WOMENS-HEALTH Messages for January, 2002: Re: abnormal bleeding

Re: abnormal bleeding - ultrasound results

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 22 Jan 2002 14:31:58 -0600 (CST)

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In reply to: Gilli: "abnormal bleeding - ultrasound results"

At Tue, 22 Jan 2002, Gilli wrote: >
>I went to my gynecologist with complants of lower pelvic pain & bladder
>pressure. I had an ultrasound after my doctor felt a fibroid during my
>pelvic exam. The ultrasound report said it was a serosal uterine
>fibroid 3.5 cm in diameter. Does that cause Abnormal bleeding? My
>cycles are every 25 days. Day one is heavy - a super plus tampon with
>pad soaked (with clots) every hour for the first 12 - 24 hours Day
>two-five: "heavy to light"
>Day 6 - 9 brownish strand-like threads.
>The report also stated that the endometrium is thickened to 17mm.
>(Ultrasound taken 15th day)If my uterus is 13.5 cm is that considered
>enlarged? Could that explain the bloated feeling ALL THE TIME?? The
>report said - if no intervention is performed then repeat ultrasound at
>14th day. What would be the intervention?

Your uterus is moderately enlarged, and a 3.5cm fibroid can certainly cause heavy and/or irregular bleeding. Bloating seems to be a common symnptom as well in this situation. The stripe is not bad for a hormonally intact woman at midcycle. I am not sure what the intervention comment means.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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