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Concerns Regarding Endometriosis and Pelvic Health - #50701
ULTRASONOGRAPHY OF PELVIS Real time. B mode, gray scale sonography of the pelvic organs was performed. Additional transvaginal study was also performed. UTERUS: The uterus is retroverted and retroflexed. It measures 7.2 x 4.1 x 4.1 cms. in the longitudinal, transverse and anteroposterior dimensions, respectively. This is within normal limits. The uterine myometrium shows heterogenous echotexture. Small hypoechoic deposits are seen at the posterior surface of uterus, likely to be endometriotic deposits The endometrial echo is in the midline. It measures 6.1 mm. OVARIES: The ovaries on the either side appear adherent to posterior surface of uterus. Right ovary is bulky and shows an endometriotic cyst within. The cyst measures 24 x 21 x 20 mm (5 ce in vol.) The right ovary measures 44 x 31 x 23 mm (17 cc in vol) and the left ovary measures 33 x 22 x 12 mm (4 ce in vol). A well defined heteroechoic lesion is seen in right adnexa closely abutting the uterus and right ovary. It measures 2.7 x 2.4 x 2.2 cm in size. Differential diagnosis includes a subserosal fibroid and an endometriotic cyst. Minimal free fluid is seen in the cul-de-sac IMPRESSION: Small hypoechoic deposits are seen at the posterior surface of uterus, likely to be endometriotic deposits. Endometriotic cyst in right ovary. A well defined heteroechoic lesion in right adnexa closely abutting the uterus and right ovary. Differential diagnosis includes a subserosal fibroid and an endometriotic cyst. Ahove findings are concerning for deep pelvic endometriosis.
How long have you been experiencing symptoms related to your pelvic health?:
- More than 6 monthsWhat symptoms are you currently experiencing?:
- Irregular periodsHave you previously received any treatments for endometriosis or related conditions?:
- No, never treated
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What Your Report Means 1️⃣ Uterus Size is normal. Retroverted/retroflexed uterus → this is common and usually not dangerous. Heterogeneous myometrium → can be seen in endometriosis or adenomyosis. Small hypoechoic deposits on posterior surface → likely endometriotic implants. 2️⃣ Ovaries Right Ovary: Bulky Has an endometriotic cyst (24 mm) An endometriotic cyst (also called chocolate cyst) forms when endometriosis affects the ovary. Size: ~2.4 cm This is small-to-moderate. 3️⃣ Ovaries Adherent to Uterus This suggests: Pelvic adhesions Possible deep endometriosis 4️⃣ Right Adnexal Lesion (2.7 cm) Could be: Subserosal fibroid OR Another endometriotic lesion Further imaging (MRI pelvis) may clarify. 📌 Impression: Deep Pelvic Endometriosis This means endometriosis is not just superficial — it may involve deeper tissues. ❓ Is This Dangerous? Endometriosis is: Not cancer But chronic Can cause pain Can cause irregular periods Can affect fertility It does NOT cause death. 🎯 Since You Have Irregular Periods That fits with endometriosis. Common symptoms: Painful periods Pelvic pain Pain during intercourse Irregular bleeding Infertility in some cases 🩺 What Should You Do Next? 1️⃣ See a Gynecologist who specializes in endometriosis 2️⃣ Consider MRI Pelvis Better for evaluating deep disease. 💊 Treatment Options Treatment depends on: Pain severity Age Whether you want pregnancy If pain + irregular cycles: Medical treatment: OCP pills Progestins Dienogest GnRH analogues (in severe cases) Surgery: Only if: Severe pain Large cyst (>4–5 cm) Infertility issue Failed medical treatment Your cyst is 2.4 cm → usually treated medically first. 🌿 Lifestyle Support Anti-inflammatory diet Regular exercise Avoid excessive estrogen exposure Maintain healthy weight
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