Conversation: The conversation between human and AI assistant.
[|Human|] hi, im 40 years old and ive had vaginal bleeding for 2 months when I went to the gyn doctor who requested a complete transvaginal/abdominal ultrasound...my report says due to uterine parenchyma being quite heterogenous,detection of the endometrium is difficult to separate from the uterine parenchyma.....my gyn is on vacation until next week...what does this mean or can mean? does it mean I have a thickened uterine wall or fibroids? please help! thank you
[|AI|]  HelloThanks for writing to ChatDoctorNormally uterus is homogeneous in echo texture. Your uterus is heterogeneous in echo texture and most likely it is due to adenomyosis which is characterized by the presence of ectopic glandular tissue with in the uterine muscles.However, multiple small fibroid should also be ruled out. Treatment of both conditions depend upon many things like age, family is completed or not, symptoms etc. Most of the cases are managed by medicines whereas surgery is need in some cases. Adenomyosis can be managed by NSAIDs, hormone therapy etc. Hope I have answered your query. Take Care Chat Doctor.