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What Does "prominent Endometrial Complex Measuring 18mm" Mean?
Question: Ultrasound shows prominent endometrial complex measuring 18mm. Minimal fluid in uterus. Heaviness felt in pelvic floor, frequent urination, pain. But lumps felt right side mid abdomen is what actually brought me to doctor. Waiting for M.D. appt. In the mean time very worried. What are possible causes and treatment?
Brief Answer:
Thickened endometrium.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The prominent endometrial complex measuring 18mm is considered thickened.
Here are the possible causes of the thickened lining:
1. It might be normal for you if the scan was done just before the onset of cycle.
2. It might be related to any fibroids distorting the lining
3. It can be associated with uterine polyps
4. It can be associated with something called endometrial hyperplasia, which is a pre-cancerous change of the uterine lining.
Here is what needs to happen based on thickenend endometrial lining:
1. You need an ultrasound of the uterus where they put fluid into the uterus to better assess the endometrial lining for fibroids or polyps (that would explain the thickening)
2. You need an endometrial biopsy - to rule out pre-cancerous changes
3. Then you need someone to sit down with you and discuss options for treating the problems for which you had the ultrasound in the first place.
The lumps near the abdomen need to be investigated. MRI scan will help in better evaluation.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Thickened endometrium.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The prominent endometrial complex measuring 18mm is considered thickened.
Here are the possible causes of the thickened lining:
1. It might be normal for you if the scan was done just before the onset of cycle.
2. It might be related to any fibroids distorting the lining
3. It can be associated with uterine polyps
4. It can be associated with something called endometrial hyperplasia, which is a pre-cancerous change of the uterine lining.
Here is what needs to happen based on thickenend endometrial lining:
1. You need an ultrasound of the uterus where they put fluid into the uterus to better assess the endometrial lining for fibroids or polyps (that would explain the thickening)
2. You need an endometrial biopsy - to rule out pre-cancerous changes
3. Then you need someone to sit down with you and discuss options for treating the problems for which you had the ultrasound in the first place.
The lumps near the abdomen need to be investigated. MRI scan will help in better evaluation.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ct scan with contrast and ultrasound were unable to visualize lumps. But they are palpable painful and hard. Will the Mri show even when other imaging studies didn't? Also tech showed me the lump ob u/s said looked like it could be hernia but report said nothing was there?
Brief Answer:
MRI is a more sensitive test.
Detailed Answer:
Hello.
Thanks for writing again.
MRI is a more sensitive investigation to detect the soft tissue swelling like the lumps you have. If it is due to hernia then a deficit in the abdominal wall can be detected.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
MRI is a more sensitive test.
Detailed Answer:
Hello.
Thanks for writing again.
MRI is a more sensitive investigation to detect the soft tissue swelling like the lumps you have. If it is due to hernia then a deficit in the abdominal wall can be detected.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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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