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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Transvaginal Ultrasound Scan Test Report Indicate?

Hi! Im Shean and 25 years of age.. Lately my period is not normal ever since i had it.. Last may 9 was the last day of my normal period after that ive been experiencing spotting for 3days ( brownish, dark red color discharge), im started bloating, nausea and frequent headaches.. i went to have a transvaginal ultrasound and the remarks are : uterus : 6.2 x 3.5 x 3.5 cm retroverted cervix : 2.0 x 2.6 x 2.5 cm without nabothian cyst Endometrium : 0.8 cm hyperechoic Right Ovary : 3.1 x 3.2 x 2.2 cm ( volume = 1.7 cc ) Left Ovary : 3.6 x 1.9 x 1.4 cm ( volume = 5.4 cc ) Remarks: The uterus is retroverted with regular contour and homogeneuos myometrium. There are no myometrial masses seen. The cervix is closed and homogeneous. The endometrium is thin anf hyperechoic with intact endomyometrial interface. Both ovaries are lateral to the uterus and contain more than 12 subcapsular folicles measuring less than 1.0 cm in diameter with dense stroma. There are no adnexal masses seen in this scan. There is no free fluid in the cul de sac. Impression : Normal sized retroverted uterus with thin and intact endometrium. Polycystic right ovary. Multicystic left ovary. No adnexal masses seen. No cul de sac fluid. PLEASE let me know what do u think is something wrong in me..
Tue, 29 Sep 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
After going through the trans-vaginal ultrasound report you have posted, the following things can be inferred:
1. Uterus and uterine cavity are normal. Endometrium (lining of uterine cavity) is thin. Cervix is normal.
2. There are no other masses seen in the neighboring tissues besides uterine cavity.
3. Ovaries shows many cysts, with more in number on the left side. It can be said that you are having PCOD (Polycystic Ovarian Disease).
4. No fluid in cul de sac says there is no ovulation taken place recently.
PCOD is a treatable disease and nothing to worry about. It is known to cause irregular menstruation along with decreased fertility.
You need to take following measures, if you want to improve the chances of fertility.
1. Weight reduction by low carbohydrate intake and moderate exercise.
2. Regulation of hormonal imbalance by use of combined birth control pills.
3. Induction of ovulation by use of clomifen citrate and metformin.
4. Use of anti-androgenic drug like Spironolactone.
Kindly consult Gynecologist with the report for administration of above drugs in proper doses according to your needs by means of clinical assessment. You need to be prepared for frequent check-ups and follow up.
Hope the information provided would be useful.
All the best.
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What Does My Transvaginal Ultrasound Scan Test Report Indicate?

Hi, Thanks for posting in HCM. After going through the trans-vaginal ultrasound report you have posted, the following things can be inferred: 1. Uterus and uterine cavity are normal. Endometrium (lining of uterine cavity) is thin. Cervix is normal. 2. There are no other masses seen in the neighboring tissues besides uterine cavity. 3. Ovaries shows many cysts, with more in number on the left side. It can be said that you are having PCOD (Polycystic Ovarian Disease). 4. No fluid in cul de sac says there is no ovulation taken place recently. PCOD is a treatable disease and nothing to worry about. It is known to cause irregular menstruation along with decreased fertility. You need to take following measures, if you want to improve the chances of fertility. 1. Weight reduction by low carbohydrate intake and moderate exercise. 2. Regulation of hormonal imbalance by use of combined birth control pills. 3. Induction of ovulation by use of clomifen citrate and metformin. 4. Use of anti-androgenic drug like Spironolactone. Kindly consult Gynecologist with the report for administration of above drugs in proper doses according to your needs by means of clinical assessment. You need to be prepared for frequent check-ups and follow up. Hope the information provided would be useful. All the best.