Patient's question:
Doctor, hello! I had my period on March 10th, and I had the following tests done. Please help me analyze them to see if there are any issues.March 24th transvaginal ultrasound:
Uterus: in a normal position, size 504977mm (including cervix length 28mm, thickness 27mm), normal shape, clear margins, regular edges, endometrial line centrally located, thickness about 15mm, heterogeneous internal echoes, with cystic cavities of less than 4mm in diameter visible internally. The anterior and posterior uterine muscle layers show symmetrical and uniform echoes. The endometrial cavity line in the cervical canal is separated by about 2mm, with a 5mm high-echoic mass visible internally.
Adnexa: Right ovary size 2514mm, with a diameter
Doctor's answer:
Under the microscope, there are proliferative-phase endometrial glands with a small amount showing secretory-phase changes. What does this mean? --- Based on your ultrasound findings, this indicates endometrial changes occurring around the time of ovulation or shortly after ovulation. The spotting before your period suggests insufficient luteal function in your case. The endocrinologist has arranged for you to receive an intramuscular injection of progesterone before your period to supplement progesterone and ensure the endometrium transforms normally according to the cycle.Seeing only two small cysts in both ovaries does not serve as evidence of polycystic ovary syndrome (PCOS). If it is shortly after ovulation, the 15mm cyst may be a result of the follicular fluid not completely draining from the follicular cavity.
In this case, as long as ovulation occurs, pregnancy is still possible. However, you will need to continue taking progesterone after ovulation. The duration of progesterone use and whether to add human chorionic gonadotropin (HCG) will depend on your specific circumstances once pregnancy is confirmed.
From a Traditional Chinese Medicine (TCM) perspective, the spotting before your period is due to kidney deficiency. You can take Liuwei Dihuang Wan for a period of time to regulate your condition, or consult a TCM practitioner for a personalized diagnosis and treatment.
You can start monitoring ovulation now, and the chances of pregnancy are still high if ovulation occurs.