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Heaving bleeding during periods, USG pelvic showed anteverted bulky uterus with hypo-echoic soft tissue. What does it mean?

i am 46 years old . I had my last periods on 17th may2012 with heavy bleeding during last 2 days. i got my usg pelvic done on 20may2012. the report says : uterus is anteverted bulky measuring 61x60mm . a rounded hypoechoic soft tissue mas 25x24mm size is seen protruding anteriorly in the region of mid body indenting the urinay bladder wall. rest of the myometrium show coarse echogenicity with impression of rounded isoechoic area 15mm posteriorly in the mid body. Endometrium cavity show thick 7.3 mm certral linear bright echoes without any deviation. cervix and vagina are normal. pl analyise and explain.
Asked On : Mon, 25 Jun 2012
Answers:  1 Views:  117
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OBGYN 's  Response
May 2013
you didn't mention on which day of your menstrual cycle you underwent scan as depending on that some findings will change,
-uterus ante verted- normal,
-size- slightly larger
-rounded hypoechoic soft tissue: possibly fibroid with size 2.5x2.4cm,
located in ant wall of uterus,
-rounded isoechoic area: possibly part of adenomyosis,
-endometrial thickness: 7.3 mm, normal if you were nearer to periods at the time of scan,
with this results it is appearing that the cause for your heavy bleeding is fibroid and possibly adenomyosis,
you discuss with your doctor these possibilities and take treatment accordingly.
take care.

Answered: Wed, 27 Jun 2012
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