Patient's question:
Ultrasound Description: The endometrium is approximately 14mm thick. Multiple echoes are observed in the uterine cavity, the largest measuring 7x8x9mm, with relatively clear boundaries and relatively uniform internal echoes. Medium echoes are seen in the cervical canal, measuring 8x9x10mm, with relatively clear boundaries and relatively uniform internal echoes. A linear strong echo is observed in the right ovary, approximately 11mm long, with unclear boundaries and close relationship with the right ovary, accompanied by a shadow behind it. No free anechoic areas are seen in the pelvic cavity.Ultrasound Findings:
1. Uneven endometrial echoes (possible polyps).
2. Medium echoes occupying the cervical canal (possible polyps).
3. Strong echoes in the right adnexal region, suggesting further examination.
Doctor's answer:
Analysis of the Condition: Hello: Your examination results mainly indicate endometrial polyps, and the ovarian condition is considered to be an ovarian cyst. Further examination can be conducted through color Doppler ultrasound.Suggestions for Treatment: Endometrial polyps are often caused by inflammation. Currently, hospitals more commonly use hysteroscopy for diagnosis. Hysteroscopy allows direct visualization of the uterine cavity, providing clear and intuitive observation. After ruling out intrauterine malignant lesions such as endometrial cancer, solitary and small endometrial polyps can be directly removed under hysteroscopic guidance. For patients with multiple lesions, who are young and have fertility requirements, a comprehensive uterine scraping can be performed under hysteroscopy to avoid missed removal. For patients with fertility requirements, this approach can thoroughly treat endometrial polyps while preserving the integrity of the uterus. Hysteroscopic diagnosis and treatment of endometrial polyps are best performed within one week after menstruation, as the endometrium is thinner at this time and is less likely to obscure the polyps. In daily life, a light diet should be followed, and foods that are irritating or cause inflammation should be avoided. Personal hygiene should also be paid attention to. Wishing you good health!