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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Abnormal Menstrual Cycles. Enlarged, Fibroid Uterus, Heterogeneous Endometrial Stripe. What Does This All Indicate?

I am 47 who has been experiencing abnormal menstrual cycles for almost a year. I ve been getting my period about every 18-20 days. First few days I bleed relatively heavy every time. My OB sent me for a ultrasound and vaginal ultrasound . I do have a follow up appointment with my OB in 2 weeks, but was wondering with the findings in the report if I should try to get an earlier appointment. The reports states as follows: Uterus measures 12 x 6 x 4 cm in size heterogeneous in echotexture. Multiple Nabothian cyst. Right body fibroid measuring 2.5 x 1.8 x 2.1 cm in size. Right anterior fundal fibroid measuring 1.1 x 1.3 cm in size. Right posterior fibroid measuring 1.8 x 1.7 cm in size. The endometrium is heterogeneous in echotexture measuring 1.1 cm in size ill-defined difficult completely characterize. Correlation clinically. Right ovary: Measures 3 x 2 x 2 cm in size. Dominant follicle measure 1.4 cm in size. Left ovary: Measures 3.3 x 2.2 x 1.6 cm in size Mild dilatation of the collecting system bilaterally. Impression: Enlarged uterus, fibroid uterus, heterogeneous endometrial stripe measuring 1.2 cm in size. No discrete fluid collection. I have had ovarian cysts before so I was not surprised by that. Can you explain if what the fibroids mean and mostly, I would like to know what they mean about the heterogenheous endometrial stripe. Thank you in advance for your help.
Mon, 26 Aug 2013
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OBGYN 's  Response
Hi dear,
The ultrasound report of your shows fibroid but the size of fibroid is small enough to cause any problem and should not be a matter of worry.
However, a heterogenous endometrium of 11cm with enlarged uterus and a history of irregularly bleeding requires a D&C for full work up
You can consult your gynae at te scheduled meeting and follow her advise
All the best
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Experiencing Abnormal Menstrual Cycles. Enlarged, Fibroid Uterus, Heterogeneous Endometrial Stripe. What Does This All Indicate?

Hi dear, The ultrasound report of your shows fibroid but the size of fibroid is small enough to cause any problem and should not be a matter of worry. However, a heterogenous endometrium of 11cm with enlarged uterus and a history of irregularly bleeding requires a D&C for full work up You can consult your gynae at te scheduled meeting and follow her advise All the best