Endometrial Hyperplasia and Hemorrhagic Ovarian Cyst.

This video shows two findings Endometrial Hyperplasia and Hemorrhagic Ovarian Cyst.
On pelvic ultrasound, endometrial hyperplasia is characterized by a homogeneous increase in the endometrial thickness in the majority of patients. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise a suspicion of malignancy.
A biopsy of the uterine lining is the definitive test for the diagnosis of hyperplasia. Women with abnormal bleeding should be evaluated with a pelvic ultrasound. In postmenopausal women, an ultrasound is used to assess the thickness of the lining.
Endometrial hyperplasia is a histological diagnosis often made after sampling an endometrium that appears thickened on pelvic ultrasound. It is defined as an irregular proliferation of endometrial glands with an increased ratio of the gland to the stroma.
Symptoms of endometrial hyperplasia include abnormal vaginal bleeding, including bleeding or spotting between menstrual periods, dramatic changes in the duration of menstrual periods, postmenopausal bleeding, or heavier menstrual blood flow. In some instances, endometrial hyperplasia may precede cancer of the uterus.
The normal value of Endometrial thickness:- During the period: 2 to 4 mm. Early proliferative phase: 5 to 7 mm. Late proliferative phase: Up to 11 mm. Secretory phase: Up to 16 mm.
Endometrial hyperplasia is a condition of the female reproductive system. The lining of the uterus (endometrium) becomes unusually thick because of having too many cells (hyperplasia). It's not cancer, but in certain women, it raises the risk of developing endometrial cancer, a type of uterine cancer.
The thickness of the endometrial lining is rarely over 4 mm in a woman past menopause. In premenopausal women, the thickness varies with the menstrual cycle phase, but the maximum thickness will be less than about 16 mm even in the secretory phase.
Women with an endometrial thickness between 7–8 mm had a decreased pregnancy rate, but no significant difference was shown compared to patients with endometrial thickness of 8-14 mm. Implantation is necessary for a successful pregnancy and requires healthy endometrial receptivity

A hemorrhagic ovarian cyst (HOC) is an adnexal mass formed because of the occurrence of bleeding into a follicular or corpus luteum cyst. Hemorrhagic cysts are commonly seen in clinical practice because hemorrhage into a cyst is usually painful, triggering the patient to consult her physician.
Many radiologists use the term “complex” to describe all cysts other than totally clear, simple cysts. However, many benign entities are complex, such as dermoid cysts, endometriomas, hemorrhagic cysts, and cystadenomas.
Having a hemorrhagic ovarian cyst is not necessarily a problem. Many times these cysts don't cause symptoms and are often found during a pelvic exam that's done for another reason. If a cyst is small or medium-size and isn't causing you any pain or other symptoms, then your doctor likely will recommend monitoring it.
A hemorrhagic or a ruptured ovarian cyst is the most common cause of acute pelvic pain in an afebrile, premenopausal woman presenting to the emergency room. They can occur during pregnancy.
Hemorrhagic cysts are normal in ovulatory women, usually resolving within 8 weeks. They can be quite variable in appearance, however, and can be confused with ovarian endometriomas.
In addition to pain, symptoms of a ruptured ovarian cyst can include:
bleeding from the vagina.
nausea.
vomiting.
tenderness in the pelvic/abdominal area.
weakness.
feeling faint.
fever.
increased pain while sitting.
Ovarian cysts are fluid-filled sacs that can develop in or on a person's ovaries. The cysts are usually benign, which means they are not cancerous and often clear up without treatment.
Having a cyst on an ovary does not usually affect one's chances of becoming pregnant, which is why doctors will typically only investigate further if a couple has been trying to conceive naturally through regular intercourse for a year, but has not yet been successful in falling pregnant.

Видео Endometrial Hyperplasia and Hemorrhagic Ovarian Cyst. канала Saeed Ahmad