Patient's question:
Yesterday's gynecological examination results: Uterine size 80×89×69mm, endometrial thickness 7mm, visible intrauterine fluid area 27×7×12mm, heterogeneous muscle wall echoes, poor muscle wall blood flow, multiple low-echo convexities observed in the muscle wall and surface, the largest located at the anterior wall of the uterus 62×69×71mm, partially protruding into the uterine cavity with poor blood flow, a small cyst observed on the left side of the uterus 31×29×23mm, containing a liquid dark area and punctate low echoes with poor blood flow. What is the meaning of rectal pouch (-)?Doctor's answer:
Hello, the situation you mentioned is that the ultrasound results suggest it could be an intramural myoma, and in addition to a small cyst in the left adnexa. Your uterus is relatively large now. The anterior wall of the uterus is 62×69×71mm, partially protruding into the uterine cavity. This is your myoma, and it is quite large, so it is recommended that you undergo surgical treatment. Otherwise, there may still be a possibility of it shrinking, but there is also a risk of it becoming malignant, which would make treatment more complicated. The left adnexa shows a small 31×29×23mm cyst with anechoic areas and punctate low echoes. This is your left adnexal cyst, and this is not a serious issue. It should be possible for it to be absorbed with your menstrual cycle. As long as it does not decrease significantly, it is not a problem. The key issue is your myoma, and it is better to undergo surgical treatment. Have you never had an ultrasound before?