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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Cystic Endometrial Hyperplasia

Endometrium is midline,thick and echo genic. It measures 11.4mm in thickness even though there is bleeding per vaginas. There are a few fine cysts measuring 1-2 mm seen in Endometrium. There are no abnormal content in the Endometrial cavity. The cervix is normal. The myometrium is normal. The uterus is bulky and measures 10.2×6.6×4.7cm.Both ovaries are normal in echo texture and size. The right ovary measures 3.2×2 mm and left ovary measures 3.6×1.7mm . The common bile duct is normal. It measures 3.8mm. The pancreas is normal. The spleen is normal in size and echo texture. It measures 8 cm. Kidney is normal. The pelvic a lace all systems of both kidney z normal. Both kidney ve normal corticomadullary distinction and normal cortical thickness. The uterus are not dilated . The urinary bladder wall is not thickened. There is no free fluid in the abdomen. Report suggest cystic Endometrial hyperplasia. Bleeding is continuous .Haemoglobin level is 5.7% What is suggested in these conditions.... what precaution I must take. ...? Please reply as soon as possible.
Thu, 31 Mar 2016
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OBGYN,  's  Response
Hello,
I have gone through your query and followed your concern. In this scenario, you need to see a specialist, get a complete clinical evaluation and get an endometrial biopsy done to have a histopathological opinion. The sonogram findings show essentially normal observation for the ovaries and the rest of the abdominal organs. Since you have very low hemoglobin levels and continuous blood loss, you would need progesterone supplements to arrest the bleeding immediately along with styptics. You may also need blood transfusions. Once the biopsy report is obtained, further management can be planned. For simple hyperplasia, observation is enough while more radical steps have to be taken for atypical states. Hope this helps.
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Suggest Remedy For Cystic Endometrial Hyperplasia

Hello, I have gone through your query and followed your concern. In this scenario, you need to see a specialist, get a complete clinical evaluation and get an endometrial biopsy done to have a histopathological opinion. The sonogram findings show essentially normal observation for the ovaries and the rest of the abdominal organs. Since you have very low hemoglobin levels and continuous blood loss, you would need progesterone supplements to arrest the bleeding immediately along with styptics. You may also need blood transfusions. Once the biopsy report is obtained, further management can be planned. For simple hyperplasia, observation is enough while more radical steps have to be taken for atypical states. Hope this helps.