Patient's question:
I am 42 years old. Previously, my menstrual cycle was 25 days, with a duration of 5 days, and the flow was moderate. Recently, over the past six months, my menstrual cycle has shortened to 20 days, with a duration of 3 days, and the flow is heavier with more dark clots on the 2nd and 3rd days. After eating some Ejiao (Chinese donkey-hide gelatin) in November, my cycle shortened to 15 days in December, with a duration of 5 days. My last menstrual period was from December 25th to December 30th.On January 5th, I went to the hospital for an ultrasound and the following findings were observed:
1) A small fibroid measuring 0.90.7 cm on the posterior wall;
2) Multiple Rokitansky (Rokitansky cysts) on the cervix;
3) Fluid in the cul-de-sac (Tubal Cavity);
4) Right adnexal area (details not specified).
Doctor's answer:
Hello, heterogeneous echogenicity in the uterine muscle layer can be seen in various uterine diseases, but it is generally considered to be more likely due to adenomyosis. Heterogeneous echogenicity in the uterine muscle layer is caused by the invasion and spread of the endometrium into the uterine muscle layer. This condition is more common in women aged 30-50 and is often accompanied by progressive dysmenorrhea. There are three main possibilities for heterogeneous echogenicity in the uterine muscle layer: first, it could be a misdiagnosis due to an error by the ultrasound technician; second, if you had the ultrasound when your period was about to start, it might also appear heterogeneous at that time, as the uterus becomes congested. You can have another ultrasound immediately after your period to see if it is still heterogeneous. Third, you might have endometriosis.