Transvaginal pelvic scan of a patient 19 days since her last episode of bleeding

The endometrial surface is irregular. One surface measures 3.8 mm, and the other measures 4.0 mm. An irregular surface is not unusual, particularly in patients who have had previous dilation and curettage, myomectomies, childbirth, etc; however, the irregular surface of the endometrium identified here as "moguls" can be misleading. Performing the procedure this long after the last bleeding episode can be fraught with error and should be avoided.