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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Pelvic Ultrasound Done, Got Results. Can Any Online Doctor Help?

I just had an pelvic ultrasound done two days ago because I have had a lot of abdominal swelling, lower abdominal pain/cramping, lower back pain and swollen breasts. The results came back showing an anteverted enlarged uterus measuring 10.9 cm x 4.6cm x 8.0cm. No focal mass seen. Thendometrium is normal. No ad exam mass or intrapelvic free fluid found. Left ovary measures normal and a 2.6cm normal follicle found in the left ovary. Right ovary is not seen(which I still have). What could this mean? I am on the depoprovera shot with normal periods every month and not due for one for a couple weeks. Can this mean I am pregnant? I do not have any excess bleeding or anything with my menstrual cycles. I have taken a pregnancy test that came back negative which I think it would be too early too show. Any help would be greatly appreciated. Thank you
posted on Tue, 29 Oct 2013
Twitter Tue, 29 Oct 2013 Answered on
Twitter Tue, 29 Oct 2013 Last reviewed on
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OBGYN 's  Response
Hi,

Please do not worry. I understand your problem.

The only abnormality in the report is that the uterus is enlarged [bigger than normal]. Rest everything, that is ovaries, and endometrial thickness are normal.

Knowing your obstetric history [that is number of pregnancies and deliveries ]would have helped. This is because, every pregnancy causes an increase in uterine size and after delivery it still remains slightly bigger than the previous pre pregnant size. Repeated pregnancies therefore cause a permanent increase in size.

Another reason is a condition called adenomyosis where the endometrium [lining of the uterus] grows inwards towards the uterine muscles. This increases the size as well as causes pain.

Hormonal imbalances also cause an increase in size especially estrogen hormone. The swollen breasts are also suggestive of a hormonal dysfunction.

The chances of pregnancy are negligible with regular depoprovera shots and regular periods.

When women with similar complaints come to my clinic, I advise an endometrial biopsy, a small procedure to collect the endometrium [lining of the uterus] and analyze it. It gives a fair idea of any hormonal effect as well as rules out other rare causes like a cancer.

Further management will depend upon the results of the biopsy.

So do not worry as these are common conditions.

Hope you find this useful. Thanks for using health care magic.
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Had Pelvic Ultrasound Done, Got Results. Can Any Online Doctor Help?

Hi, Please do not worry. I understand your problem. The only abnormality in the report is that the uterus is enlarged [bigger than normal]. Rest everything, that is ovaries, and endometrial thickness are normal. Knowing your obstetric history [that is number of pregnancies and deliveries ]would have helped. This is because, every pregnancy causes an increase in uterine size and after delivery it still remains slightly bigger than the previous pre pregnant size. Repeated pregnancies therefore cause a permanent increase in size. Another reason is a condition called adenomyosis where the endometrium [lining of the uterus] grows inwards towards the uterine muscles. This increases the size as well as causes pain. Hormonal imbalances also cause an increase in size especially estrogen hormone. The swollen breasts are also suggestive of a hormonal dysfunction. The chances of pregnancy are negligible with regular depoprovera shots and regular periods. When women with similar complaints come to my clinic, I advise an endometrial biopsy, a small procedure to collect the endometrium [lining of the uterus] and analyze it. It gives a fair idea of any hormonal effect as well as rules out other rare causes like a cancer. Further management will depend upon the results of the biopsy. So do not worry as these are common conditions. Hope you find this useful. Thanks for using health care magic.