Dr. Balakrishnan R
Obstetrics and Gynecology
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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Patient's Query
Hi doctor,
My mother is 48 years old and was having a problem with menstruation. So, she got sonography done, which showed a large, and ill-defined heterogeneous mass with moderate internal vascularity in the cervix extending into the lower uterine region and upper one-third of the vagina (parametrial extension). The doctor said that there was a cyst on the mouth of the uterus, and it could be cancerous. My mother does not have any symptoms, no pain, and no loss of appetite, but she feels a little tired always. Is it cancerous or non-cancerous? And what is the best treatment for removing this cyst? She just had the sonography done and has not started taking any medication yet. She had heavy bleeding a year back, and sometimes fibroid-like things used to come out. She took Mensu syrup for 21 days, which made the bleeding normal. But the menstruation problem returned after stopping the medicine. So she got an ultrasound done. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
From the history, I do not think you have anything to worry about. Let me explain it. It mostly appears to be a fibroid, arising from the lower uterine segment, just above the cervix and extending to the vagina. This was just by an investigation report. The most important things in diagnosis are history and examination. In history, the duration of the complaint, type of the previous cycle, associated bladder or bowel symptoms, watery discharge, etc. has to be noted. Local examination of the abdomen, external genitals, cervix, feel of the mass, any bleeding to touch, friability of the mass, any other masses, tissue biopsy from the mass, PAP (Papanicolaou test) smear after bleeding stops, etc. all decide if there is any malignancy. To confirm further, MRI (magnetic resonance imaging) with contrast can be done to delineate the mass. This condition will need surgical correction, but a simple one with no follow-up. I suggest she try taking Iron and Vitamin B complex supplements, to combat the weakness of blood loss.
I hope this information helps provide some insight into your symptoms.
Please do not hesitate to reach out if you have any further questions or concerns.
Thank you.
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Obstetrics and Gynecology
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