I have attached the ultrasound of my 20-week pregnancy. This is my third pregnancy. I had two miscarriages before. The doctor told that there is a mass that looks like a fibroid (?). I also spot until now. Received progesterone therapy in the first trimester for the threatening miscarriage. I also have anemia.I how the picture to another doctor and he was not sure and said" looks like a fibroid." Please, I need the third opinion.
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pregnancy with an unknown mass
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Due to its complex cystic pattern with a typical ‘snowstorm’ appearance, the mass to the left - that coexists with pregnancy - looks more like a COMPLETE HYDATIDIFORM MOLE rather than a rhabdomyoma, leiomyoma, or fibromyoma. Your history (miscarriages) also supports it.
Fibroid is a possibility, however spotting without pain is typical for the molar mass. Your diagnosis must be finalized ASAP for a proper treatment plan. You must be checked for the serum β-human chorionic gonadotrophin (HCG) and alpha fetoprotetin (AFP). The AFP may be elevated in both conditions (fibroid, hydatidirform mole), however, the HCG will be elevated only if it is a mole and will be significantly greater for the gestation age (much much greater).
You will also need to take a chest x-ray and abdominal MRI. The fetus needs to be measured sonographically every 2-3 weeks. Currently, the fetal size is proportional and the placenta looks intact.
The mole will grow during the pregnancy, but not all myomas grow during the pregnancy. The growth differences detected during each ultrasound in the cohort will also help differentiate.
I must be honest with you: this is a very high risk pregnancy and shall not be monitored/managed through routine antenatal visits only. Your ultimate delivery method would be via cesarean section.
Fibroid is a possibility, however spotting without pain is typical for the molar mass. Your diagnosis must be finalized ASAP for a proper treatment plan. You must be checked for the serum β-human chorionic gonadotrophin (HCG) and alpha fetoprotetin (AFP). The AFP may be elevated in both conditions (fibroid, hydatidirform mole), however, the HCG will be elevated only if it is a mole and will be significantly greater for the gestation age (much much greater).
You will also need to take a chest x-ray and abdominal MRI. The fetus needs to be measured sonographically every 2-3 weeks. Currently, the fetal size is proportional and the placenta looks intact.
The mole will grow during the pregnancy, but not all myomas grow during the pregnancy. The growth differences detected during each ultrasound in the cohort will also help differentiate.
I must be honest with you: this is a very high risk pregnancy and shall not be monitored/managed through routine antenatal visits only. Your ultimate delivery method would be via cesarean section.
My concern is that you've had 2 miscarriages. That is NOT normal and indicates something, possibly hormonal imbalance. The most common homeopathic remedy I use for women who have had miscarriages is SEPIA, which you can get from 1800homeopathy.com. This remedy also helps women who have too much testosterone, and have acne and hair where they don't want it, and bad menstrual cramps. Another possibility is gluten sensitivity. I tend to see this in women who have a high hairline on their forehead.
For anemia, if you are recommended iron, go to GNC and buy non-constipating iron. I don't know why medical doctors recommend one that causes constipation. Also, take 1 TBSP molasses for iron and B vitamins and Calcium. Cook your meals on a cast-iron frying pan, available at camping stores. Eat food to support pregnancy, like fruits and veggies.
For anemia, if you are recommended iron, go to GNC and buy non-constipating iron. I don't know why medical doctors recommend one that causes constipation. Also, take 1 TBSP molasses for iron and B vitamins and Calcium. Cook your meals on a cast-iron frying pan, available at camping stores. Eat food to support pregnancy, like fruits and veggies.
it doesn't have the typical appearance of a fibroid
was the fetal anatomy normal-did the baby have a good heartbeat, etc.
would need to see more images to be sure what this thing is
by the way, progesterone is useless to prevent a miscarriage-statistically your pregnancy. This time was going to be successful. Anyway
was the fetal anatomy normal-did the baby have a good heartbeat, etc.
would need to see more images to be sure what this thing is
by the way, progesterone is useless to prevent a miscarriage-statistically your pregnancy. This time was going to be successful. Anyway
If you are referring to the mass in the upper left inside the uterus then I would agree most likely a fibroid. Which because of its character hanging on a stalk called a pedunculated fibroid could have caused miscarriages in the past. Fortunately it will unlikely do the same now that you made it this far. Although it should be monitored for growth and if it affects fetal growth.
It could be a fibroid and
explains the spotting.
Would not cause any
issues usually.
explains the spotting.
Would not cause any
issues usually.