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What Does The Pelvic Ultrasound Report Indicate?

Posted on Tue, 3 Mar 2015

Question: Hello, I recently had an Pelvic ultrasound, findings: Two anechoic structures were identified within my right ovary with no significant internal flow with the largest measuring 2.4 x 2.2 x 2.00 cm most consistent with ovarian cysts. Blood flow was identified in bilateral Doppler imaging to the ovaries. My uterus is diffusely heterogeneous. My uterus measures April 9 x 5.6 x 3.9 cm. The endometrial stripe measures 8.3 mm. The right ovary is partially obscured by bowel gas and measures 4.3 x 3.1 x 2.6 cm and the left ovary measures 2.0 x 2.8x 1.8 cm, Fluid was identified within the endocervical canal. There was no significant free fluid in the pelvis. My Estradiol lab result was 511.48. Should I be concerned about this? I have gained about 35+ pounds since July. During my periods is when I have the most pain and produces large clots bigger the quarters. What does this all mean? and is my Estradiol result high?

Answered by Dr. Soumya (2 hours later)

Brief Answer:
Cyst in ovary needs to be evaluated

Detailed Answer:
Hello,

I read your query. Yes your estradiol levels are high.

Estradiol levels are mainly related to growth of follicles in ovary. If there are more follicles, estradiol levels are higher. If you have got this test in middle of menstrual cycle, then this is normal.

This scan picture you have typed seems to be showing endometriotic cyst ( this should have been diagnosed by doctor while performing ultrasound scan). This is the reason for pain during menstruation.

Please see a gynecologist to check if there is endometriotic cyst. If so this needs to be removed by laparoscopic surgery.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (4 hours later)

Thank you for your advice and responding back to me.

Answered by Dr. Soumya (37 minutes later)

Brief Answer:
welcome

Detailed Answer:
Hello

If you wish to ask query to me next time, please start your query as " Query for Dr. Soumya.S.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Soumya (1 hour later)

Query for Dr. XXXXXXX S

How do I get a high Estradiol level back to normal?

Answered by Dr. Soumya (11 minutes later)

Brief Answer:
It will come back automatically to normal

Detailed Answer:
Hello,

Estradiol levels will come back to normal by beginning of next cycle. You dont need to do anything

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Soumya (25 hours later)

But I have been about a week late on my period.

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Delayed period is not related to high estradiol

Detailed Answer:
Hello

High estradiol is not related to delayed periods. You will get periods within a week.

Wait for a week for periods.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj