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Transvaginal Scan Shows Heterogenous Structure Suggestive Of Intramural Myoma Nodule, Bilateral Multicystic Ovaries. Suggestions?
The transvaginal scan shows a well circumscribed heterogeneous structure measuring 1.1x1.1x1.0 cm noted within the antero-fundal area of the uterus suggestive of an intramural myoma nodule. The cervix is closed and homogenous. The endometrium is thick and hyperechoic with intact endomyometrial interface. The right ovary is posterior to the uterus while the left ovary is lateral. Both contain more than 12 subcapsular follicles measuring less than 1cm in diameter with dense stroma. There are no adnexal masses seen. There is no free fluid in the cul de sac.
Impression:
Normal sized anteverted uterus with small myoma. Bilateral muticystic ovaries. Please correlate clinically.
Impression:
Normal sized anteverted uterus with small myoma. Bilateral muticystic ovaries. Please correlate clinically.
Tue, 3 Sep 2013
Hi,
The ultrasonogram picture is suggestive of polycystic ovaries and a hypertrophied endometrium as is seen in such cases due to excessive estrogen influence; in addition, there is an intramural myoma, small in size. If you are anxious to conceive, you should get a complete hormonal profile, tubal patency, glucose tolerance test, serum DHEAS levels and proceed for treatment. The fibroid may not be of much significance unless it is considered to be the sole cause of discomfort; it can be regularly monitored and may be removed either by surgical or medical means. Hope you find this information useful. Take care.
The ultrasonogram picture is suggestive of polycystic ovaries and a hypertrophied endometrium as is seen in such cases due to excessive estrogen influence; in addition, there is an intramural myoma, small in size. If you are anxious to conceive, you should get a complete hormonal profile, tubal patency, glucose tolerance test, serum DHEAS levels and proceed for treatment. The fibroid may not be of much significance unless it is considered to be the sole cause of discomfort; it can be regularly monitored and may be removed either by surgical or medical means. Hope you find this information useful. Take care.
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