HomeAnswersInfertilitymyomectomyWhat does echogenic endometrium mean?

What does echogenic endometrium mean?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 23, 2018
Reviewed AtNovember 17, 2022

Patient's Query

Hello doctor,

I underwent myomectomy surgery five months back for fibroid removal. I am planning for pregnancy now. Recently I did a follicular scan on the tenth day of my period and report showed that I have echogenic endometrium. What does it mean by echogenic endometrium? Does it mean my uterus is not healed completely and still have scars? Endometrium thickness is 8.2 mm. Kindly help me understand this.

Thank you.

Hi,

Welcome to icliniq.com.

It would be better if you can share black images of ultrasound. It looks like a cyst in one of the ovaries (attachment removed to protect patient identity).

Patient's Query

Hello doctor,

A cyst is not reported through ultrasound and reported both ovaries are normal. I will share images of ultrasound.

Hi,

Welcome back to icliniq.com.

I saw the size of left ovary and follicle. So far there is ovulation in right ovary and endometrium thickness is good. The only thing about echogenic endometrium it could be due to unhealed scar. Please ask the radiologist to give proper images of endometrium. If you are planning for natural conception then you should have natural intercourse in this ovulation phase.

Patient's Query

Hello doctor,

The right ovary has been reported MSF. Does it mean it has no dominant follicle in it? And how long the scar takes time to heal completely? It has already been five months completed. While scar is there, am I safe to conceive?

Hi,

Welcome back to icliniq.com.

It could be a scar, just check vascularity within it. When doing next scan, are you having any other medications, like Estrogen tablets? Another possibility is that it could be polyp or artifact too. Plan next scan after three days to see if it is growing or remains the same size. Yes, you can plan pregnancy now provided that it is not a polyp.

Patient's Query

Hello doctor,

I have been taking M2 Tone tablets for first 15 days of my period since two months as suggested by the doctor. After ovulation, I took Progesterone tablets and Folic acid daily.

Hi,

Welcome back to icliniq.com.

That is fine. Please continue all medicines. You can try for pregnancy, make sure that it is not polyp with color Doppler. From the image, it looks like an old scar.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Talpe Ashwini Nanasaheb
Dr. Talpe Ashwini Nanasaheb

Infertility

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