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What Does This Ultrasound Report Indicate?

Posted on Wed, 25 Nov 2015

Question: My wife had medical abortion on 12th oct.we had a sonography done. However my gynec is out of town so i am attaching a report. Please guide me

Answered by Dr. Deepti Verma (42 minutes later)

Brief Answer:
Abortion is complete

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
I have reviewed the ultrasound report and it is completely normal.
The medical abortion is complete and there is no products of conception left inside the uterus.
In other words, it is completely normal. You both need not worry.
Hope you found the answer helpful.
Wishing you both good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepti Verma (47 minutes later)

Thank you madam for answering my concerns. My wife had done urine test which was positive. Also i am concerned about the increased endometrial thickness along with increased vascularity.. what does this indicate... also what does the right ovary show cytic lesion

Answered by Dr. Deepti Verma (1 minute later)

Brief Answer:
Please furnish some information

Detailed Answer:
Hi dear,
Please convey the following information:
1. When was her LMP?
2. When did she take MTP PILL?
3. For what duration she had bleeding after taking the medicines?
4. Was the UPT strongly positive?
Please get back to me with the following information, so that I can explain you better.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepti Verma (32 minutes later)

Her lmp was on 4th sept...she took the 1st pill on 15th oct and vaginal pill on 17th oct. She bled on the same day and she had very light bleeding on next day. We showed her gynac the clots and she was convinced about the same.Her upt was somewhat strong.

Answered by Dr. Deepti Verma (5 minutes later)

Brief Answer:
Persistent trophoblastic disease should be ruled out

Detailed Answer:
Hi dear,
According to her LMP, she would be 8 weeks 5 days of gestation today, and if the pregnancy would have continued, then the definite fetal pole and cardiac activity should be visible by now. But there are no such findings in ultrasound
However, thick endometrial thickness,posterior lesion in endometrium with increased vascularity, ovarian cyst and strongly positive urine pregnancy test raises the suspicion of persistent gestational trophoblastic disease.
I will suggest you to get her blood beta hCG level done to confirm and follow up with me with the reports, if possible.
Hope you found the answer helpful.
Regards
Dr Deepti Verma

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Above answer was peer-reviewed by : Dr. Vaishalee Punj