Doctor insights on:
Pedunculated Fibroid Symptoms
I have just been diagnosed with anteverted bulky uterus, anterior intramural, posterior intramural, fundal subserous & fundal pedunculated fibroid?
Are you symptomatic?: Sounds like you had pelvic us and reported the location of certain fibroids in the uterus. 3 locations: submucosal (central, against the uterine lining), intramural (in the muscular middle), and subserosal (outer, on the edge). Anterior (front) posterior(back). Fundal is top of the uterus. Pedunculated means it's on a stalk (but this term is often used to describe any fibroid away from uterus). ...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
U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?
Yes: This depends on fibroid size and location and especially if the fibroid extends or protrudes into the uterine cavity. Fibroids respond to estrogen (high in pregnancy) by increasing in size. They may revert to normal size after pregnancy. They can also interfere with normal labor. Most obstetricians measure them with ultrasound monthly or so during pregnancy. ...Read more
Not necessarily.: Many, many women have fibroids as they get older. Most don't even know they have them. If you are having symptoms due to them, like heavy periods, etc., then they may be worth treating. Discuss your options with your doctor. Very very rarely, a fibroid can become cancerous. See http://womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html#g ...Read moreSee 1 more doctor answer
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?
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 moreSee 1 more doctor answer
Multiple uterine fibroids. Largest is bilobed fundal subserosal fibroid 8.4x7.5x5.4cm. Is this prevent pregnancy?
What does this mean? "Fibroid uterus w/notable partially degenerated 1.7 cm
fibroid in myometrium of the right uterine cornua. Atrophic right ovary"
Interpretation: A fibroid is a smooth muscle growth in your right section at the top of your uterus next to the right Fallopian tube. It is in the process of "falling apart"(degenerating) which can cause bleeding and pain. The right ovary is shrunken (atrophic) which is common in post menopausal women. ...Read more
Diag with "1.2cm posterior intramural body fibroid abutting the endometrial stripe." isn't what was described actually a submucous fibroid? Confused.
You need the images: It could be close to the stripe, but have a small amount of intervening muscle.This would make it intramural. If there is no intervening muscle, then it would be submucosal. ...Read more
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
Uterus-Measures 9.1 cm.
Endometrial echo complex measures 1.0 cm.
13 mm lower uterine fibroid.
Nonvisualized left ovary
It means fibroids: Fibroids are non-cancerous growths of the muscular layer of the uterus. They are hormonally driven and can grow in size and cause problems for many women. They can cause pelvic pain, urinary symptoms, and constipation if a large enough size. They can also cause abnormal bleeding and heavy periods. They can also be found incidentally and cause no symptoms or problems. ...Read more
can be asymptomatic: It's possible to have uterine polyps without signs or symptoms. Symptoms include: irregular menstrual bleeding, bleeding between menstrual periods, excessively heavy menstrual periods, vaginal bleeding after menopause, and infertility. To diagnose: uterine ultrasound, and biopsy or currettage with biopsy. Thank you for question. ...Read more
Uncontrolled growth: The smooth muscle that makes up the wall of the uterus begins to grow in an uncontrolled fashion. The separation of a benign tumor (fibroid or leiomyoma) from a malignant tumor (leiomyosarcoma) is the degree of growth, increased growth, and presence of tumor death (necrosis). ...Read moreSee 1 more doctor answer
Anteriror midsegment myoma 4.7x4.6cm.Anterior fundal myoma 6.6x6.5cm.Posterior midsegment myoma 4.0x3.0cm and 3.4x3.1cm can be treated by myomectomy?
Sure: Certainly the description you have left of the uterine fibroids can be treated by myomectomy. The approach for a myomectomy can be a traditional open or large scar laparotomy. But, even with the multiple fibroids you describe, a laparoscopic or robotic assisted myomectomy may be a better choice for you. ...Read more
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