Doctor insights on:
High Intensity Ultrasound For Fibroids
Possibly: Appendicitis can be diagnosed by ultrasound in some patients. It is being used more and more in children to avoid radiation exposure. However, much of it is dependent on the skill of the technician and the comfort level of the radiologist. It's useful, but probably not yet as good as CT scanning. Of course, history and exam are absolutely the most important elements. ...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
I am 51. Bleeding for 15 days with cramps and large blood clots. Ultrasound: "focal anterior fibroid 1.3x1.5x0.9cm"and simple ovarian cyst. Treatment?
Could a hx of abnormal paps, high risk HPV, increase risk of ovarian cysts being cancerous? Lg cysts 4-7 cm, frequent urination, severe pain/pressure
No increased risk: Unlike cervical, anal, and vulvar cancer, ovarian cancer is not caused HPV, and there is no evidence that the risk of overian cancer is any higher in women with HPV, either high or low risk types. Presumably you're in the care of a gynecologist for the ovarian cysts. Continue to follow up as directed and follow her advice. Good luck! ...Read more
What is the difference of these measurements: iu/l and kiu/l ? Example: hCG level of 634 iu/ll and hCG level if 24.8 kiu/l
Light vaginal bleeding for 19 days and pelvic pain. Ultrasound shows complex cyst :hemorrhagic vs collapsing. Are they related? Should i see gyn?
Had transvaginal ultrasound. everything ok except of enlarged uterus and potentially growing fibroid (2cm).could doc misinterpret fibroid for cancer?
Had VIP chemo for stage 3 testicular, hCG at 43 tumors are smaller. Pet scan no intense hits. Alphaf normal. Cause for hCG levels higher?
Not an easy situatio: It is hard to assess your complex situation through few lines, but VIP is usually given as a second line chemotherapy for testicular cancer mostly in the salvage setting. Persistent tumor marker is usually a sign of persistent disease and you need a thorough. Evaluation by a GU medical oncologist and preferably in a multidisciplinary setting ...Read more
I have an 8 cm intramural fibroid, a 2.5 cm fibroid, and spots that may become fibroids, w/pain, long periods, & pressure. Hysterectomy or myomectomy?
Depends: If you've completed childbearing and/or this is not relevant and you don't want to deal with the symptoms anymore; hysterectomy for definitive treatment is reasonable. Of course, prior to finalizing any, please get with your doctor about risks, benefits and alternatives. If you've not completed childbearing and/or want to retain the uterus for other reasons; the myomectomy would be the way to go ...Read more
Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?
Possibly equal: It really all depends on how well the ovaries are seen. If the bladder is full and the ovaries are well demonstrated transabdominally then measurements will be as accurate. Transvaginal ultrasound usually provides a more detailed look at the ovaries because the transducer is right next to them. However, sometimes the ovaries are hard to find transvaginally. Each patient is different. ...Read more
At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.
Depends: If a woman over the age of 40 comes in with abnormal bleeding or any abnormality of the uterine lining, then they deserve an endometrial biopsy. Breast cancer is often treated with tamoxifen which is associated with pre-cancerous and cancerous changes in the uterus. It sounds like they must have good reason to recommend this test. ...Read more
Are frequent ultrasound checks ( including transvaginal) safe in pregnancy? What the recommended waiting time between each ultrasound?
Apparently, very.: Statistics for this are hard to come by, but this is an essential part, along with physical exam, and blood test (for ca-125), of the initial workup. Patients can be asymptomatic, and physical exam can be negative. An ultrasound is likely to find suspect areas that the other tests can fail to pick up. High ca-125 can be seen in other conditions. Surgery is probably the most specific procedure. ...Read moreSee 1 more doctor answer
What levels are important to check if 8 weeks pregnant (ivf) with history of MCs. Other than normal ultrasound scan. ?
Early pregnancy: It is not clear what you mean by levels. If you are referring to blood tests you will need the basic blood work that is done during pregnancy. There are not specific tests that need to be tracked or monitored exclusive to an IVF pregnancy. A sonogram can be done to verify a live intrauterine pregnancy ...Read more
I have PCOS no periods. High risk of womb cancer, how high? How to be tested? Also high levels of oestrogen and testosterone hormones.
4 very early m/c. 3 intramural fibroids, largest 3.4cm. Can intramural fibroids smaller than 5cm cause very early recurrent miscarriages?
Gynecology question: What are the benefits of having transvaginal ultrasound during heavy period, as compared to without period?
Questionable/unclear: The discomfort and inconvenience to you as well as the possibility of "confusing artifacts" for the sonographer, created by the presence of blood and menstrual material in your cervix and endometrium would seem to outweigh any potential benefit of "having a transvaginal ultrasound during heavy period". Asking your doctor directly for a rationale should help answer your concern. ...Read more
Fatigue. Recurring low mid-pelvic pressure/pain.Worse w/full bladder but gone w/ urination. I'd rate the pain a "7". GYN exam ok. No periods w/ depo provera. Abdomen/Pelvic CT scan found small cyst upper pole left kidney. Should I ask for more test?
Pelvic pain: You should get examined again and possibly tests ...Read more
2 ovarian cyst, one 8 CM and the other 6cm. Had vus done, low level echos. Going back in 2 months for review. Ca-125 in normal limits. Concered?
Low degree of concer: Most common cause of such benign cysts are functional cysts that are very common in reproductive age females. Unless, presenting with symptoms (pain, nausea, vomiting, fever etc), your physician may opt to follow them with a repeat us in 3-6 months. Unless you have strong family hx of cancer, or personal hx of cancer, there is a low level of suspicion for ovarian cancer. ...Read more
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
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