Doctor insights on:
High Intensity Ultrasound For Fibroids
What does an ultra sound that says normal uterus but very heterogeneous with a few poorly defined fibroids mean?
May mean adenomyosis: Difficult to say for sure. You should discuss findings with your doctor. I often see pelvic ultrasounds describe significant heterogeneity which is due to adenomyosis but called fibroids instead. They are both benign conditions and both cause similar symptoms (and you could even have both). A pelvic MRI is a good way to answer this but first talk to your doctor to explain the results. ...Read more
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
What do you think of exablate mr-guided focused ultrasound? My dr wants to perform a myoectomy, d & c, and place a nova IUD for submucosal fibroids.
My ultrasound says I have: fibroid/dub and the exam techs impression was that I have ut heterogeneous, what does that mean?
Need pelvic MRI: One of most common mistakes made on the interpretation of pelvic ultrasound is missing adenomyosis. I have seen countless women who have been misdiagnosed as having fibroids on ultrasound when instead they had adenomyosis. The tipoff to this is "ut heterogenous" adenomyosis has similar symptoms (pain, heavy menses) but treated a lttle differently. Pelvic MRI would settle this. You might have both. ...Read moreSee 1 more doctor answer
My 3-month follow up ultrasound showed my two largest fibroids grew to 31x26x18 mm from 19x22x22 m and to 40x36x27 mm from 30x29x24 mm. Concerning?
Fibroid growth: Growth of fibroids prior to menopause is common and not usually concerning. Treatment for fibroids is based on symptoms (pain, bleeding, pressure, etc) and not out of a concern for cancer which they rarely are. Estrogen causes fibroids to grow. Treatments can include medical treatments to lower or block estrogen levels or surgery to remove the fibroids or the uterus and fibroids. ...Read moreSee 2 more doctor answers
Yes, but: Fibroids can be missed, but only in certain circumstances. If the fibroids are very small or non-distinct, then they may be difficult to spot on an ultrasound. Or if a fibroid is pedunculated and high up above the uterus then it may be hard to see on a transvaginal scan. In those cases a trans-abdominal scan would be needed. But in general, ultrasound is the best way to see fibroids. ...Read more
I had an ultrasound performed which found a fibroid, but I also have what looks something like a black hole, what could it be?
Cyst, pregnancy: If something looks like a black hole on pelvic ultrasound, more information is needed to say what it is. If you have a positive pregnancy test, it could be an early gestational sac or ectopic pregnancy. Otherwise other possibilities include ovarian cysts. You should follow-up with your physician about the results of this ultrasound. ...Read more
See below: At ultrasound cysts are typically black with a thin wall near the transducer and bright echoes away from the transducer. Fibroids almost always have internal echoes, though they may be either brighter or darker than the surrounding normal uterine tissue. ...Read more
Can ultrasound tell the difference between tumors and other things? Could an ultrasound mistake a tumor for a cyst, fibroid or other mass?
Yes and Yes: Ultrasound is just one of many imaging modalities. It can be very accurate at distunguishing abnormalities but it often depends on what you are imaging and the expertise of the ultrasonographer. No test is ever 100% but ultrasound is fairly good at telling between cystic and solid lesions. ...Read moreSee 1 more doctor answer
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
Uterine fibroids are the most common pelvic tumor in women. They occur in 1 of every 3 women regardless of race and up to 80 % of african-american women of child bearing age. They are often asymptomatic but they can cause significant symptoms (exe. Heavy menstrual bleeding, pelvic pain, increased urinary frequency). They ...Read more
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