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What Does The Scan Report Indicate?
Question: Scan report dated 28-2-2015.
1. Bulby uterus with heteroginous eco texture
2.Blood clots seen in endometrium
3.Bulby cervex with multiple tiny nabothian cysts seen
Tablets taken so far:
Trapic for three days from 25th Feb
Meprate 10 mg for fifteen days from 28th feb but stopped on 5th March as per doctor advice since periods with bleeding started again
Novelon prescribed from today i.e., 10th March for 21 days as the bleeding continuing.
Pl advice
1. Bulby uterus with heteroginous eco texture
2.Blood clots seen in endometrium
3.Bulby cervex with multiple tiny nabothian cysts seen
Tablets taken so far:
Trapic for three days from 25th Feb
Meprate 10 mg for fifteen days from 28th feb but stopped on 5th March as per doctor advice since periods with bleeding started again
Novelon prescribed from today i.e., 10th March for 21 days as the bleeding continuing.
Pl advice
Brief Answer:
please do get an endometrial biopsy done
Detailed Answer:
Hi XXXX, I would like to know a little more information like:
1. Whether your periods were normal before this episode?
2. Did you have endometrial biopsy/ uterine biopsy ever, and what was the report?
3. Did you have your pap smear done ?
4. Did you take any hormones/ contraceptive pills before for such episodes?
The ultrasound report of heterogeneous echotexture of uterus with bulky size and blood clots in the uterine cavity is suggestive of excessive bleeding and gives no definitive diagnosis. Bulky cervix with multiple nabothian follicles can be due to cervical infection or malignancy. However, sometimes it is a normal finding.
Dysfunctional uterine bleeding is quite common in your age group and is due to hormonal disturbances in the body. However, malignancy of the cervix and endometrium should also be ruled out.
I would suggest you to get your endometrial biopsy done, if not done earlier to confirm the diagnosis and rule out malignancy.
For Dysfunctional uterine bleeding, tranexemic acid is given followed by progesterone( meprate), if both fail then oral contraceptives ( novelon in your case) is given. If still no effect is there, then D& C is done and last resort is hysterectomy.
Your doctor is treating you on the lines of Dysfunctional uterine bleeding, but in my opinion, you should get an endometrial biopsy done.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
please do get an endometrial biopsy done
Detailed Answer:
Hi XXXX, I would like to know a little more information like:
1. Whether your periods were normal before this episode?
2. Did you have endometrial biopsy/ uterine biopsy ever, and what was the report?
3. Did you have your pap smear done ?
4. Did you take any hormones/ contraceptive pills before for such episodes?
The ultrasound report of heterogeneous echotexture of uterus with bulky size and blood clots in the uterine cavity is suggestive of excessive bleeding and gives no definitive diagnosis. Bulky cervix with multiple nabothian follicles can be due to cervical infection or malignancy. However, sometimes it is a normal finding.
Dysfunctional uterine bleeding is quite common in your age group and is due to hormonal disturbances in the body. However, malignancy of the cervix and endometrium should also be ruled out.
I would suggest you to get your endometrial biopsy done, if not done earlier to confirm the diagnosis and rule out malignancy.
For Dysfunctional uterine bleeding, tranexemic acid is given followed by progesterone( meprate), if both fail then oral contraceptives ( novelon in your case) is given. If still no effect is there, then D& C is done and last resort is hysterectomy.
Your doctor is treating you on the lines of Dysfunctional uterine bleeding, but in my opinion, you should get an endometrial biopsy done.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
Above answer was peer-reviewed by :
Dr. Shanthi.E
The readings of blood test is as follows taken on 10-3-15.
RBC : 2.97
Hb : 9.1
Hematocrit: 26.9
MCV: 91
MCH: 30.5
MCHC: 33.7
Does it help. Pl advice
RBC : 2.97
Hb : 9.1
Hematocrit: 26.9
MCV: 91
MCH: 30.5
MCHC: 33.7
Does it help. Pl advice
Brief Answer:
Anemia, do get endometrial biopsy soon
Detailed Answer:
Hi XXXX, thanks for responding.
The reports of the investigations you have mentioned are blood count report and a haemoglobin level of 9.1 is suggestive of anemia. This anemia can be due to excessive bleeding you are having.
This makes endometrial biopsy and D& C , if required a must investigation in your case.
Please consult an OBGYN specialist as soon as possible so that appropriate management can be done.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
Anemia, do get endometrial biopsy soon
Detailed Answer:
Hi XXXX, thanks for responding.
The reports of the investigations you have mentioned are blood count report and a haemoglobin level of 9.1 is suggestive of anemia. This anemia can be due to excessive bleeding you are having.
This makes endometrial biopsy and D& C , if required a must investigation in your case.
Please consult an OBGYN specialist as soon as possible so that appropriate management can be done.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
Above answer was peer-reviewed by :
Dr. Shanthi.E
Dear Doctor
Now I am on the medicine prescribed Novelon prescribed from, 10th March for 21 days. I took two tablets so far i.e., on 10th and 11th. The bleeding position is the pads used has reduced to 4 to 3 and abdominal pain is reduced. Doctor told that the bleeding will come to control by 72 hours which is due on 13th i..e, tomorrow. Should I wait. Pl advice
Now I am on the medicine prescribed Novelon prescribed from, 10th March for 21 days. I took two tablets so far i.e., on 10th and 11th. The bleeding position is the pads used has reduced to 4 to 3 and abdominal pain is reduced. Doctor told that the bleeding will come to control by 72 hours which is due on 13th i..e, tomorrow. Should I wait. Pl advice
Brief Answer:
wait till course of novelon completes
Detailed Answer:
Hi XXXX, thanks for responding. Yes, if you started with novelon and you are getting relief in your symptoms, then you should complete the course of tablets and then further undergo any investigations.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
wait till course of novelon completes
Detailed Answer:
Hi XXXX, thanks for responding. Yes, if you started with novelon and you are getting relief in your symptoms, then you should complete the course of tablets and then further undergo any investigations.
Hope you found the answer helpful. Please do get back to us for further queries.
Wishing you good health.
Regards,
Dr Deepti XXXXXXX
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. Shanthi.E
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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