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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do My Hormonal Profile And Pelvic Ultrasound Test Results Indicate?

Hi Dr, could not upload test results. HOMONAL PROFILE LH 14.27 U/L FSH 3.61 U/L PROLATIN 24.30 NG/ML/(5-25) PROGESTERONE 0.289 NG/ML OESTRADIOL (E3) 145.9 PG/ML ENDOCRINE THYROID TS4 3.01 ( 0.27-4.2) T3 2.62 (1.3 -3.10) T4 109.3 (6.0 -181.0) FEMALE REFERENCE RANGE Follicle ph/Ovulatry ph/Luteal P/ Post Menopause fsh(u/l) 3-20 9-26 1.0-12 18-153 lh (u/l) 2-15 22-105 0.6-19 16-64 pro(ng/nl) 1-5 - 3-20 0-15 E3 (ng/ml) 50-145 1/2-443 50-241 59 DID THE HOMONAL PROFILE 2DAYS BEFORE EGG WHITE DISCHARGE. PELVIC SCAN Uterus is non-gravid, anteverted and significantly bulky in size with non-uniform myometrial echo pattern. It measures 41.2mm in AP Diametre. With a defined cystic masses with internal echoes measuring 30mm x 34mm was noted at the right ovary. left adnexen is free mild fluid collection noted in the pouch of douglas. Vagina culture result Wet Preparation Pus cell - 0 - 2/hpf Epithetial cell - many / hpf Bacterial cells - + yeast cells - + Culture: No significant bacterial growth after 48hrs of incubation at 38c. THE PELVIC SCAN AND CULTURE WAS DONE FOUR DAYS AFTER MY PERIOD. Please sir am seriously worried. Would be happy if you can help me evaluate the above results. God bless you.
Tue, 31 Mar 2020
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General Surgeon 's  Response
Hello,

The hormone panel is being quite in range without major changes, so do not worry for lab tests. The ultrasound is suggestive of bulky uterus which can be in relation with adenomyosis, inflammation or else. The fluid in pouch of Douglas and ovarian cyst of right side are benign conditions and not of that serious concern.

My guidelines at present:
- Drink more liquids
- Avoid vaginal intercourse at present (if active)
- Empiric antibiotic prescription as metronidazole with fluoroquinolones as leveoflox or else
- Vaginal hygiene

Depending upon the menses pattern and fertility corner, additional hormone therapy for best results over ovarian cyst part.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Do My Hormonal Profile And Pelvic Ultrasound Test Results Indicate?

Hello, The hormone panel is being quite in range without major changes, so do not worry for lab tests. The ultrasound is suggestive of bulky uterus which can be in relation with adenomyosis, inflammation or else. The fluid in pouch of Douglas and ovarian cyst of right side are benign conditions and not of that serious concern. My guidelines at present: - Drink more liquids - Avoid vaginal intercourse at present (if active) - Empiric antibiotic prescription as metronidazole with fluoroquinolones as leveoflox or else - Vaginal hygiene Depending upon the menses pattern and fertility corner, additional hormone therapy for best results over ovarian cyst part. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon