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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Ultrasound Scan Report Indicate?

I am having periods continously for 20 days sometimes heavy sometimes spotting . I am 43 yrs old. Acc to ultrasound report the uterus is a reverted normal in outline. The myometrium shows homogenous echoes .endometriumis central, 20mm thick showing tiny cystic changes _likely cystic hyperplasia of the endometrium . What does it mean and what is the treatment
Thu, 5 Mar 2020
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General Surgeon,  's  Response
Hello,

As per my surgical experience, the endometrial thickening is increased due to underlying hormone imbalance particularly that of estrogen and others which is responsible for the heavy flow of menses. In my clinic, I do recommend:
- Hormone therapy as NCNorm P with high dose progesterone for a period of 3 days to control acute bleeding
- Supportive therapy with tranexamic acid and ethamsylate
- Iron supplementation to avoid development of anemia

Later depending upon the clinical response within period of time, one may have to continue further medications and if not responsive endometrial curratage with biopsy may be warranted ahead.

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does My Ultrasound Scan Report Indicate?

Hello, As per my surgical experience, the endometrial thickening is increased due to underlying hormone imbalance particularly that of estrogen and others which is responsible for the heavy flow of menses. In my clinic, I do recommend: - Hormone therapy as NCNorm P with high dose progesterone for a period of 3 days to control acute bleeding - Supportive therapy with tranexamic acid and ethamsylate - Iron supplementation to avoid development of anemia Later depending upon the clinical response within period of time, one may have to continue further medications and if not responsive endometrial curratage with biopsy may be warranted ahead. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon