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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Transvaginal Sonography Report Indicate?

I had a transvaginal songraphy today .... reports indicate: there are changes of adenomyosis in the uterus. multiple nabothian cysts of the cervix, endometrial echos are thick and its thickness measures 13cm, and there is an endometrial polyp measuring 14X7.0 mms. i am 41, over weight, un-exercised, have excessive bleeding during my periods which are regular and last for 5 days incidentally, and i also have multiple cervical cysts. my instinct is to not do anything surgical … not even a biopsy. to wait and watch and try medication and life style changes! there is no history of cervical or breast cancer in my family but i lost 3 relatives on my father’s side to cancer including my father in 2013. is it foolish of me to even consider taking a non-surgical stance? what happens if i don t go in for a bioopsy and decide to wait and watch?
posted on Sun, 5 Apr 2015
Twitter Tue, 25 Jun 2024 Answered on
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General & Family Physician,  's  Response
Hello,

Adenomyosis is non-cancerous. In rare situations, it may become malignant, or cancerous. With adenomyosis, patients have a higher risk of endometrial and thyroid cancers. Get a biopsy done to detect any developing malignancy, if malignancy is diagnosed earlier, treatment can be started before advanced stages.

If malignancy is detected in the biopsy, the treating doctor may consider surgery for the best prognosis. In case, biopsy report shows benign condition then you will be treated by medicines, physical therapy & lifestyle changes. Maintain healthy weight. Cut on sugar and carbohydrate. Take high protein diet, avoid sedentary lifestyle.

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

Regards,
Dr. Nupur K, General & Family Physician
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What Does The Following Transvaginal Sonography Report Indicate?

Hello, Adenomyosis is non-cancerous. In rare situations, it may become malignant, or cancerous. With adenomyosis, patients have a higher risk of endometrial and thyroid cancers. Get a biopsy done to detect any developing malignancy, if malignancy is diagnosed earlier, treatment can be started before advanced stages. If malignancy is detected in the biopsy, the treating doctor may consider surgery for the best prognosis. In case, biopsy report shows benign condition then you will be treated by medicines, physical therapy & lifestyle changes. Maintain healthy weight. Cut on sugar and carbohydrate. Take high protein diet, avoid sedentary lifestyle. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician