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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest Treatment For Endometrial Hyperplasia

went with my daughter in law for first ultrasound. 8wks 2 days. saw heart beat 152 but on opposite side of sak is a bump in the lining. doctor said it could be a non viable twin, or mass or thickened uterine lining that folded over. very confused. she does have severe endometrious with family history of uterine tumors. she is 25 ty
posted on Mon, 16 Feb 2015
Twitter Thu, 25 Oct 2018 Answered on
Twitter Sat, 27 Oct 2018 Last reviewed on
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OBGYN,  's  Response
Hello,

In the current scenario, the possible suggestions are as follows:

1. If it is a non-viable twin, usually absorption occurs as pregnancy progresses or the bulge shrinks in size.

The serum beta-hCG titres, if charted, would show a fall, previously being in the range of a twin pregnancy.

2. A mass usually increases in size as pregnancy advances depending on its nature. A high resolution scan is helpful to clarify.

3. Thickened and folded endometrium is a common occurrence and resolves in course of time.

A follow-up sonogram after a week suffices. Endometriosis usually does not progress during pregnancy owing to the high progesterone levels and suppressed ovulation.

Please get a follow-up sonogram and plan further management.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shanti Vennam, OBGYN
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Sexologist,  Dr. Dr. B. Radhakrishnan. Nair's  Response
Hi,

You can follow it up with scan after 3 weeks.since one fetus is ok nothing to worry.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. B. Radhakrishnan. Nair, OBGYN
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Suggest Treatment For Endometrial Hyperplasia

Hello, In the current scenario, the possible suggestions are as follows: 1. If it is a non-viable twin, usually absorption occurs as pregnancy progresses or the bulge shrinks in size. The serum beta-hCG titres, if charted, would show a fall, previously being in the range of a twin pregnancy. 2. A mass usually increases in size as pregnancy advances depending on its nature. A high resolution scan is helpful to clarify. 3. Thickened and folded endometrium is a common occurrence and resolves in course of time. A follow-up sonogram after a week suffices. Endometriosis usually does not progress during pregnancy owing to the high progesterone levels and suppressed ovulation. Please get a follow-up sonogram and plan further management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shanti Vennam, OBGYN