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What Does Bleeding, Endometrium Measuring 10.3 And Nabothian Cysts Found In US Mean?
I had hyperplasia last year had a d&c done. Bleed from August to January switched Doctors. In January started Provera, bleeding stopped finally. In June had Acute bilateral pulmonary embolisms. Now am on Warfarin with weekly INR testing to keep me between 2-3 levels. After PE provera discontinued. Had transvaginal ultrasound done and two days later a biopsy done. Ultrasound showed - endometrium measuring 10.3, uterus measures 7.7 x4 x 5.6 cm, Nabothian cysts noted, hyperechoiclesion within cervix measuring 6.2 mm, free fluid not identified. What does this mean and should I be worried. I have follow up in a week for biopsy results. I m now bleeding again and severe cramps
Mon, 5 Dec 2016
Hallow Dear,
You indeed had a distressing medical history; however are now through it safely. From your history, I could not get the information of your age and childbearing. I believe you are peri- or post- menopausal phase of your life.
Though the uterus is not very bulky to cause any concern, if you are postmenopausal, even normal size uterus has to be considered as 'bulky' for the age. Moreover, your endometrium is 10.3 mm which definitely is thick for the post menopausal period. Moreover, you had a history of hyperplasia (of the endometrium) with prolonged bleeding which had to be controlled by Provera. Biopsy of the endometrium is definitely indicated. It could be again just a hyperplasia, could be precancerous growth of the endometrium or could be cancer of the endometrium. The final diagnosis will be revealed only by biopsy histopathology report.
If you have started again bleeding now after the biopsy, you need to control it ASAP. It could be a side effect of Warfarin also. Provera again will be useful to stop this bleeding. Please undergo investigations for the bleeding and clotting profile of your blood.
Then depending upon the histopathology report of the endometrial biopsy, further management will have to be planned. However, repeat incidence of bleeding may demand removal of the uterus (hysterectomy); if it is cancer, the hysterectomy may go upto radial hysterectomy.
Nabothian follicle on the cervix is a follicle formed due to blockage of one of the cervical glands which usually happens in cervical infection. It can be treated by cauterization of the cervix. It is not a very serious issue. First look after the histology report.
If you ask me Direct question on this forum mentioning your age and some more relevant history, I would definitely offer you more precise advice.
Dr. Nishikant Shrotri
You indeed had a distressing medical history; however are now through it safely. From your history, I could not get the information of your age and childbearing. I believe you are peri- or post- menopausal phase of your life.
Though the uterus is not very bulky to cause any concern, if you are postmenopausal, even normal size uterus has to be considered as 'bulky' for the age. Moreover, your endometrium is 10.3 mm which definitely is thick for the post menopausal period. Moreover, you had a history of hyperplasia (of the endometrium) with prolonged bleeding which had to be controlled by Provera. Biopsy of the endometrium is definitely indicated. It could be again just a hyperplasia, could be precancerous growth of the endometrium or could be cancer of the endometrium. The final diagnosis will be revealed only by biopsy histopathology report.
If you have started again bleeding now after the biopsy, you need to control it ASAP. It could be a side effect of Warfarin also. Provera again will be useful to stop this bleeding. Please undergo investigations for the bleeding and clotting profile of your blood.
Then depending upon the histopathology report of the endometrial biopsy, further management will have to be planned. However, repeat incidence of bleeding may demand removal of the uterus (hysterectomy); if it is cancer, the hysterectomy may go upto radial hysterectomy.
Nabothian follicle on the cervix is a follicle formed due to blockage of one of the cervical glands which usually happens in cervical infection. It can be treated by cauterization of the cervix. It is not a very serious issue. First look after the histology report.
If you ask me Direct question on this forum mentioning your age and some more relevant history, I would definitely offer you more precise advice.
Dr. Nishikant Shrotri
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