You have received your ultrasound report and it is full of terminology you do not recognise. This guide translates the most common terms into plain language so you understand exactly what your results mean.
Common Terms and What They Mean
Uterus Size
Normal uterus dimensions are approximately 7–9 cm long, 4–6 cm wide, and 2–4 cm deep. Reports often describe an enlarged uterus in comparison to pregnancy: “bulky uterus equivalent to 10 weeks size” means the uterus is enlarged to approximately the size of a uterus at 10 weeks of pregnancy. This is due to the fibroids adding bulk.
Echogenicity
“Hypoechoic” — the fibroid appears darker than surrounding tissue on ultrasound. Most fibroids are hypoechoic. “Hyperechoic” or “heterogeneous” — mixed echo pattern, which can indicate calcification (hardening) or degeneration of older fibroids.
Calcified Fibroid
Older fibroids sometimes calcify — calcium deposits form within the fibroid tissue. Calcified fibroids are generally considered stable and less hormonally active. They are often identified by their bright appearance on ultrasound.
Fibroid Location Terminology
Anterior: Front wall of the uterus.
Posterior: Back wall. Posterior fibroids are more likely to cause back pain and bowel symptoms, as discussed in the back pain guide.
Fundal: Top of the uterus.
Cervical: Near or in the cervix — less common but clinically significant.
Broad ligament: Growing into the ligament supporting the uterus.
FIGO Classification (if mentioned)
FIGO (International Federation of Gynaecology and Obstetrics) uses a numerical system 0–8 to classify fibroid location. Type 0 = completely within the uterine cavity. Type 8 = parasitic/remote. Types 0–2 are submucosal; 3–5 are intramural; 5–7 are subserosal.
Questions To Ask After Your Report
- “Can you walk me through the report in plain language?”
- “Which fibroids are the most likely cause of my symptoms?”
- “How does this compare to any previous imaging?”
- “Do I need further investigations — MRI or sonohysterography?”
Understanding your report transforms you from a passive recipient of information into an active participant in your care. If your doctor does not have time to explain thoroughly, ask for a follow-up appointment specifically to discuss the findings.
