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What Does This Transvaginal Ultrasound Indicate?

Posted on Tue, 3 Mar 2015

Question: hello dr. transvaginal ultrasound was done with the following impressiomln anechoic fluid in the culdesac 4.74x 2.01 x 2.25cm volume 18.30 cc. At the internal os is a cystic anechoid structure measuring 0.43 x 0.33 cm no double decidual sac sign. Rule out corpus luteum hemorrahagicum. What does this mean. Thanks dr.

Answered by Dr. Aarti Abraham (10 minutes later)

Brief Answer:
Please upload report.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Please upload the scan report.
You have typed in the report, which provides me with information, and there are lots of spelling mistakes in the typing.
So kindly upload the report.
Also please let me know why you have got the ultrasound scan done.
What were the symptoms / complaints for which it was done ?
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (6 minutes later)

I am suspecting that i am pregnant but not sure.

Answered by Dr. Aarti Abraham (1 minute later)

Brief Answer:
Need the report please.

Detailed Answer:
Okay.
When was your last menstrual period ?
Are your cycles regular ?
Have you taken a pregnancy test ?
What is your height and weight ?
IS this your first pregnancy ?
And most important - please upload the report.
Without looking at it, I cannot offer you much guidance.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (15 minutes later)

Lmp 25 january but not like my usual period. I gained weigh more or less around 10kgs breast are painful and feeling full even after period. Bigger breasts nipples are bigger and with white bumps.

Answered by Dr. Aarti Abraham (0 minute later)

Brief Answer:
Please upload the report.

Detailed Answer:
Please let me know the rest of the answers to the questions I asked.
ALso, kindly upload the report, I repeatedly request you to do so.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (3 minutes later)

I just uploaded 4 ultrasound pics 1 pic for the findings and 1 pic for my preg test which was read 3 hours after.Height 162 weight 116pounds. First pregnancy if pregnant. Thanks dr. Thanks dr.

Answered by Dr. Aarti Abraham (7 minutes later)

Brief Answer:
Not able to view any attachments.

Detailed Answer:
And are your cycles generally regular ?
Are you trying to conceive ?
Thank you for responding, but am unable to view any attachments here .
Hence repeatedly requesting you to upload them.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (15 minutes later)

uploaded again the ultrasound pics. yes dr. trying to conceive. thanks

Answered by Dr. Aarti Abraham (5 minutes later)

Brief Answer:
No uploaded reports yet :(, not able to view any.

Detailed Answer:
If you view the conversation thread, you can clearly see that there are no attachments / reports uploaded.
I am waiting for them actually.
Alternatively, you can email them at - YYYY@YYYY and request the customer care team to forward them to me.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (14 minutes later)

My cycles are regular 28 day cycle

Answered by Dr. Aarti Abraham (2 hours later)

Brief Answer:
Have explained to you in detail

Detailed Answer:
Thank you.
Am now able to see the uploaded images and the report.
I think that the following possibilities exist -
1. The scan is suggestive of a very early pregnancy, there is a sac like structure seen in the uterus, but it is not a proper sac , so it could be that it is a very early pregnancy and hence the sac is not clearly seen. There is fluid in the pelvis, suggestive of ovulation and conception, and there is a cyst in the ovary suggestive of recent ovulation.
2. This could be an impending miscarriage, only time can tell what it is.
3. It could rarely be an ectopic pregnancy ( pregnancy outside the uterus ).
I would suggest a B HCG ( blood pregnancy test ) now and to be repeated after 2 days again.
Also, a repeat ultrasound scan after 2 weeks.
That will clarify what is actually going on.
If you have bleeding / fainting / extreme pain - you should go to the ER anytime.
Else, take rest, avoid stress and intercourse.
Take your prenatal vitamins regularly.
You can reach me anytime using the following direct link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (5 hours later)

thank you for the reply doctor. what prenatal vitamins do you suggest? thank you

Answered by Dr. Aarti Abraham (6 hours later)

Brief Answer:
Detailed.

Detailed Answer:
Take any generic available locally.
Make sure there is 5 mg folic acid in it though.
WIsh you luck !

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (5 minutes later)

Thank you so much doctor.. :-)

Answered by Dr. Aarti Abraham (9 minutes later)

Brief Answer:
You are welcome

Detailed Answer:
Thanks for using this service

Wish you good health

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. Chakravarthy Mazumdar