PMC8057145_01
Hyperechoic area 1.3 cm x 1.2 cm with hypoechoic collection of 6 mm seen on starting hormone replacement therapy for the first time
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F1
She was started on hormone replacement therapy (HRT), that is, 8 mg of estradiol valerate for the trial cycle, but she developed an endometrial collection along with hypoechoic fluid collection with maximum anteroposterior diameter of about 6 mm [Figure 1].
Hypoechoic collection occured each time on starting hormone replacement therapy
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F2
The endometrial collection, however, occurred three times and each cycle had to be cancelled [Figure 2].
Hysteroscopy showed normal study
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F3
A hysteroscopy was decided, which revealed a normal study [Figure 3].