Patient's Query
Hi doctor,
I am sending you the reports of my transvaginal ultrasound. Please tell me if the fibroids are to be removed and the risks of such surgery.
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
As the pictures are really unclear, kindly avoid sending photos of the report. You may just scan the written report and send it to me. I would like to see the ultrasound report.
Thank you.
Patient's Query
Hi doctor,
I am sending you my scanned ultrasound reports. I am still discharging a brownish watery fluid. I am not sure that apart from submucosal fibroid whether I am suffering from uterine cancer or not.
Please clarify.
Thank you.
Hello,
Welcome back to icliniq.com.
I have seen the report and the ultrasound images as well (attachment removed to protect patient identity).
The submucosal fibroid is big enough, with a size of 0.7 x 0.7 x 0.7 inch in size and it is impinging into the endometrium, hence causing the irregular shedding and bleeding. To explain, what happens is that once the endometrium forms along the uterine inner surface, the area above the submucous fibroid is devoid of the basal membrane that is the blood supply. When the endometrium tries to grow over the submucous fibroid, it tends to break.
Hence, it causes bleeding in the form of light to dark brown discharge or in the form of small clots. The bleeding can be temporarily controlled by antifibrinolytics like Tranexamic acid tablets, but not permanently unless the submucous fibroid is resected hysteroscopically. It is suggested that you should opt for a hysteroscopic resection of fibroid soon, as it would not only cause these irregular shedding episodes but would also prevent you from conceiving naturally. Also, with regard to your query about uterine cancer, rest assured, it is not uterine cancer, as the endometrium is 9.9 mm thick. This thickness is normal for the phase of the cycle.
I hope this helps.
Thank you.
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