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Ultrasound showed enlarged uterus, dominant heterogeneously hypoechoic uterine fibroid. Potential next steps?

I just got results of my ultrasound - enlarged uterus - measuring 9.6 x 9.5 x 6.2 cm. There is dominant heterogeneously hypoechoic uterine fibroid arising from the posterior uterine body and fundus measuring up tp 10.1 x 7.4 x 5.9 cm transvaginally. Endometrial stripe appears normal and measures 0.6 cm. Ovaries are normal in size without solid or dominant cystic masses. So what does this mean, what are potenntial next steps?
Asked On : Wed, 30 Jan 2013
Answers:  3 Views:  343
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OBGYN 's  Response
Your ultrasound report confirms the presence of a fibroid in the posterior wall of the uterus in the fundal area, and the ovaries and endometrium are normal. The further management depends on the size, location and the symptoms arising from the presence of the fibroid, your age and the need for conception. When there are no symptoms, no active treatment is undertaken. Active management includes hormone therapy, MRI-guided focused ultrasound surgery, myomectomy and hysterectomy. You may take further suggestions from your doctor. Good luck.
Answered: Wed, 30 Jan 2013
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Emergency Medicine Specialist Dr. Sanjeev Goyal's  Response
thanks for your query
as per your sonography reports you have fibroid uterus
Uterine fibroids are noncancerous (benign) tumors that develop in the womb (uterus), a female reproductive organ
as per expert pannel guideline
you can choose an option given by you as --
1- Medical management—symptomatic
2-Hysterectomy- for women who do not wish to preserve fertility
3-Myomectomy—(removal of only tumor)- is an option for women who wish to preserve
their uterus,
4-Hysteroscopic myomectomy -for the management of symptomatic intra -cavitary fibroids
5-Laparoscopic myolysis -for selected women wish to preserve their uterus but do not desire future fertility
6-Uterine artery occlusion
take care wish you a good health
Answered: Wed, 30 Jan 2013
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Pathologist and Microbiologist Dr. Anju Choudhary's  Response
hi there, presence and management of fibroid is different in different age group as it is a hormone dependent growth and may vary in size according to the hormonal state the patient is in. You need to consult your gynecologist as she will to able to assess the potential problem it can create and will give you advise for its management. Take care.
Answered: Wed, 30 Jan 2013
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