Top
30
Doctor insights on: Thickened Endometrium Transvaginal Ultrasound

Share
Dr. Michael Gabor
2,275 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 had my transvaginal ultrasound on my 5th day of menses and found to have an endometrium size of 1.19cm. I was advised to have an endometrial biopsy?

I had my transvaginal ultrasound on my 5th day of menses and found to have an endometrium size of 1.19cm. I was advised to have an endometrial biopsy?

Likely/ Possible: If you are having very heavy bleeding or post menopausal bleeding and your doctor has advised an endometrial biopsy, then you should follow through and get it done.
However, to really answer this question properly, more information would be needed. Follow your GYN doctors recommendation please. ...Read more

3

3
Transvaginal ultrasound says I have anteverted uterus with secretory endometrium. Meaning?

Transvaginal ultrasound says I have anteverted uterus with secretory endometrium. Meaning?

Normal: This means that your uterus is normal, and that it points upwards. This is a completely normal variation. Secretory endometrium means that the lining is also normal. ...Read more

4

4
What does "heterogeneity of echotexture" mean in relation to endometrium (or uterus?) from a pelvic/transvaginal ultrasound?

What does "heterogeneity of echotexture" mean in relation to endometrium (or uterus?) from a pelvic/transvaginal ultrasound?

Description.: Heterogeneity describes the muscular part of the uterus in this case. It means that the expected appearance (all of it looks the same or homogeneous) is replaced by an appearance wherein the muscular part of the uterus has a varied (heterogenous) appearance. Typical causes are multiple small fibroids and adenomyosis (ingrowth of endometrial glandular tissue into the muscle). ...Read more

5

5
Transvaginal Ultrasound 5mm mass, no bloodflow. 1.1cm endometrium; 1.5cm probable hemorrhagic ovarian cyst. Should I worry? Very heavy menses, IV Fe.

Transvaginal Ultrasound 5mm mass, no bloodflow. 1.1cm endometrium; 1.5cm probable hemorrhagic ovarian cyst. Should I worry? Very heavy menses, IV Fe.

Sono not worrisome: The findings on your transvaginal sonogram do not seem to be cause for alarm but unfortunately they do not explain why you have "very heavy menses" and need IV Fe...which are "causes to worry". It would be good to consult a hematologist to rule out a blood coagulation disorder and a Reproductive Endocrinologist to find out why you may or may not be ovulating regularly and why you bleed heavily. ...Read more

6

6
Should I be worried if I was told I have a thickened uterine lining? What other tests should be done, besides a transvaginal ultrasound?

Should I be worried if I was told I have a thickened uterine lining? What other tests should be done, besides a transvaginal ultrasound?

Normal: It is normal for premenopausal women to have a thickened endometrium, which can up to about 15 mm in thickness. The thickness changes based on the phase of the cycle. ...Read more

7

7
I have been having groin pain, and very heavy periods. Did a transvaginal ultrasound and found thickening of my uterus 19mm. Should I be worried? My age is 45

I have been having groin pain, and very heavy periods. Did a transvaginal ultrasound and found thickening of my uterus 19mm. Should I be worried? My age is 45

Uterus: For abnormal uterine bleeding: Gynecologist would do further tests, probably PAP and also biopsy the lining of the uterus (endometrium). This will help make the diagnosis. ...Read more

8

8
If I had a transvaginal ultrasound and they said I am 7 weeks and 1 day, does that mean that I conceived 7 wk 1 d ago? Or 2 weeks after that?

If I had a transvaginal ultrasound and they said I am 7 weeks and 1 day, does that mean that I conceived 7 wk 1 d ago? Or 2 weeks after that?

5 weeks ago.: Conception occurs two weeks after the first day of you last menstrual period presuming a regular cycle and usual facts. So if you are 7 weeks after your LMP you likely conceived about 5 weeks ago. Take Folic Acid 1-5 mg daily and good luck! ...Read more

9

9
When does someone need a transvaginal ultrasound?

When does someone need a transvaginal ultrasound?

Part of complete u/s: Routine female pelvic ultrasound has two portions to the exam. The exam starts with a full bladder and scanning with a fan shaped ultrasound (u/s) probe over the lower abdomen and pubic area. Then the pt is asked to empty her bladder and then a thin long u/s probe is inserted into the vagina for additional pictures. This portion is important and significantly improves parts of the evaluation. ...Read more

10

10
What is the definition or description of: transvaginal ultrasound?

What is the definition or description of: transvaginal ultrasound?

Ultrasound: An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better visualize pelvic organs/ structures. ...Read more

11

11
Is it possible that a transvaginal ultrasound to be 2 weeks inaccurate?

Is it possible that a transvaginal ultrasound to be 2 weeks inaccurate?

Yes: The higher sensitivity of transvaginal ultrasound can allow better determination of more true dating parameters, and thus could be ~2 weeks inaccurate. ...Read more

13

13
Transvaginal ultrasound is free fluid, bad?

Transvaginal ultrasound is free fluid, bad?

Not necessarily: Some free fluid can be normal. It can also be from a ruptured ovarian cyst. Also ascites is free fluid from various diseases. But a little fluid usually not bad. Your doctor will help determine the cause. ...Read more

14

14
How uncomfortable is a transvaginal ultrasound?

How uncomfortable is a transvaginal ultrasound?

It depends: Transvag us exam is an excellent tool to examine pelvic and lower abdonimal organs. Depends on the target of interest (ovary, appendix...) and the disease being investigated (mass, abscess...) it can at times be uncomfortable. Don't be afraid of the instrument. If you use tampon, you can handle the probe. ...Read more

15

15
Does a transvaginal ultrasound break the hymen?

Does a transvaginal ultrasound break the hymen?

Yes,: It can. The probe is inserted into the vagina, so an intact hymen will likely be ruptured. ...Read more

16

16
Can a transvaginal ultrasound show implantation?

Can a transvaginal ultrasound show implantation?

Yes: Used by fertility specialists althoughwhen thefetusreaches a reasonable size transabdominal ultrasound is usually the standard. ...Read more

17

17
What does congestion on a transvaginal ultrasound mean?

What does congestion on a transvaginal ultrasound mean?

Venous: It usually means that the veins in the pelvis are full or "backed up." this can result in pain, a condition called pelvic congestion syndrome which is treated in interventional radiology. ...Read more

19

19
Should you get a transvaginal ultrasound for rectal pain?

Should you get a transvaginal ultrasound for rectal pain?

Not standard: Of care. See your doctor for a thorough exam. They may refer you to a gastroenterologist or colorectal surgeon. A ct scan may be ordered. ...Read more

20

20
Transvaginal ultrasound can detect the gender of the baby?

Transvaginal ultrasound can detect the gender of the baby?

Identify Gender: A transvaginal ultrasound can certainly detect the gender of a baby but will not identify it any faster than a transabdominal ultrasound. During early development the male and female genitalia look almost identical. After 15 weeks it is easier to determine gender. ...Read more

21

21
Can endometriosis be detected by a transvaginal ultrasound?

Can endometriosis be detected by a transvaginal ultrasound?

Probably not: 22y female asks if endometriosis, EM, is detectable by "transvaginal ultrasound". Since EM is a theoretical clinical disease in search of a diagnostic benchmark, the answer is "probably no". Let's see what the experts have to say. Pathologists I have spoken to have not confirmed that tissue diagnosis is definitive. Be wary of invasive procedures which incite adhesions & "EM" & IBS-like symptoms. ...Read more

23

23
What will a transvaginal ultrasound tell me about my fertility?

What will a transvaginal ultrasound tell me about my fertility?

Many Things...: Ultrasound is used for many things related to fertility. Initially it is used to scan for normal anatomy. Later, for example, your doc might do scan every day or so to measure the size of a follicle on your ovary. Its much easier to see your ovaries and uterus with a transvaginal ultrasound compared to an abdominal ultrasound. Its certainly my preference. Best wishes! ...Read more

24

24
Would transvaginal ultrasound show a tampon that was forgotten?

Would transvaginal ultrasound show a tampon that was forgotten?

Most likely: A sonogram would likely show a tampon but that would generally not be necessary. You can just insert your finger into the vagina to see if you feel one. If you are still uncertain your gynecologist will easily be able to tell with an exam ...Read more

25

25
How are conception dates determined from transvaginal ultrasound?

How are conception dates determined from transvaginal ultrasound?

Due dates: Transvaginal ultrasounds early in pregnancy measure the crown to rump length of the fetus. It is a very accurate measure of the progress of the pregnancy and importantly, when will you be 40weeks. ...Read more

27

27
I had a transvaginal ultrasound done what was all the red and blue?

I had a transvaginal ultrasound done what was all the red and blue?

Blood flow: What you saw was likely the appearance of blood flow within the ovaries on color doppler. This flow is usually depicted on the study with the colors of red and blue. The red generally means the flow is directed towards the transducer (device that the sonographer holds to do the exam) and blue codes for flow away from the transducer. Typically both kinds of flow are seen during the exam. ...Read more

28

28
What does Iner stroma mean on transvaginal ultrasound mean? Thanks

What does Iner stroma mean on transvaginal ultrasound mean? Thanks

Connective tissue: Stroma refers to connective tissue. Without more context we can not elaborate on your specific sonographic findings. ...Read more

29

29
When would I need a transabdominal and a transvaginal ultrasound scan?

When would I need a transabdominal and a transvaginal ultrasound scan?

Most of the time: In my practice I routinely use both transabdominal and transvaginal ultrasound when examining the adult female pelvis. These two techniques are complimentary. The transvaginal exam can often give us information not available on the transabdominal exam. ...Read more

30

30
What's the earliest you will see a heartbeat with a transvaginal ultrasound?

Depends: Depends on how much time the examiner is willing to spend looking. By 6.5 weeks the fetal heartbeat (fh) is fairly obvious. At 6 wks it can be very subtle and difficult to distinguish from maternal cardiac pulsations and would require measuring the rate and comparing it to the maternal rate. Not easy or quick! ...Read more

Dr. Michael Gabor
228 Doctors shared insights

Transvaginal Ultrasound (Definition)

An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better ...Read more


Endometrium (Definition)

The endometrium is the area that lines the uterus. During the menstrual cycle this is the tissue that is sloughed off if ...Read more