The radiologist's comment at the end was "consider adenomyosis" The ObGyn basically just said to me that if the radiologist said that then there is a strong chance it's the case. I realize ultrasounds for adenomyosis are not definitive. I've actually had a bazillion MRIs and CT scans for other reasons (formerly had colon cancer in 2017). But none of those say anything about my uterus other than no cancer (of course biopsy is the standard there and I have had that too).
Pasting in below my ultrasound results. I had 40 days of bleeding but I am 52 and had never had anything like that before and my periods are not what I would describe as painful. However, I have severe pain from neurosurgery and the brain can only pay attention to where our pain is highest, so I might just not recognize period pain.
I do have a lot of bloating for a tiny person and urinary urgency and constipation...but these can be from scar tissue from colon surgery)
Am now on 100mg progesterone bioidentical and no problems since, even with a tiny dose of estrogen as well.
So the cyst seems small and incidental to me....I'm wondering what besides that made this radiologist suspect adenomyosis?, outside of my symptom of the 40days of bleeding...which did stop on its own.
Uterus Size: 8.4 x 3.1 x 4.0 cm
Myometrium: Homogeneous with no focal mass.
Endometrium: 14 mm in thickness. There is a 0.5 x 0.3 x 0.4 cm cyst within the endometrium of the lower uterine segment
Cervix: Unremarkable.