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Endometrial abnormality: need your input
I often come across this endometrial pattern, typically in young infertile women with normal ovaries and REGULAR, NON FOUL-SMELLING, MENSES. No h/o intermenstrual PV discharges etc; not even h/o IUCD or Foreign Body / herbal insertion....
Some with, some without previous abortions., With this sample case I examined twice: 1st encounter possibly in pre secretory phase, then I asked her to come back in midcycle phase.
Got the same picture. Unfortunately I never get histopathological feedback from referring colleagues. I therefore remain with my differentials.
Could you colleagues provide an ON SPOT DIAGNOSIS, OR A NEAR=FECTHED Dx for this kind of endometrial patern; Thank you.
Bashir
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Replies to This Discussion
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Permalink Reply by Marcos Tawil MD on -
It looks like a normal "secretory phase" echogenic endometrium. How about CL in either of the ovaries?
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Permalink Reply by Bashir H Samma;MD,PGD&C,SrMAIUM on -
Doc as I had posted earlier, the the ovaries are unremarkable, and this was the midcycle, there were corpus luteal changes with the first sonogram, and mid-cycle changes in the ovaries with the second one..the endometrium remaining the same.
Got the same pattern 2 weeks earlier...secretory phase is unlikely to persist for more than 2 weeks!
It should be pathological....but which one? this is what I would like to know.
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