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What Does My Ultrasound Scan Report Indicate?

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Posted on Sat, 7 Nov 2015
Question: Mam sexual act took place on 22nd July on 38th day of her cycle..she got light period from 25-28th July..on 31st July she got a slight bit of brown discharge once..again she got medium period flow from 15-18th August on 22nd day..then again she got heavy flow period from 5-9th September..again on 22nd day,but this time its heavy..earlier her cycles used to be around 32-35 days..but last two periods were on exact 22nd day..11-14th May-Light Flow period,15-18th June-Normal flow period,22nd July-sexual act,25-28th July-light flow period,31 st July-slight brown discharge once,15-18th August-medium flow period,5-9th September-Heavy flow period..Today is the 42nd day,still no period came..the last sexual act(that too no penetration,sex,fingering,might have just rubbed minute precum which i hv gt accidentally on my hand over hur vulva) was on 22nd July,none thereafter..She did Blood HCG test on 8,11th and 18th September,all gave less than 0.100 miu/cc..she did USG NORMAL PELVIC ABDOMINAL..i have attached all the reports mam..kindly see..so nothing related to pregnancy?Kindly reply mam at the earliest..
doctor
Answered by Dr. Richa Agarwal (3 hours later)
Brief Answer:
Nothing related to pregnancy.

Detailed Answer:
Hello dear,
Thanks for trusting me about her health care.
I have gone through her history and reports and in my opinion it is not related to pregnancy.
In her ultrasound scan reports it is showing polycystic ovaties,that means she is suffering from PCOD.
Her period is irregular due to PCOD.
It is a multiple endocrinal disorder which can be treated with lifestyle changes and hormonal supplements.
You should consult a Gynecologist and take hormonal pills to get withdrawal bleeding and took treatment for PCOD.
So delayed period is due to PCOD not due to pregnancy ( as her hcg levels are negative and there is no gestational sac in ultrasound scan).
Hope found useful, feel free to discuss more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (5 hours later)
1)Mam is there any chance of pregnancy now with that act which is 12 weeks ago?
2)The last usg was done on 7th October,11 weeks after the act and it showed that uterine cavity is empty and no gsac seen in uterus/adnexa at present..so is there anything to worry even if she misses her period?
3)Mam she does not have any symptoms of pregnancy,so no chance of pregnancy with that act?
4)Mam is central echo,midline echo and endometrial echo the same?
5)Mam she did bhcg during her4 th day of September
periods and also after her September period ended ie11th September both gave same value less than 0.100 miu/cc which are 8 weeks since the act,so nothing related to pregnancy?
6)Mam her uterus size and ET also corresponds to non pregnant state?

Kindly answer mam in details at the earliest..
doctor
Answered by Dr. Richa Agarwal (8 minutes later)
Brief Answer:
No there is no chance of pregnancy.

Detailed Answer:
Hello dear,
Before giving my opinion I would like to suggest you not so tense because she is not pregnant and here are the answers of your questions.
1)No there is no chance of pregnancy.
2)No need to worry.
3)Yes,no chance of pregnancy.
4)Yes three are same
5)No hcg reports are non pregnant state.
6)Yes they are non pregnant state.
She is only suffering from PCOD that's why she missed her period.
Hope found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (22 minutes later)
1)Mam is there any chance now of gsac formation without any sexual act leading to pregnancy now?
2)Mam she visited her gynaecologist with her father during her September period,he said that as she has pcos,irregular cycles can happen..she was under medication for 4 months last yr to regularise her cycle,so he advised her to regularly exercise and control diet as she weighs 66kg and height 5 ft 2-3 inches..
3)Mam her cycles used to be around 32-35 days earlier bt last two periods were exactly on 22nd day,one medium and the next heavy..why mam?
4)Mam does bhcg testing during period in flow or LMP have any connection with the test result?
5)She gets varying flows during period,sometimes light and sometimes heavy..why mam?
6) Mam so no need to suspect pregnancy at all even if she misses her period or flow varies?

Kindly amswer mam in details at the earliest..
doctor
Answered by Dr. Richa Agarwal (1 hour later)
Brief Answer:
No there is no chance of pregnancy.

Detailed Answer:
Hello,
Here are the answers.
1) No no gestational sac form without sexual intercourse.
2) her doctor gave her the right treatment.
3) period flow very because of hormonal changes.
4)Beta hcg is a blood test and there is no change in its value during period.
5)Bleeding may vary due to hormonal changes.
6)Yes,it is true that there is no chances of pregnancy.
Hope found useful.
If I have answered all your questions and you have no further questions kindly close the query and accept my answer if found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (18 minutes later)
Ok mam thank u..kindly answer to these questions in details,i wl be grateful to u forever..

1)Mam does that act on 22nd July cause threat to pregnancy now or in future?

2)Only fresh sexual act now carries risk of pregnancy now?

3)Mam is there any need to test further with HPT,BHCG,USG to confirm her non pregnant state with that 22nd July incident?

4)So she is completely safe from pregnancy with that July incident?..I have read conflicting things which stated that periods occur even after getting pregnant,thats why i got tensed..

5)Mam so no reason to suspect pregnancy even if her periods are missed or flow varies like spotting,less flow or colour changes?

6)Mam why did her earlier periods on august and september preponed by 10 days?

7) Mam does her uterus size of 74*37*40 mm and ET of 6mm confirms non pregnant state too?

8)Mam what is meant by uterine cavity is empty?does it mean absence of pregnancy?is it the same as endometrial cavity?
doctor
Answered by Dr. Richa Agarwal (1 hour later)
Brief Answer:
There is absolutely no chance of pregnancy.

Detailed Answer:
Hi,
You are always welcome and you are not bothering me, so please do not feel like that,we are always here to help you.
Here are the answers of your questions.
1)No it will not cause pregnancy in future also.
2)Yes fresh sexual interaction can cause pregnancy.
3)No no need of further investigations.
4)Yes she is completely safe,as her rest of the test like beta hcg and ultrasound are negative.
5)Yes,no reason to suspect pregnancy.
6)Due to hormonal changes.
7)Yes,they are non pregnant state
8)No products of conception, yes it means absence of pregnancy, both are same
9)No it is not possible for her to get pregnant now with sexual interaction on 22nd July.
So please do not take stress and do not worry about it.
That chapter should be closed.
Hope clear your doubt, if more questions, I feel happy to help you.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (27 hours later)
Ok mam thanx a lot..

1)Mam as u said her to contact gynaecologist and get hormonal tablets for withdrawal bleeding..if her doctor gives her tablets for withdrawal bleeding..and after completion of the course for 5 days,still she dont get het periods,what will it indicate?..as i came to know that taking withdrawal tablets gives periods,but if she takes them as per her doctor's advise and still no period comes what will it indicate?

2)Mam had she been pregnant from july,USG PELVIS ABDOMINAL would have certainly showed it..as uterine cavity is empty 11 weeks after the act,so no chance of pregnancy?

doctor
Answered by Dr. Richa Agarwal (5 hours later)
Brief Answer:
No chance of pregnancy.

Detailed Answer:
Hello dear,
You are most welcome.
Usually withdrawal bleeding occurs within a week after taking pills for withdrawal, it may not occur usually in a case of hormonal disturbances.
Yes,there is absolutely no chance of pregnancy from July act.
Hope found useful, feel free to discuss more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (8 minutes later)

1)Mam if her periods dont come even after taking withdrawal tablets,what will it indicate?..I mean to say even if periods dont come after 1 week of stopping tablets,what will it indicate?As i have read that if after taking withdrawal tablets period doesnot come it indicates pregnancy?..

2)Mam for example her last flow was on 5-9th September, if she doesnot get any flow for 50-55 days straight,still there is no need to suspect pregnancy with that act in July?As i have read that missed periods indicate pregnancy?

3)Mam can usg ever be wrong after 11 weeks of sexual act?..She took 4 usgs from 3 different centers,all of them stated more or less the same thing..3 of them stated that uterine cavity is empty and one didnot state that..just stated that uterus normal in size shape and echo pattern..normal endometrium and myometrium..

4)Mam can that BHCG level of less than 0.100 miu/cc increase now without any sexual act leading to pregnancy?

Kindly answer mam in details..
doctor
Answered by Dr. Richa Agarwal (1 hour later)
Brief Answer:
Answered.

Detailed Answer:
Hello dear,
You are always welcome.
Yes,you are right that if period does not resume after stopping pill it means pregnancy but in her case pregnancy is already ruled out, so hormonal changes maybe the cause.
No she will not be pregnant with July sex.
No,usg is usually correct.
No it will not cause pregnancy and her beta hcg reports are negative.
Hope found useful, feel free to discuss more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (15 minutes later)
1)So mam if she takes withdrawal tablet and still dont get her periods,it wont indicate pregnancy?..then what will it indicate and how will it be rectified?

2)Mam she will b going on a tour this week and her doctor is out of town,he asked her to visit on november,in the mean time even if she dont get her periods without taking withdrawal tablets what will it imply?

3)Mam in case of pregnancy uterus gets bulky and enlarged?

4)Mam does ET decreases once pregnancy is achieved or does it also increase with pregnancy?

5)Mam she is also having no pregnancy symptoms,so can pregnancy also be ruled out in absence of any symptoms?Can pregnancy ever happen without any symptom?

6)Mam if her uterus size now gets bulky and enlarged what will in indicate?

7)Mam i cdnt get u on the answer on what does uterine cavity is empty meaning?..is it the same as endometrial cavity?..ET,midline echo and central echo are all same?

8)Mam so no further tests are needed to confirm her non pregnant state even if she misses her periods now or in future?

Kindly answer these mam in details..
doctor
Answered by Dr. Richa Agarwal (10 hours later)
Brief Answer:
Answered.

Detailed Answer:
Hello dear,
Sorry for the delay in my response.
Here are the answers of your questions.
1) as we previously discuss it can be due to hormonal disturbance not due to pregnancy as she is a case of PCOD. Rectify by taking treatment for PCOD because maybe she is not ovulating.
2)anovulatory cycles.
3)Yes,it may get bulky and enlarged
4)It will increased and give way to Implantation
5)Yes,if no symptoms that means no pregnancy but pregnancy happen without any symptoms
6)there are so many causes other than pregnancy
7)Uterine cavity empty means absence of pregnancy, yes both are same.
8)Yes,no further testing because pregnancy already ruled out.
Kindly do not ask same questions repeatedly and just believe that she can't be pregnant with sexual act on 22nd July because it is confirm by ultrasound and beta hcg testing.
Hope you understand.
Thanks
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (1 hour later)
Ok mam thanx a lot..kindly clear these doubts of mine..i wl not bother u anymore..

1)So even if she dont get periods it will not indicate any pregnancy with that act on 22nd July?

2)Even if she takes withdrawal tablets and dont get periods after taking tablets it will not indicate pregnancy?it will indicate hormonal imbalance?

3)So she is completely safe from pregnancy with that act in July?

4)Mam pregnancy cant happen with that act now or in future unless we again get intimate,isn't it mam?

5) In presence of any kind of menstrual irregularities she is still safe from pregnancy?

Kindly answer to these mam in details..i will not bother u again..i will be grateful to u forever..thanx mam..thanx a lot..:)
doctor
Answered by Dr. Richa Agarwal (48 minutes later)
Brief Answer:
Answered.

Detailed Answer:
Hello dear,
You can bother me anytime, I only want to convince you that she can not get pregnant with sexual interaction which occurs in the month of July.
Here are the answers of your questions.
1) Yes,it will not cause any pregnancy.
2)Yes,it is most likely due to hormonal imbalance.
3)Yes,she is completely safe.
4)Yes,pregnancy occur with the fresh act only
5)Yes,she is safe.
You can ask me anything but not same question again and again.
Hope you will not mind because I can understand your problem and situation.
Good luck.
Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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What Does My Ultrasound Scan Report Indicate?

Brief Answer: Nothing related to pregnancy. Detailed Answer: Hello dear, Thanks for trusting me about her health care. I have gone through her history and reports and in my opinion it is not related to pregnancy. In her ultrasound scan reports it is showing polycystic ovaties,that means she is suffering from PCOD. Her period is irregular due to PCOD. It is a multiple endocrinal disorder which can be treated with lifestyle changes and hormonal supplements. You should consult a Gynecologist and take hormonal pills to get withdrawal bleeding and took treatment for PCOD. So delayed period is due to PCOD not due to pregnancy ( as her hcg levels are negative and there is no gestational sac in ultrasound scan). Hope found useful, feel free to discuss more information. Good luck. Regards