Intrauterine moderate echogenic mass is an abnormal imaging result of gynecologic ultrasonography. Common causes of intrauterine medium echo mass include uterine fibroids, endometrial thickening, endometrial polyps, etc. Before treatment, it is first necessary to carry out further examination and diagnose with the patient’s symptoms, and then treat the cause.
1. Uterine fibroids: If uterine fibroids are suspected, after diagnosis, asymptomatic patients usually do not need treatment, and regular review is sufficient. For patients with large fibroids and symptoms such as abnormal menstruation and lower abdominal discomfort, gonadotropin-releasing hormone analogs, mifepristone and other medications can be used as prescribed by the doctor, and myomectomy is also required if it causes infertility and other serious effects.
2. Endometrial thickening: Abnormal endometrial hyperplasia can be accompanied by prolonged menstrual cycle, increased menstrual flow and other symptoms, asymptomatic patients can be regularly reviewed, if necessary, feasible hysteroscopy.
3. Endometrial polyps: most patients with endometrial polyps can show middle or high echogenic masses in the uterine cavity by ultrasonography, and it is recommended to carry out further hysteroscopy. Some of the polyps are small and asymptomatic and can be followed up regularly. Some patients with abnormal uterine bleeding may be considered for endometrial polypectomy.
Patients with moderate echogenic masses in the uterine cavity should be analyzed and judged by a doctor and treated accordingly if necessary, rather than blindly judging on their own, which may delay their condition.