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Doctor insights on: High Intensity Ultrasound For Fibroids

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What does an ultra sound that says normal uterus but very heterogeneous with a few poorly defined fibroids mean?

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

Dr. Michael Gabor
2,244 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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Can the placenta hide a fibroid during an ultrasound?

Can the placenta hide a fibroid during an ultrasound?

Possible: During the later portions of the pregnancy, the growing fetus and the placenta can make evaluation of some fibroids more difficult. ...Read more

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My ultrasound says I have: fibroid/dub and the exam techs impression was that I have ut heterogeneous, what does that mean?

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 more

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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?

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 more

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Can fibroids be missed on an ultrasound?

Can fibroids be missed on an ultrasound?

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

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Hi, is it normal to have continuous bleeding 9 weeks after D&C ? Ultrasound showed no retained tissue ( only fibroid). HSG levels below 5 since 3 weeks ago. The bleeding has been continuous and ranges from heavy/chunky to light.

Hi,
is it normal to have continuous bleeding 9 weeks after D&C ? Ultrasound showed no retained tissue ( only fibroid). HSG levels below 5 since 3 weeks ago.  The bleeding has been continuous and ranges from heavy/chunky to light.

A little unusual: It may be due to the fibroid, or just very slow healing, but bleeding for this long after a D&C is unusual. So I would probably check for infection with a cervical culture, to rule out a mild case of endometritis. If you don't have an infection, your doctor may consider a short course of hormones to control the bleeding. ...Read more

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I had an ultrasound performed which found a fibroid, but I also have what looks something like a black hole, what could it be?

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

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What do cysts and fibroids look like on an ultrasound?

What do cysts and fibroids look like on an ultrasound?

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

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Ultrasound showed thickened endometrium (1.4 cm) on day 12 of cycle and multiple fibroids. Is this concerning?

Ultrasound showed thickened endometrium (1.4 cm) on day 12 of cycle and multiple fibroids. Is this concerning?

A little: A thickend endometrium in a 29 year woman on day 12 of her cycle isn't really concerning. Its normal. But multiple fibroids are a little concerning. Fibroids aren't cancer but they tend to get bigger with time and cause heavy, painful periods. They can also make it harder to get pregnant. Best wishes! ...Read more

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Can ultrasound tell the difference between tumors and other things? Could an ultrasound mistake a tumor for a cyst, fibroid or other mass?

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 more

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The ultrasound results show that I have fibroid and ovarian cyst. How common is this problem?

The ultrasound results show that I have fibroid and ovarian cyst. How common is this problem?

Very common.: probably at least 50% of women have fibroids by age 50, and most women have had an ovarian cyst at one time or another. ...Read more

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Diagnosed many fibroids 2013 by ultrasound. 2014 vaginal ultrasound, not one fibroid found or trace. Could they have been parasitic cysts. ?

No: They were not parasitic cysts but maybe ovarian cysts which have ruptured and gone away. Fibroids generally don't go away without treatment. ...Read more

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I recently had an ultrasound done. The report said I have anterior wall uterine fibroid measuring 1.7 x 1.6 cm. What is this? Hw does it affect me?

I recently had an ultrasound done. The report said I have anterior wall uterine fibroid measuring 1.7 x 1.6 cm. What is this? Hw does it affect me?

May or may not: A fibroid is a benign growth in the muscle layer of the uterus. 1.7 cm is about 1/2 an inch. This is a small fibroid & may not cause any symtpoms. But even a fibroid this small can cause cramping or bleeding if it protrudes into the uterine lining. A special type of ultrasound called hysterosonogram, or an exam with a telescope, known as hysteroscopy can tell if it affects the uterine lining. ...Read more

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Should my Dr proactively monitor size/location of fibroid? Last ultrasound was 16 wks = 8x9cm. Only asks that I tell her if I experience pain/problems

Should my Dr proactively monitor size/location of fibroid? Last ultrasound was 16 wks = 8x9cm. Only asks that I tell her if I experience pain/problems

Wouldn't hurt...: Yes, a good practice would be to periodically see if the size is getting out of hand,er, uterus--and especially if you start getting persistent pain or spotting/bleeding. You are a fair distance from using the fan for the flushes, if you know what I mean, so it has a lot of time to grow. ...Read more

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Dr. Milton Alvis Jr
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. James Chapman
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