What Does This Transvaginal Ultrasound Report Indicate?

Posted on Wed, 15 Jun 2016

Question: I have a question for a gynecologist oncologist I have uploaded to transvaginal ultrasound 1 for the month of February 2016 and the other one April 2016 both are abnormal there's findings and both and at this point no further evaluation ha been done I was advised it was not needed I am concerned since my uterus is enlarged and my endometrium is thick because of my age I am 36 I feel they're not taking me seriously for further evaluation I am experiencing chronic pelvic pain painful intercourse since November 2015 I had a abnormal pap smear in December 2015 I had a colonoscopy came back abnormal with chronic inflammation no malignancy store listings please advise

Answered by Dr. Indranil Ghosh (3 hours later)

Brief Answer:
not concerning for cancer

Detailed Answer:
Hi
Thanks for your query.

The first ultrasound is totally normal. Endometrial thickness in premenopausal women depends on time of cycle and 11 mm is OK in the later part of cycle. Hence the radiologist has commented that it is normal.

Now the second one shows some cysts in uterus. Cysts are not concerning for cancer and are mostly benign. Endometrial thickness is lower than the first.

These ultrasounds don't explain painful intercourse and pelvic pain. What were the pap smear findings? Depending on that, further evaluation to be decided. Otherwise nothing more may be required at this time.

Hope this helps. I will be available for follow up.
Regards

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

Follow up: Dr. Indranil Ghosh (49 minutes later)

i googled my symptoms it says endometrial cancer i went to 5 different obgyn the furthest evaluation I've gotten was a laporoscapy i will attach report

waiting on d&c pathology report

Answered by Dr. Indranil Ghosh (6 hours later)

Brief Answer:
laparoscopy shows endometriosis

Detailed Answer:
Endometriosis can explain all the symptoms. If d and c also negative for malignancy, then nothing to worry. No more tests to be done.

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

Follow up: Dr. Indranil Ghosh (5 hours later)

the pap smear report is attached dr

Answered by Dr. Indranil Ghosh (49 minutes later)

Brief Answer:
There is no premalignant change

Detailed Answer:
There is suggestion of squamous metaplasia but no dysplasia, which means no premalignant change. So not too concerning. Followup pap smears are recommended.

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Above answer was peer-reviewed by : Dr. Naveen Kumar