
What Does This Pelvic Ultrasound Regarding Vaginal Bleeding Indicate?

HISTORY: 48-year-old female had continued vaginal bleeding of 3 weeks duration.
FINDINGS: The uterus measures 11.1x4.6 cm. A small nabothian cyst was seen in
the cervical region. The endometrium measures 19 . 0 mm. No intra-endometrial
mass lesions were seen. The right ovary is not seen.. The left ovary measures
4.5 x 2.7 cm. A simple cyst was seen in the left ovary measuring 3.6 x 2.2 cm.
No free pelvic fluid is defined.
IMPRESSION :
1. Endometrial hypertrophy. No intra-endometrial mass lesions were seen. There
were no myometrial mass lesions.
2. Right ovary was not seen. Left ovary had a simple cyst with dimensions listed
above.
3. No adnexal mass or free fluid in the cul-de-sac.
Hemoglobin 11.7 - 15.5 g/dL 11.3 L
Hematocrit 35.0 - 47.0 % 38.3
MCV 80 - 100 fL 77 L
MCH 27.0 - 33.0 pg 22.7 L
MCHC 31.0 - 36.0 g/dL 29.5 L
RDW <16.4 % 18.3 H
Platelet Count 150 - 400 K/uL 355
Differential Type Automated
Neutrophil % 49.0 - 74.0 % 70
Lymphocyte % 26.0 - 46.0 % 20 L
Monocyte % 2.0 - 12.0 % 6
Eosinophil % 0.0 - 5.0 % 3
Basophil % 0.0 - 2.0 % 1
Abs Neutrophil 2.0 - 8.0 K/uL 6.7
Abs Lymphocyte 1.0 - 5.1 K/uL 1.9
Abs Monocyte 0.0 - 0.8 K/uL 0.5
Abs Eosinophil 0.0 - 0.5 K/uL 0.3
Abs Basophil 0.0 - 0.2 K/uL 0.1
Thank you for your query
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
The sonography is normal other than endometrial hypertrophy.
It can be due to hormonal changes or sometime can be due to cancer.
I will advice you to get a dilatation and curettage to see the specimen from your endometrium.
It is a minor procedure and will not take much time. This way we can find out the exact cause of your bleeding and endometrial hypertrophy.
Also the rest of the sonography and blood test is normal except that you have mild amount of hemoglobin deficiency.
I will advice you to start taking iron tablets especially since you are bleeding also.
Feel free to consult me directly
http://bit.ly/drsombiswas
Regards
Dr. Som Biswas M.D. XXXXXXX

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