Submucosal
Near or projecting into the uterine lining/cavity.
Clinician Questions
Ask: Does it distort the cavity? Could it relate to heavy bleeding or fertility planning? Would hysteroscopy or sonohysterography clarify the cavity?
Report words → clinician questions
Understand fibroid imaging language without trying to self-diagnose.
Ultrasound and MRI reports can mention location, size, cavity distortion, adenomyosis, degeneration, or mass effect. ProcedurePath does not interpret your report — it helps you ask your clinician what those words mean for your visit.
Only your clinician can interpret your report in context with symptoms, exam, labs, prior imaging, pregnancy/fertility goals, and medical history.
Escalate instead of browsing: severe or uncontrolled bleeding, fainting, chest pain, shortness of breath, severe weakness, fever, pregnancy-related pain/bleeding, sudden severe pelvic/abdominal pain, post-procedure symptoms, postmenopausal bleeding, or report wording about hydronephrosis/obstruction/suspicious mass should be discussed promptly with a clinician or urgent/emergency care depending on severity.
Common fibroid report terms
Use these as conversation starters. The safest pattern is: “My report mentions this term. What does it mean in my case, and does it change what we should evaluate or discuss?”
Intramural
Located within the uterine muscle wall.
Clinician Questions
Ask: Does it contact or distort the cavity? How large is it, and does location matter for symptoms or options?
Subserosal / pedunculated
Growing outward from the uterus; pedunculated means attached by a stalk.
Clinician Questions
Ask: Is it pressing on bladder, bowel, ureter, or other structures? Does the stalk affect follow-up or treatment discussion?
Cavity distortion / FIGO type
A way to describe how a fibroid relates to the uterine cavity, muscle wall, or outer surface.
Clinician Questions
Ask: Which cavity or FIGO details matter for bleeding, fertility, procedure route, or missing evaluation?
Adenomyosis
A separate uterine condition that can coexist with fibroids and overlap with bleeding or pain symptoms.
Clinician Questions
Ask: Does the report suggest adenomyosis too? Could that change which options are worth discussing?
Degeneration / calcification
Internal fibroid changes that may appear on ultrasound or MRI.
Clinician Questions
Ask: Is this old or possibly related to pain? Are any imaging features atypical enough to need follow-up?
Mass effect / enlarged uterus
Language suggesting the uterus or fibroids may press on nearby structures.
Clinician Questions
Ask: Which structure is being pressed on? Could it relate to urinary, bowel, pressure, or back symptoms?
Hydronephrosis / obstruction
Possible kidney drainage backup or ureter pressure. This is a higher-stakes term.
Clinician Questions
Ask promptly: Is kidney function at risk? Do I need urgent follow-up, labs, urology input, or additional imaging?
Ultrasound vs MRI
Ultrasound is often first-line; MRI can map complex anatomy, adenomyosis, or procedure planning questions.
Clinician Questions
Ask: What question would MRI answer that ultrasound did not? Would it change the plan or only map anatomy?
Safe phrasing: “This term may be worth asking about because…” not “this means you should…” The module should generate questions, not conclusions.
Best next step
Use the question-roadmap builder and select any report terms you recognize. The output will add clinician-facing questions while keeping reports and personal details out of the page.
Related: UFE vs hysterectomy questions and the fibroid treatment article library.
Use in question-roadmap builder