I received this report from scans taken this morning, and am 44 years old. Although I don't have plans for children, I have read that sexual function is impaired with surgery. Given the findings, is a hysterectomy and/or hormone replacement required or are there alternatives? Thank you in advance for any guidance you can provide.
Transabdominal and transvaginal scans were performed.
An anteverted markedly bulky uterus with a heterogeneous parenchymal texture is demonstrated. The uterus measures 11.1cm x 11.5cm x 10.1 cm. The endometrial lining is thickened measuring 13 mm (upper range of normal is 12mm)
Arising in the anterior wall of the uterus a large 68mm x 113mm subserosal fibroid is demonstrated. This is palpable transabdominally. A 34mm subserosal fibroid arising in the anterior wall and a 51mm subserosal fibroid arising in the posterior wall, a 21mm submucosall fibroid arising in the anterior wall displacing the endometrial lining posteriorly and a 27 mm intramural fibroid arising in the posterior wall of the uterus are demonstrated.
Incidental Nabothian cyst
measuring up to 4mm in diameter are present.
A small amount of fluid is present in the cervical canal.
The right ovary is enlarged. The left ovary is of normal size. The volume of the right ovary is 39.7cc and the volume of the left ovary is 4.7cc. Arising in the left ovary an 11mm x 32mm x51mm hypoechoic area containing an 11mm echogenic nodule is demonstrated. A colour duplex scan was performed. The ovaries bilaterally have a normal waveform.
No free fluid.
Markedly bulky heterogeneous uterus containing fibroids measuring up to 113 mm.
The endometrial lining is mildly thickened measuting 13mm.
A 51 hypoechoic nodule arising in the right ovary is demonstrated. This may demonstrate an endometrioma. Although unlikely a dermoid cannot entirely be excluded. Correlation with a CT scan is recommended.