Question: I did a transvaginal US today and the results reads uterus position anteverted appearance inhomogenous and non gravid. Pathology: small heterogenous solid mass 1.2x1.1cm posterior body. Endometrium 9.9mm vacuity line not seen Appearance hyperechoic Morrisons pouch nil Cul de sac trace amount of fluid Cervix NAD Renals NAD right ovary fundus 4.0x2,4cm with prominent follicular periphery Left ovary fundus 4,2cmx2.2cm with small simple cyst, 2.6x1.9x1.9cm vol 4.9cm3 What does all of this mean for me?

Thanks Dr. XXXXXXX Some of my PCOS symptoms are painful periods, passing of clots with heavy bleeding, minimal facial hair, hair on the lower end of finger and toe joints. Hairy arms, legs, thighs and lower back and buttocks. Anovulatory cycles, and I am experiencing the third one this year. Previously this never happened. Darkened pubic area especially the inner thighs as well as the armpits. Weight gain especially in the lower abdomen and difficulty in loosing weight. The TVS was ordered during my last anovulatory cycle because I was bleeding mildly for two weeks straight. I was also given a prescription for Primolut (Norethisterone) 5mg but menses stepped in two days later. I still have the prescription. I was diagnosed with PCOS about four years ago, I have also been trying to get pregnant for that long now with no success. The fibroid was not there a year ago. I had an HSG done last December and everything was clear with no masses found in my uterus, now I have a fibroid. How do I shrink it? Would I need surgery soon? When I bring in my results to my doctor she will order the scan for me again in 6 months time. Also she ordered a pelvic scan which showed this result of my liver: heterogenous solid mass, 2.4x2.3x2.1cm noted in posterior segment R lobe liver. ??fold fatty sparing.

Thanks Doc, what about metformin? I have been put on that before but stopped due to horrible side effecs. I have also done Clomid for three cycles straight at 100mg days 3-7 I ovulated but I don't think it was that strong. I also chart my temperature to confirm Ovulation so that is how I know when my cycles are anovulatory. I live in the Caribbean and the island where I am from there are no fertility specialists my regular obgyn whom I have seen over the last three years basically said there is nothing more she can so for me so I had my regular doctor write me the note to get the Ultra sounds done. I bring the results back to her. I know she can't help me with the fertility issues but she is nice and can order tests for me when I request them. So should I go on birth control for 3-6 months and then use Clomid again? Meanwhile I think I will go back on the Meformin to control my insulin resistance. I am also a vegetarian so I must supplement with Bcomplex to prevent deficiencies what else can I take?