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What Does Thick Cervix On An Ultrasound Report Indicate?
Question: I had a transvaginal ultrasound completed and radiologist informed me my cervix was thick. All other areas looked fine to include uterus. I have no history over the last 20 yrs of abnormal pap results and have tested neg for HPV. I am not sexually active. I do take pregosterone and testosterone, but no estrogen at the moment. My GP believes I am about to start menopause. what could cause this? I haven't had a period since I went off BC about 5 months ago. Estrogen is very low (12).
Additionally, the reason for the ultrasound was I had a mild/bothersome pain in my lower abdomen each morning. Bowels are fine and it goes away when I start my day. However I do have frequent urination on occasion, no infection however as I've been tested for that. No discharge or bleeding. I'm not bloated.
Additionally, the reason for the ultrasound was I had a mild/bothersome pain in my lower abdomen each morning. Bowels are fine and it goes away when I start my day. However I do have frequent urination on occasion, no infection however as I've been tested for that. No discharge or bleeding. I'm not bloated.
Brief Answer:
There is no clinical significance to a "thick" cervix on ultrasound
Detailed Answer:
Hello, and I hope I can help you today.
I am not sure what the dimensions of your cervix was on the ultrasound, but the size of a woman's cervix can vary widely... even up to 8 or so cm wide and 5 cm wide. It has no clinical significance whatsoever. If you have had a normal Pap test and negative HPV test within 5 years, you do not have to worry about cervical cancer.
I am a bit concerned about your taking testosterone, as it is generally not recommended in women because it can increase your risk of heart disease and blood clotting. If you are menopausal, you do not need progesterone either as it is doubtful you will have any vaginal bleeding anymore if your estrogen levels are so low.
But regarding your pelvic pain, if they did not diagnose anything wrong with your gynecologic organs, that is an unlikely source of your pain. However, there are conditions of the bladder that can cause pelvic pain and discomfort, even with a negative urine culture.
So I think seeing a urologist would be the best next step in the evaluation of your pain.
But the size of your cervix is not anything to be concerned about as it can vary in size just like any part of the human body. If it has been longer than 5 years since you had a Pap smear, I recommend you do one based on current cervical cancer screening guidelines.
I hope I was able to answer your question today and that my advice was helpful. If you need anything further, please do not hesitate to contact me.
Best wishes, Dr. Brown
There is no clinical significance to a "thick" cervix on ultrasound
Detailed Answer:
Hello, and I hope I can help you today.
I am not sure what the dimensions of your cervix was on the ultrasound, but the size of a woman's cervix can vary widely... even up to 8 or so cm wide and 5 cm wide. It has no clinical significance whatsoever. If you have had a normal Pap test and negative HPV test within 5 years, you do not have to worry about cervical cancer.
I am a bit concerned about your taking testosterone, as it is generally not recommended in women because it can increase your risk of heart disease and blood clotting. If you are menopausal, you do not need progesterone either as it is doubtful you will have any vaginal bleeding anymore if your estrogen levels are so low.
But regarding your pelvic pain, if they did not diagnose anything wrong with your gynecologic organs, that is an unlikely source of your pain. However, there are conditions of the bladder that can cause pelvic pain and discomfort, even with a negative urine culture.
So I think seeing a urologist would be the best next step in the evaluation of your pain.
But the size of your cervix is not anything to be concerned about as it can vary in size just like any part of the human body. If it has been longer than 5 years since you had a Pap smear, I recommend you do one based on current cervical cancer screening guidelines.
I hope I was able to answer your question today and that my advice was helpful. If you need anything further, please do not hesitate to contact me.
Best wishes, Dr. Brown
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. Prasad
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