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Doctor insights on: Prominent Heterogeneous Lower Uterine Segment

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Uterus 60x40x45, myometrium is heterogeneous and there is hypoechoic region at the lower uterine segment. The endometrial stripe is measured at 10 mm.

Uterus 60x40x45, myometrium is heterogeneous and there is hypoechoic region at the lower uterine segment. The endometrial stripe is measured at 10 mm.

Several causes: The first thing coming to mind with this info given your age is adenomyosis, a condition where uterine lining tissue is found throughout the wall of the uterus. Have you had MRI? This technique is good for diagnosis. Typically the cure is hysterectomy. Endometriosis may also still be a factor, a condition where uterine lining tissue is found about the pelvis. Follow up with your GYN! ...Read more

Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more


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FHR is 166. CRL is 67.3mms. Placenta anterior, grade 0 and is low lying reaching upto lower uterine segment.

FHR is 166. CRL is 67.3mms. Placenta anterior, grade 0 and is low lying reaching upto lower uterine segment.

Early ultrasound: Assuming your question is regarding the location of the placenta. An early ultrasound indicating a low lying placenta will be repeated later in pregnancy. Most will migrate to attain better blood supply away from the cervix. Very few remain low lying. If it does, then your doctor will follow you closely for signs of bleeding. At this point, a problem but one that will probably resolve. ...Read more

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Placenta - anterior in upper and lower uterine segment, edge of placenta is 28 mm away from internal os, what does this mean?

Placenta - anterior in upper and lower uterine segment, edge of placenta is 28 mm away from internal os, what does this mean?

It means all good!: The placenta is far enough away from the internal "hole" of the cervix that previa--a dangerous condition that can cause hemorrhage--is not an issue. The placenta has to go somewhere--the front (anterior), the top (fundus) or back (posterior). I don't know any more about your condition but based on that info, it all sounds ok! ...Read more

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There is 28x19x15mm hypoechoic lesion in the anterior myometrium in lower uterine segment. Do I need to be concerned? Is it affecting my fertility?

There is 28x19x15mm hypoechoic lesion in the anterior myometrium in lower uterine segment. Do I need to be concerned? Is it affecting my fertility?

Ask the GYN MD....: Ask the GYN MD who ordered the test that has shown the above abnormality. It is difficult to make a determination about a "concern" without the proper context of history, exam and reason for testing. ...Read more

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Placenta:posterior, dipping to the lower uterine segment os grade "o" maturity is it safe?

Yes: As long as the placenta does not dip down so low as to block the cervix (a placenta previa) this is not a problem. Grade 0 simply means that the placenta is still immature which is what is expected. Increased placental maturity too early is potentially a problem. ...Read more

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I have a 1.4 X 1.1 X0.6cm vascular uterine polyp on anterior lower uterine segment to mid body. Is this big? Is it in the way of implantation? : (

I have a 1.4 X 1.1 X0.6cm vascular uterine polyp on anterior lower uterine segment to mid body. Is this big? Is it in the way of implantation? : (

Big enough: So polyps can cause inflammation throughout the entire uterus that can affect implantation. They can also cause miscarriage. In addition, over time, polyps can become cancerous. They are very easy to remove ...Read more

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The uterus measures 10.7x5.5x7.8 cm. 2.1x2.4x2.3 cm intramural myoma in the lower uterine segment. The endometrial echo complex measures 9mm in thickn?

The uterus measures 10.7x5.5x7.8 cm. 2.1x2.4x2.3 cm intramural myoma in the lower uterine segment. The endometrial echo complex measures 9mm in thickn?

Endom/thickening: The measurements indicate mild uterine enlargement, and the endometrium is borderline in thickness. You did not provide your age, but this can occur in one's 40's and older, or rarely in younger age groups. The myoma is of minimal concern, but see your gyn provider for advice on a possible endometrial biopsy. ...Read more

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Posterior lower uterine segment, to right. Lower margin 8mm, from os. Plasental maturity grade 2. gestation period 32-33 weeks'Can I have normal delivry?

There is a small cha: This depends on where your placenta is at 36-37 weeks and your ob gyn. Usually it is too dangerous to try to delivery vaginally if the placenta is closer than 1-2 cm from the os due to risk of placenta shearing off wall of uterus which would be very dangerous for your baby. It is possible that the placenta will grow away from the os as the uterus expands. ...Read more

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Where exactly is lower uterine segment to mid body of the uterus? Will my polyp in that area make an embryo want implant there causing complications?

Where exactly is lower uterine segment to mid body of the uterus? Will my polyp in that area make an embryo want implant there causing complications?

Can remove: The lower uterine segment is above the cervix and below the mid section of the uterus. Polyps are very easy to remove. Discuss with your Obgyn. Some offices are equipped to remove them in the office. Others may want to do it as a simple day surgery. ...Read more

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I have fibroids in the lower uterine segment. My md scheduled me for a tah. Any alternative treatment?

I have fibroids in the lower uterine segment. My md scheduled me for a tah. Any alternative treatment?

Yes! Yes! Yes!: Even with large fibroids in the lower segment, most people can have some form of minimally invasive hysterectomy such as a davinci robotically assisted or laparoscopically assisted hyst. Get a second opinion from someone skilled and experienced in minimally invasive options to see what your options are. If it's a good option for you, save yourself the large incision and harder recovery of a tah! ...Read more

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I'm 34+6days pregnant n im having lower abdominal pain on and off usually on the lower left. I have fibroids on left lateral lower Uterine segment?

I'm 34+6days pregnant n im having lower abdominal pain on and off usually on the lower left. I have fibroids on left lateral lower Uterine segment?

Braxton Hicks: Sounds like Braxton Hicks contractions which a normal it does not sound as if it would be related to your fibroids ...Read more

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My doctor said baby is very near to lower uterine segment. I am 31 weeks pregnant and my cervix length is 3.5cm. What precautions I have to take?

My doctor said baby is very near to lower uterine segment. I am 31 weeks pregnant and my cervix length is 3.5cm. What precautions I have to take?

No trampolining: Seriously, there is not anything you can do as usually the baby doesn't "drop" into the pelvis until week 36. To avoid premature labor, minimize extremely strenuous activities and if uterine cramping begins, notify your OB MD immediately. ...Read more

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What is a heterogeneous cyst? And nabothian cyst? That's what the ultrasound report mentions I have within the lower uterine cavity. No free fluid

What is a heterogeneous cyst? And nabothian cyst? That's what the ultrasound report mentions I have within the lower uterine cavity. No free fluid

Physiologic: Nabothian cysts are fluid filled cysts that are noted on the cervix and are often detected on ultrasound. These are benign and form during formation of all your organs as a fetus. These are normal physiologic variants that are commonly seen in the general population. ...Read more

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My endometrium is 1.31 cm and heterogenous. I also have a 3 mm calcification in my lower uterus. I am 48. Is this something to be concerned about?

My endometrium is 1.31 cm and heterogenous. I also have a 3 mm calcification in my lower uterus. I am 48. Is this something to be concerned about?

Thick endometrium: At 48yo with thickened endometrium and calcification in the lower uterus will need evaluation to include, pregnancy test and hysteroscopy/d&c. The above evaluation can offer you reassurance. Good luck. ...Read more

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What does a mildly heterogeneous uterine echotexture mean?

Small fibroids: The radiologist may want to say that he wouldn't be surprised if you turned out to have fibroid changes in your uterus on surgery, not overt fibroids, but very early beginning stages. But then again, "mildy heterogenous uterine echotexture" is in the eye of the beholder. ...Read more

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What does this mean. The uterine myometrium is mildly heterogeneous.

Adenomyosis: This is a nonspecific answer. Assuming that you had a scan done for pain or abnormal bleeding, one explanation for this finding is something called adenomyosis. ...Read more

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Endometrium is enlarged an mildy heterogeneous, prior to this endometrium was normal in size and contour. Can my uterine polyp cause abnormal findings?

Endometrium is enlarged an mildy heterogeneous, prior to this endometrium was normal in size and contour. Can my uterine polyp cause abnormal findings?

Polyps: It sounds like you are stating that you have a known endometrial polyp. If this is true then then explains why the endometrium has an abnormal appearance on sonogram. Discuss with your obgyn options for polyp removal. This is a fairly simple procedure. ...Read more

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CT scan showed non specified borderline enlarged mesenteric lymph nodes in the RT lower quadrant, my uterus and cervix appears bulky and heterogenous.

CT scan showed non specified borderline enlarged mesenteric lymph nodes in the RT lower quadrant, my uterus and cervix appears bulky and heterogenous.

CT scan: These imaging studies are simply adjuncts to a good thorough clinical evaluation and cannot give you a diagnosis with any reliability. The doctor who ordered this is using it as a part of a more thorough workup and would stick with them and let them complete their assessment. May need biopsies. Good luck and best wishes. ...Read more

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A CT scan showed "mildly heterogeneous uterine enhancement." My OBGYN said this only meant I have a "gray" uterus, is that accurate?

A CT scan showed "mildly heterogeneous uterine enhancement." My OBGYN said this only meant I have a "gray" uterus, is that accurate?

"Gray" uterus?: I did not know that an "aging" uterus would have a "gray" designation. Heterogeneous uterine enhancement is usually noted in patients who have a condition called adenomyosis where there is glandular development interdigitating like fingers into the smooth muscle fibers of the uterus. You need to ask your OBGYN if that is indeed the case or not. ...Read more

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My uterus is heterogeneous and anteverted. 7.4cmx5.1 cmx3.3cm. Thickness 3mm. Heterogeneous myometrium without discrete abnormality. What's this mean?

Heterogeneous uterus: You do not have any discrete uterine fibroids which are benign growths of the muscle wall of the uterus but may have a condition called adenomyosis. This is when the lining of the uterus migrates into the muscle wall and can cause a soggy, boggy uterus that can cramp and bleed. At any rate, your report has nothing worrisome. ...Read more

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"Uterus is empty and anreverted. It is slightly bluky and measures 66 × 56 × 60 mm. The uterus shows an irregular outline and a heterogeneous echopatt?

"Uterus is empty and anreverted. It is slightly bluky and measures 66 × 56 × 60 mm. The uterus shows an irregular outline and a heterogeneous echopatt?

Discuss with gyn: Your GYN should go over these results and implications with you. Your US may suggest adenomyosis, but there are other clinical and sonographic findings to confirm that. Discuss with your GYN for further information
Best wishes
Dr M ...Read more

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What does a heterogeneous echotexture uterus mean?

Two reasons: "The two most common causes of heterogenous uterus are uterine fibroids, which are benign muscular growths in the uterine wall, and adenomyosis, which is a proliferation of the normal uterine glands into the muscular wall of the uterus. These conditions are very common, affecting up to maybe 50% of women by middle age." ...Read more

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I had a transactional ultrasound and the findings were the following : uterus measures 8.2x4.6x3.9 cm and shows heterogeneous myometrial echotexture?

Need details: Patient specific radiological studies should be interpreted with the full report and the clinical background at hand. It sounds like they found a uterine fibroid which is a benign noncancerous growth in the uterus. I would contact the ordering doctor and ask to go over your results. ...Read more

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Ultrasound findings, abnormal bleeding for 5 weeks. Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Ultrasound findings, abnormal bleeding for 5 weeks. Endometrium thickness was 0.7cm uterus is diffusley heterogeneous calcifications both ovaries?

Dysfunctional Bleed: Abnormal bleeding could be caused by an endometrial abnormality such as a polyp or tumor. A hysterosonogram, in which saline is instilled into the uterine cavity during ultrasound may provide more information. An endometrial biopsy will likely be needed to better define the problem. Irregular bleeding may also be experienced in the perimenopausal period. ...Read more

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I have a heterogeneous thick 8-9 mm endometrium Retroverted uterus Pcos Planning on conceiving?

I have a heterogeneous thick 8-9 mm endometrium Retroverted uterus Pcos Planning on conceiving?

Not too thick: An 8-9 mm endometrial thickness is not much for someone your age. Discuss with your Obgyn the results. The term heterogeneous could imply an endometrial polyp. Your doctor can determine if further testing with a sonohystogram is warranted or not. ...Read more

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What does heterogeneous appearing uterus mean?

What does heterogeneous appearing uterus mean?

Heterogeneous uterus: Heterogenous uterus is a medically sonographic terminology. It says how your uterus look under sonographic waves. That is not a pathology in itself. ...Read more