Daily Health Tips: What Does Bulky Uterus And Gestational Sac on Ultrasound Report, Mean?


Q: Good day Ma
do you do? I sent a message to you earlier. I hope you attend to this because I am anxious to know.

I saw my period last on the 21st July, 2014. On 17th of august, I did home pregnancy test, it was POSITIVE. To confirm it, on 18th of August, I did a blood test in a lab, it was POSITIVE too. So I headed for an ultrasound to know how old it is. When I met the doctor, he asked me the likely questions: my last period, have I done pregnancy test, which I answered. He told me that it’s early to detect anything but still went on with d scan. The result read, “THE UTERUS IS BULKY AND NIL GESTATIONAL SAC SEEN NOW” And gave me an appointment in two weeks time. He prescribed folic acid for me to take once daily.

Please ma, can you break down the result for me?

I need to know what is happening in my body because I am experiencing aching breast.

Thank You Ma

A: Hello dear and forgive my not responding earlier to you.

A few definitions or explanations, if you like…

The uterus being bulky means that it’s bigger than the usual pre-pregnancy state. It could be due to any number of reasons. If pregnancy is being suspected, this could very well be the reason.
Gestational sac is the first sign of pregnancy seen on ultrasound and it encompasses the embryo (baby) and the amniotic fluid (the fluid that surrounds the baby in the womb).

Well, just like the doctor said, it’s a bit too early to know for sure if you’re pregnant. What type of ultra sound examination was done for you? Transabdominal (the more common type of ultra sound in our environment where the ultrasound probe is placed on the abdomen) or transvaginal (where the ultrasound probe is introduced through the vagina)?

If the transvaginal was done, it’s unlikely to identify a gestational sac until the 5-6th week.

The transabdominal scan will be able to detect the gestational sac from the 8th week of pregnancy.

So, give it about 2 more weeks as the doctor suggested and then return for a repeat scan.

Have a great day fabulous people 😀

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7 Responses to Daily Health Tips: What Does Bulky Uterus And Gestational Sac on Ultrasound Report, Mean?

  1. Ann says:

    My last period was 12th June and 13th July had a home pregnancy test and it was positive went for a scan on 20th July saw a sac with no yolk or fetal pole… am wondering and scared be cos I have experienced blighted ovum
    scan reads “slighty bulky sized gravid uterus,endometrium harbours small gestational sac with no yolk or fetal pole”
    kindly explain to me

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  2. boly says:

    pls doctor I do a ultrasound shows no gestational sac uterus is slightly bulky what does that mean

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  3. i am 24years old i saw my lmp during march and as at april i took a home pregnancy test and i was positive after at d end of april i started bleeding and went for scan and i was told i had a miscarriage and as at may i had a half day period june,july i saw no period and was confirmed that i was pregnant when i explained to d doc he asked me to go for ultrasound which says bulky,gravid uterus is seen with a gestational sac containing a yolk sac though no definitive fetal pole seen yet and d gestational sac is 18.6mm and scan said am 6w2d gone. What could be wrong with me

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  4. rose says:

    pls explain my result. am not pregnant and i went to ultrasound. bulky uterus without cyesis nor retain product of conception.

    central and secretory endometrial plate without distortion

    multiple uterine fibroids_milliary and nodular masses

    normal ovaries and pouch of douglas

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  5. Mamch says:

    What does in mean to have a bulky sized gravid uterus noted in anteverted position harbouring a single gestation sac with no definite fetal pole seen yet

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  6. Mamch says:

    What does in mean to have a bulky sized gravid uterus noted in anteverted position harbouring a single gestation sad with no definite fetal pole seen yet

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  7. wunmi says:

    Hi Doctor. I did hgs and this are what the report gave me.
    PROCEDURE: CONTRAST MEDIUM WAS INTRODUCED VIA THE EXTERNAL CERVICAL OS IN AN ASPTIC MANNER.
    FINDINGS: CONTROL FILM: ESSENTIALLY NORMAL.
    ON INTRODUCTION OF CONTRAST, THE CERVICAL CANAL AND UTERINE CAVITY WHERE WELL OPACIFIED.
    THEY BOTH HAVE AN IRREGULAR OUTLINE? PREVIOUS INSTRUMENTATION.
    THE UTERINE CAVITY IS NOMAL IN SIZE AND PERSISTENTLY TO THE LEFT ? INTRAMURAL LEIOMYOMA. THERE IS A FILLING DEFECT SEEN WITHIN SUGGESTIVE OF SUBMUCOUS MYOMA.
    BOTH FALLOPIAN TUBES ARE NOT VISUALIZED BEYOND THE CORNUAL.
    CONCLUSION:
    UTERINE LEIOMYOMATA
    NON VISUALIZATION OF BOTH FALLOPIAN TUBES? CORNUAL SPASM.
    PLEASE EXPALIN IT TO ME

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