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

172 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 small fibroid noted in lower segment anteriorly, with large Nabothian cysts in cervix in the ultrasound report mean?

Answered by
Dr. Sree Gouri SR


Practicing since :2006

Answered : 5164 Questions

Posted on Fri, 29 Nov 2013 in Women's Health
Question: I have received a report: The uterus is normal in size, anteverted and heterogeneous in echotexture. A small likely fibroid is noted in the lower segment anteriorly 8mm, with large Nabothian cysts in the cervix. Endometrial thickness 6mm and not well delineated. Right ovary 2cm cyst. Otherwise normal left ovary small and atropic. No free fluid in pouch of XXXXXXX no adnexal mass or colelction. Thickness could be artefactual what does this mean
Answered by Dr. Sree Gouri SR 38 minutes later
Brief Answer: Tendency to form myomas, chronic inflammation Detailed Answer: Hi, Thanks for the query. According to your ultrasound findings : -Uterus is of normal size. Heterogeneous echotexture may indicate tendency to form myomas. Presence of small fibroid may be due to this. - Nabothian cyst in the cervix indicates chronic pelvic inflammation. -Endometrium is not homogeneous. May be because of hyperplasia. - Right ovarian cyst can be a simple cyst. - Usually artefactual thickness is not seen it postmenopausal women. But if you are taking hormone replacement therapy, that may cause increased endometrial thickness. Better to go for endometrial biopsy with your doctor's advice. If biopsy report comes as normal and if the cause of hyperplasia is found to be hormonal only, you may take progesterone tablets with your doctor's advice to treat it. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sree Gouri SR 4 hours later
I have been treated with merina hormone therapy for 5 years as an implant. Every year I have had to have a D&C removal and replacement of the merina. Would this indicate that the Merina is not working and perhaps a full hysterectomy may stop the tendency to form myomas and chronic inflamation? Cysts have never been treated and have been present for years. I present yearly with low back pain abdo pain on the left side and spotting. Thickening is discovered via a scan then the D&C is scheduled and the merina is replaced. I am 59 do not need the female parts, since Feb 2013 I have lost 28 kilos in weight but the thickening still escalates. Is a hysterectomy a good option for me?
Answered by Dr. Sree Gouri SR 4 hours later
Brief Answer: Histopathological examination of the tissue Detailed Answer: Hi, Usually mirena can be kept in place for around 5 years. But as you are having spotting, increased endometrial thickness while being on mirena also, better to get evaluated once. After undergoing D&C, the tissue has to be sent for histopathological examination. If there is any abnormal changes better to go for hysterectomy. If the tissue changes indicates only hormonal imbalance, you can try with progesterone tablets for few months. Progesterone pills by decreasing the estrogen predominance can lead to regression of myomas and endometrium. Intrauterine device can cause side effects like pain abdomen, backache etc. By using tablets these symptoms can be decreased to some extent. If the tablets do not work and endometrial growth continues better to go for hysterectomy. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Treatment/Therapy ,  
Medical Procedures ,  
Medical Topics

Recent questions on  Mirena

doctor1 MD

I delivered my last child on August 31, 2010. Eight weeks after, I had my post-partum check up and had an IUD inserted. By the end November 2010, I started noticing a pain in my left flank area. It was a dull aching pain, but when massaged deeply, would go down my back, wrap around the front of my hip and make the front of my leg go numb. I went to the chiropractor for about two months, then with no results, visited my primary doctor. Blood and urine tests were fine. MRI showed slight bulging in the RIGHT L5, S1 discs. Went to 25 physical therapy visits with still no relief. I gave up for a while on finding out what was wrong. By February 2012 (guessing), I had my Mirena pulled out by my OBGYN. I had been having lots of stomach pain and my husband had a vasectomy, so I really didn t need the birth control anymore anyway. By October 2012, I believe, I had an ultrasound because I was having lots of pain and cramping in my stomach. Results were normal. By then end of 2012, I was experiencing extreme fatigue and visited my new primary doctor. We tried different antidepressants until I stayed on Effexor XR beginning April 2013. I started seeing a massage therapist once a week beginning in probably August of 2013 for my back, with no relief at all. Extreme fatigue continued and after blood work kept coming back fine, he sent me to a cardiologist. In November 2013 I was diagnosed with Postural Orthostatic Tachycardia Syndrome (POTS). I was put on 5mg of Midodrine 3 times a day. My fatigue disappeared almost immediately. The pain in my back has always been there since November of 2010, but I was ready to try again since I was seeing a new primary doctor. He sent me to a pain management doctor who has now done 3 nerve injections, all with no relief from the flank pain (Deep massage did not seem to bother and make the front of my leg go numb though). Another MRI was ordered, and this one had the same results as the first, except I had a mild dehydration on the left side at L4,L5. My primary doctor still did not believe it was the cause for my flank pain, so he ordered a CT. Those results came back this week showing I had a swollen uterus. Since I am up do date with my pap smears and I had an ultrasound that showed nothing about 18 months prior, he does not believe this is the reason for the left flank pain either. I am completely at a loss and don t know what to do next. The pain management doctor said that it could be from the POTS. It has been going on for so long now that want to go down every avenue and rule everything else out before I just accept it as a POTS symptom. Sometimes when lying on my stomach, it seems to relive a little bit of the flank pain. The massage has just been aggravating it lately, and also laying on my right side seems to aggravate it. Since I can pinpoint when the pain started, I ve wondered if it could have had something to do with my last delivery or even the epidural from the delivery. I could use any insight or ideas that could maybe trigger an idea for my primary doctor. It has been almost 4 years since I realized the pain starting (and I have a high pain tolerance, so it could have been there for longer). I know this is a lot of information, but thank you in advance!

doctor1 MD

Hi I am experiencing severe-mild menstrual like cramps on my lower left side but no period. I had the Mirena IUD in for 3 years & after having it removed, I then started using the Nuvaring for about 5 months, & received my period like clockwork the 15th of every month, but haven t had it in place for almost three months now & yet no period & as of a month & a half ago, no pregnancy (only via home pregnancy test), but now I am so worried that like my very first pregnancy that this may be an eptopic pregnancy. Also, I had a pap 5 months ago & it was normal, so my fears of ovarian cancer are kinda at rest. What do you think?

doctor1 MD

I have had the mirena for seven months and since I have had it my health has gone downhill. I hep c, and juvinelle diabetes.. I was looking online and I truly believe that I have pelvic inflammation disease. I have a majority of the symtoms and Iam very weak and feel as f I will die any day. I need to know what to do

doctor1 MD

I had brown discharge instead of a period. I am on mirena coil so usually light periods. I also suffer from constant bloated ness, I have no appetite, feel sick and extremely tired all the time. These symptoms come and go, some days I m fine others have bad abdo pain. Any idea?

doctor1 MD

Hello, my 18 year old daughter has been having HORRIBLE female problems. Within the last year she has been on Deproprevara, exploratory endometriosis surgery and then switched to Mirena IUD. Last week she switched to a new OBGYN and he put her on...

doctor1 MD

As requested I am attached my medical reports.

doctor1 MD

Hi, I’m a difficult case. I’m 53, unsure about menopause because I was bleeding daily for a few months. My regular gynecologist could not do a pap smear on me because he could not get to my cervix . I’m told I have a long cervix. He sent me to see...