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What Does This Transvaginal Ultrasound Report Indicate?

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Posted on Sat, 31 Oct 2015
Twitter Sat, 31 Oct 2015 Answered on
Twitter Mon, 23 Nov 2015 Last reviewed on
Question : Tuesday I had an appointment due to abdominal pain that had been ongoing for months. The DR. Said "something is definitely going on in" my uterus bc it was very enlarged. It was so enlarged she had to move it out of the way to continue the rest of the exam.
Thursday I had a transvaginal ultrasound.
I called today for my results and the nurse said the report is "unremarkable pelvis"
My question is... How is it unremarkable when the gyn. Seen my uterus enlarged?
doctor
Answered by Dr. Panagiotis Zografakis (19 minutes later)
Brief Answer:
the ultrasound scan is more credible

Detailed Answer:
Hello,

the ultrasound scan is more credible compared to clinical examination to determine the size of the uterus. If the result is negative then you should trust it. Please remember though that the ultrasound scan accuracy is operator dependent, which means that an experienced operator will be more accurate than an inexperienced one. The same applies for clinical examination of course.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (9 minutes later)
My symptoms: cramping, pulling in pelvis to belly button and on both the right & left sides. Made worse by walking, standing long periods of time, Wearing jeans, any pressure such as bowl movements, gas or even a full bladder causes pain.
No fevers and an "unremarkable pelvis" ultrasoind result.
So what are some possabilities of whats going on with my insides?
doctor
Answered by Dr. Panagiotis Zografakis (10 minutes later)
Brief Answer:
gastrointestinal or urinary tract pain

Detailed Answer:
If all gynecologic causes are excluded then the pain is probably of either gastrointestinal or urinary origin. Your gynecologist should be asked regarding gynecologic causes because the ultrasound scan alone is not enough to exclude everything.

Intestinal pain in a young woman may be related to the irritable bowel syndrome or other causes. Clinical examination data are very important in abdominal pain evaluation.

Urinary tract pain is usually caused by infections or obstruction. A urinalysis and an ultrasound scan of the kidneys would provide a lot of help regarding this suspicion.

Other helpful tests might include the following:
- a complete blood count to check the white blood cells
- a C-reactive protein measurement. A high CRP is usually related to more serious diagnoses.
- Glucose, electrolytes, urea, creatinine are important tests to rule out various conditions.

Other tests might be needed for further investigation, depending on clinical examination data. An abdominal CT scan might be helpful but it'd be better avoided since you're young and you should avoid receiving radiation.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (26 hours later)
Ive been in more pain then i had been since the ultrasound on thursday. Now i have server pain when i have a bowl movement. Currently my entire stomach under my belly button ( both right and left sides ) feels like a pulled muscle and above my pelvic bone is extremely sensitive to the touch. Trying to decide if this warrents an ER visit or can wait until monday for a dr follow up.
Thoughts?
doctor
Answered by Dr. Panagiotis Zografakis (5 hours later)
Brief Answer:
you should visit the ER

Detailed Answer:
An abdominal pain of longer than 6 hours' duration warrants a visit to the ER. Sometimes the pain is of benign origin, but until diagnosed nobody can be sure. Clinical examination is very important in this regard and being very far I can't help with that!

Best wishes for a speedy recovery!
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. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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What Does This Transvaginal Ultrasound Report Indicate?

Brief Answer: the ultrasound scan is more credible Detailed Answer: Hello, the ultrasound scan is more credible compared to clinical examination to determine the size of the uterus. If the result is negative then you should trust it. Please remember though that the ultrasound scan accuracy is operator dependent, which means that an experienced operator will be more accurate than an inexperienced one. The same applies for clinical examination of course. Kind Regards!