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Doctor insights on: Focused Ultrasound Fibroids

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Heavy uterine bleeding 3 weeks pelvic/transvaginal  us  hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more

Dr. Michael Gabor
2,315 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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Can uterus fibroids be mistaken as gestational sac through ultrasound scan?

Can uterus fibroids be mistaken as gestational sac through ultrasound scan?

No: Uterine fibroids are solid benign masses. A gestational sac is a fluid filled cyst like appearance. Both look very different on ultrasound. ...Read more

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Ultrasound findings , abnormal bleeding for 5 weeks..Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Ultrasound findings ,  abnormal bleeding for 5 weeks..Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Dysfunctional Bleed: Abnormal bleeding could be caused by an endometrial abnormality such as a polyp or tumor. A hysterosonogram, in which saline is instilled into the uterine cavity during ultrasound may provide more information. An endometrial biopsy will likely be needed to better define the problem. Irregular bleeding may also be experienced in the perimenopausal period. ...Read more

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Can endometrial cancer look like adenomyosis on ultrasound?

Can endometrial cancer look like adenomyosis on ultrasound?

Possibly: Endometrial cancer in the early stages can appear as a widened endometrial strip on ultrasound. This can mimic adenomyosis. If there is bleeding, this should be evaluated by a gynecologist and perhaps with a d&c. ...Read more

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1/2/13 MRI - Myomatous Degeneration in uterus.1/15/13 Ultrasound Normal. 4/25/14 US Showed Uterus enlarged, Heterogeneous texture 128X40x80 no mass?

 1/2/13 MRI - Myomatous Degeneration in uterus.1/15/13 Ultrasound Normal. 4/25/14  US Showed Uterus enlarged, Heterogeneous texture 128X40x80 no mass?

Fibroids - benign : Myomatous uterus is another term for fibroids which are very common benign growths. MRI is an excellent way for detecting them and the difference in US reports probably reflects difference in technique rather than something that is new. Key ? Is whether symptoms such as increased bleeding, frequent urination, constipation, or pressure are present. If so, see OB/Gyn as a number of treatments exist. ...Read more

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Is testicular ultrasound a transrectal ultrasound!?

Is testicular ultrasound a transrectal ultrasound!?

No: Testicular us looks for abnormalities of the testicle. Transrectal us is used to evaluate either the anal sphincter mechanism or stage rectal rumors. ...Read more

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Are transvaginal ultrasounds more accurate in dating than abdominal ultrasounds?

Are transvaginal ultrasounds more accurate in dating than abdominal ultrasounds?

Depends: On the size if the baby. Transabominally is fine as the baby increases in size. If it is really small then tv is bettet. ...Read more

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Aren't transvaginal ultrasounds good for checking ovarian cancer?

Aren't transvaginal ultrasounds good for checking ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

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Can MRI of pelvis detect uterine fibroids?

Yes: Mri is very good for detection of uterine fibroids. It can determine the size & locations of the fibroids. It can show if the fibroid is degenerated or active, particularly if used with contrast. Mri can be used to guide fibroids treatment, particularly with regards to uterine fibroid embolization which is less invasive than surgery. ...Read more

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Pelvic mass shown on ultrasound, but not CT scan, why?

Pelvic mass shown on ultrasound, but not CT scan, why?

Different imaging.: Sometimes things can be well demonstrated on ct and not ultrasound and vice versa. I'd need your studies to compare. Occaisionally, there are artifacts with either modality that can mimic a mass when there really isn't one. Bowel loops can often do this with either test. ...Read more

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U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. [email protected] fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read more

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Sent for ultrasound: normal uterus size, bladder, ovaries, no free fluid. myometrium's homogenous, endometrium's hetereogeneous 16mm? What's it mean?

Sent for ultrasound: normal uterus size, bladder, ovaries, no free fluid. myometrium's homogenous, endometrium's hetereogeneous 16mm? What's it mean?

Normal: From what you say, this sounds like a normal study. Of course you didn't say why you had the study in the first place. That might change things. Best wishes ...Read more

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Which is better for detecting ovarian tumors ultrasound or cat scan, my pelvic ultrasound said solid mass, CT said no mass?

Complimentary: Ct ; ultasound are complimentary imaging modalities. For smaller masses in appropriate location ultrasound may have an advantage especially if done transvaginally. For larger masses ct may have the advantage of not being blocked by bowel gas and being less degraded by large body habitus. More specific info in your case would be helpful. Size of mass? How was the sono done? Ct with oral and IV cont. ...Read more

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Can you detect adenomyosis on ultrasound?

Can you detect adenomyosis on ultrasound?

Adenomyosis : Unfortunately, the sonographic features of adenomyosis are variable, and may be absent. Reported sensitivity of US ranges from about 30-60%. MRI much better, sensitivity approaches 90% ...Read more

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How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

Depends: Cysts and fibroids are easy to see. Endometriosis is not diagnosed by ultrasound. Pcos is diagnosed by medical history and lab work using an ultrasound as supplemental evidence. ...Read more

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How accurate is a transabdominal ultrasound in assessing an ovarian cyst? Had to stop transvagingal ultrasound, extremely painful

How accurate is a transabdominal ultrasound in assessing an ovarian cyst? Had to stop transvagingal ultrasound, extremely painful

Depends: This depends on a number of factors: the quality of the ultrasound machine; how much your urinary bladder was distended; and particular location of the ovaries in your pelvis. ...Read more

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Try to find an experienced doctor treating uterus fibroid (submucosal) with focused ultrasound. one fibroid about 4cmx4cm submucosal type I. ?

Try to find an experienced doctor treating uterus fibroid (submucosal) with focused ultrasound. one fibroid about 4cmx4cm submucosal  type I. ?

Where are you?: Not sure what your question is .... your location in US is not identified in the question. One alternative is to call your local country medical society ... they often have information on what doctors in your area provide specialty treatments. Good wishes:) ...Read more

Dr. Moshe Lewis
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


Dr. Lynne Weixel
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more