[batmanrobinbatgirl]

Hi, I'm F/29. I've Pelvic Pain during my Menstruation cycle, so my OBGYN asked me to do a Pelvic Transvaginal Sonogram. The Observations came back as follows:

1. Endometrial stripe thickness of 1.3cm. Several focal hyperechoic areas within the endometrial stripe which may represent small polyps. The largest measures up to 9mm.
2. 2.1cm hypoechoic structure w/i right ovary with some internal echoes which is probably a complex cyst. A follow-up sonogram at a different point in the patient's menstruation cycle may be helpful for further evaluation of the above abnormalities.

My OBGYN has left out of town and won't be back until 10 days. In the meantime, I'm curious to know is this something serious? What does the above mean for me? Do I need to know something which I haven't been told yet? Do I need any immediate treatment or is it fine if I wait for her to get back.

Please guide. It will be appreciated.

Thank you.

[JadedQueen]

I had fibroid tumors about two years ago. I was having the same symptoms that you are currently having and I did research when I was going through it and from my understanding and research...

1. The polyps being present is the reason for the endometrial stripe thickness... if the polyps weren't present then the thickness should be in a normal range.

2. The internal echoes... Since they performed a sonogram/ultrasound the echoes that they are referring to is basically shadows they are seeing when performing the ultrasound and for a shadow to be present there has to be something there that is creating the shadow which in your case would be caused by the cyst.

I am going to cut and past something that I found on the internet when I was going thru my issue with the fibroid tumors. Typically they are just a discomfort some women don't even know that they have them because they don't present any problems. The ones that I had were rather large and there were 5 of them. (It was described to me by the nurse that two of them were the size of grapefruits and the other three were the size of lemons/or tennis balls) That answered my question as to why I was in pain. Generally they go away on their own.. in my situation they performed surgery on me (they didn't have to cut me open or anything and the after pain was less than the pain I went through every month when my period came) I was fine the next morning, I even went to class the following day and aced a test. The pain that I had been experiencing was GONE and these are almost always found to be benign. Aside from the discomfort which believe me I know it's no walk in the park, but aside from that these things are harmless.

Anyway... I am going to paste the information that I found on the subject just so you can get a better understanding on what is going on inside your body and also to set your mind at ease....

Fibroid tumors are a fairly common occurrence in women. Some people call them fibroid cysts, but this is incorrect. Fibroids and cysts are two different kinds of masses; howeve, both are benign and often cause no symptoms.

Definition of a Cyst

A cyst is a fluid-filled sac. It is not solid. A mass that consists of both fluid and solid components is said to be cystic and solid.


Definition of a Fibroid

A fibroid is a muscle tumor in the uterus. Muscle is solid, so fibroids are solid. A fibroid that is breaking down may have cystic components.
Fibroid Location
Fibroids may occur in any of three layers of the uterus: the inner endometrial layer, the middle and muscular myometrial layer or the outer capsule, called the subserosal layer.

Uterine Cysts

Small cysts may occur in the endometrial or myometrial layers of the uterus. These may be the result of other conditions, such as adenomyosis, but the cysts are not fibroids. Adenomyosis is the invasive growth of the endometrium into the myometrium of the uterus.

Effects on Ultrasound

Ultrasound is used to examine fibroids and cysts. Cysts cause enhancement, making everything behind the cyst brighter and clearer. Fibroids can attenuate the ultrasound, causing shadowing and hiding everything behind them.

I hope this information helps at least a little. If you have any more questions feel free to ask.

[batmanrobinbatgirl]

Thank you so muH JadedQueen for the informative and important reply. I really appreciate it. Your comments helped me a lot to understand the problem and brought me at more ease.

Can you also educate me on the difference between Polyps and Cyst? I searched online but found some confusing answers. Also, will they both be treated pretty much the same way, or differently by the OBGYN? Any specific questions I need to ask the OBGYN that comes to your mind?

Once again, appreciate your goodwill guesture and info in guiding me.

Thank You.