What Does My Ultrasound Scan Report Indicate?

Brief Answer:
Fibroids are benign tumors of the uterus

Detailed Answer:
Thank you for the question and I am terribly sorry about your loss.

The uterus is basically a pear-shaped muscle (about the size of a pear) that has an outer layer of muscle and a lining of glandular tissue (where a pregnancy implants). You can develop tumors that arise from the muscle layer called fibroids. They typically are associated with heavy, painful periods but they can also cause complications in pregnancy such as what you experienced. They actually look a little bit like golf balls and can get quite large. Your uterus is affected by multiple fibroids, some of which are quite big. Here is a better explanation of the results:

1. The uterus is ante-verted and bulky measuring 12.5x5.5x10.6cm - this means that it is tilted slightly forward (which is normal) and larger because of the presence of fibroids

2. The endometrial echo is not well delineated. The glandular lining where a pregnancy implants is not well seen. It is probably hard to see because of the fibroids present.

3. There are multiple uterine firboids present. The largest is seen at the lower segment measuring 8.6x7.7x7.4cm - there is a very large fibroid in the lower part of the uterus that would definitely present a problem with delivering a baby vaginally.

4. There are smaller fibroids seen towards fundus. One anteriorly measures 3.4cm. One on the right side meAsures 1.8cm. Another seen posteriorly measures 2.9cm - towards the top of the uterus, there are smaller fibroids that are of less concern.

The main problem is a large fibroid in the lower part of the uterus (towards the cervix which is at the top of the vagina). Given the outcome of your prior pregnancy, there should be some attempt to address at least this largest fibroid. While it might be challenge to have another pregnancy, the following should be done to determine how to proceed:

1. You need an MRI of the pelvis - this will give a better sense of what is fibroid and what is uterus. It is also a way to determine whether or not the largest fibroid might be amenable to surgical removal
2. You need a consult visit with a specialist in fertility medicine - they are experts in dealing with situations such as this.
3. Ask about 'uterine artery embolization' - this is a technique for trying to kill off the largest fibroid without doing surgery.

Please let me know if this helps.

Dr. Tim

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Brief Answer:
It is uncertain whether the fibroid needs to be removed

Detailed Answer:
First of all, the supplement you are taking is definitely rich in vitamins but from my research, it is going to do nothing to address the fibroid.

The question regarding removing the fibroid is really a difficult decision because in removing such fibroids, there is a risk of losing the uterus. It sounds like you were able to get pregnant and carry a pregnancy almost until the end. Also, one could assume that the fibroids might have had something to do with your loss, but this is also uncertain.

These are the reasons that you need to see a Specialist as I described previously. You will likely be pregnant again in the future, but the concern is the location and size of the largest fibroid.

Dr. Tim

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Brief Answer:
You are very welcome

Detailed Answer:
I am truly sorry for your loss and I am certain that you will be blessed in the future.

Dr. Tim

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