Top
20
Doctor insights on: High Intensity Ultrasound For Fibroids

Share
1

1
Is ultrasound with high frequency probe good for appendicited abnormalities?

Is ultrasound with high frequency probe good for appendicited abnormalities?

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

Dr. Michael Gabor
2,271 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


2

2
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?

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?

Fibroid location det: There is an important detail missing. Is the fibroid "submucous" "subserosal" or "intramural"? The location gives a big clue as to most likely cause and treatment options. ...Read more

3

3
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

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

7

7
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?

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

8

8
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?

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

9

9
Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

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

10

10
At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.

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

11

11
Are frequent ultrasound checks ( including transvaginal) safe in pregnancy? What the recommended waiting time between each ultrasound?

Are frequent ultrasound checks ( including transvaginal) safe in pregnancy? What the recommended waiting time between each ultrasound?

Ultrasound is : Safe for the fetus. Frequency between exams should be determined by clinical concerns and not fear of harming the baby with ultrasound. ...Read more

See 2 more doctor answers
12

12
How accurate is trans vaginal ultrasound for early detection of ovarian cancer?

How accurate is trans vaginal ultrasound for early detection of ovarian cancer?

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 more

See 1 more doctor answer
13

13
What levels are important to check if 8 weeks pregnant (ivf) with history of MCs. Other than normal ultrasound scan. ?

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

14

14
I have PCOS no periods. High risk of womb cancer, how high? How to be tested? Also high levels of oestrogen and testosterone hormones.

I have PCOS no periods. High risk of womb cancer, how high? How to be tested? Also high levels of oestrogen and testosterone hormones.

Your gynecologist is: The answer can be best obtained from your gynecologist. If you do not have one, you should find one who can help you manage your PCOS. Cancer is not a significant risk for you. I do not think Cancer of the womb is associated with PCOS. ...Read more

15

15
Uterus measures 6.6cm x 4.9cm on ultrasound. Which IUD would be the best fit: Mirena or Skyla?

Uterus measures 6.6cm x 4.9cm on ultrasound.  Which IUD would be the best fit: Mirena or Skyla?

Skyla might fit best: If you have never had a full term pregnancy /delivery or your endometrial cavity is normal but relatively small, a Skyla IUD might fit best. ...Read more

16

16
4 very early m/c. 3 intramural fibroids, largest 3.4cm. Can intramural fibroids smaller than 5cm cause very early recurrent miscarriages?

4 very early m/c. 3 intramural fibroids, largest 3.4cm. Can intramural fibroids smaller than 5cm cause very early recurrent miscarriages?

Yes: Yes, but only if they distort the endometrial cavity. A sonohysterogram or hsg could help figure this out, and if affecting the uterus a myomectomy is very effective restoring you anatomy and reducing your risk for miscarriage. ...Read more

See 1 more doctor answer
17

17
Gynecology question: What are the benefits of having transvaginal ultrasound during heavy period, as compared to without period?

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

18

18
If I have varicocele embolization will my very low testosterone level of 100 increase post op?

If I have varicocele embolization will my very low testosterone level of 100 increase post op?

No: Unfortunately, ligating the veins around the testicle will not increase endogenous production of testosterone from the testicles ...Read more

See 1 more doctor answer
20

20
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?

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

Dr. Bernard Seif
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. Jeffrey Satinover
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