What does it mean and what should I do about a slightly high echo in the uterine cavity measuring 12x08cm?

Nov 08, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, a slightly increased echogenicity in the uterine cavity measuring 12x08cm may be caused by incomplete abortion, hydatidiform mole, endometrial hyperplasia, submucosal uterine fibroid, endometrial polyps, or other conditions. If you experience any physical discomfort, it is recommended to seek medical attention promptly. Slightly increased echogenicity in the uterine cavity can result from various factors, and a detailed examination and diagnosis by a physician are necessary to determine the specific cause.

Generally, a slightly hyperechoic lesion measuring 12x08cm in the uterine cavity may be caused by incomplete abortion, hydatidiform mole, endometrial hyperplasia, submucosal uterine fibroids, or endometrial polyps. If physical discomfort occurs, timely medical consultation is recommended. Detailed explanations are as follows:

1. Incomplete Abortion

After spontaneous abortion, induced abortion, or medical abortion, some placental or fetal membrane tissues may remain inside the uterine cavity without being completely expelled from the body. These residual tissues left in the uterine cavity may appear as slightly hyperechoic areas on ultrasound examination. This condition can cause intermittent vaginal bleeding and abdominal pain. Patients can take medications such as Motherwort Granules, Xinshenghua Granules, Shaofu Zhuyu Granules, etc., under the guidance of a physician.

2. Hydatidiform Mole

Due to the proliferation of placental villous trophoblastic cells, interstitial edema may occur, forming variably sized vesicles that are connected in clusters resembling grapes, known as a hydatidiform mole. It is a common type of cellular disease, which may appear as heterogeneous hyperechoic areas filling the uterine cavity on ultrasound, accompanied by abnormally elevated serum hCG levels. Patients can take medications such as Tranexamic Acid Tablets, Tranexamic Acid Injection, Methotrexate Tablets, etc., under the guidance of a physician.

3. Endometrial Hyperplasia

Long-term estrogen stimulation or endocrine disorders, such as polycystic ovary syndrome, may lead to excessive proliferation of endometrial glands and stroma. The proliferated endometrium may appear as slightly hyperechoic on ultrasound. It may also be accompanied by symptoms such as menorrhagia and irregular menstrual cycles. Patients can take medications such as Progesterone Capsules, Dydrogesterone Tablets, Medroxyprogesterone Acetate Tablets, etc., as directed by a physician.

4. Submucosal Uterine Fibroid

Submucosal uterine fibroids may be caused by genetic factors, abnormal sex hormone levels, history of gynecological inflammation, emotional stress, etc. The fibroid grows into the uterine cavity, protruding into it, thus usually showing slightly higher echogenicity than normal endometrium. If the fibroid is large, it may compress surrounding tissues, causing symptoms such as abdominal pain, frequent urination, and constipation. Patients can take medications such as Guizhi Fuling Capsules, Gongliuxiao Capsules, Androgen Tablets, etc., as directed by a physician.

5. Endometrial Polyp

Endometrial polyps are common benign endometrial lesions, which may be related to excessive estrogen levels and inflammatory stimulation. Polyps protrude from the endometrium and have relatively higher density than endometrial tissue, appearing as slightly hyperechoic on ultrasound. Patients can take medications such as Tinidazole Tablets, Amoxicillin Capsules, Fuke Qianjin Tablets, etc., as directed by a physician.

In daily life, a slightly hyperechoic area in the uterine cavity may be caused by various factors. A definitive diagnosis requires detailed examinations and evaluation by a physician. It is recommended to consult a doctor promptly to avoid delays in treatment.

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