you should push to be seen by a Specialist.
There are disc changes , and the sooner you are evaluated and treated, the better.
I can see no ovarian problems, and the pain is clearly due to the spinal changes, and not ovarian changes.
Regarding the fibroids, try medical management first.
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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