Adnexal Cyst Ovary

The majority of the ovarian cysts are just functional or benign. Nonetheless, the cysts of the hemorrhagic type can be ovarian cysts that are extremely painful. An ovarian cyst is a tiny closed area within an ovary that contains fluids within a thin wall. A follicle that is bigger than 2cm over the usual size is considered to be an ovarian cyst. When it is a matter of hemorrhagic cysts, the other names are: blood cyst; haematocyst; and haematoceles. A classic sign of a hemorrhagic cyst is one where pain is experienced to the right of the abdomen. Bleeding can occur fast and be extensive and submerge the whole ovary rapidly to then generate serious pain. This kind of cyst happens when a blood vessel in the system breaks and blood passes into the system. The blood in the ovary can then start to clot and this can be observed by using a sonogram. Sometimes the hemorrhagic cyst ruptures and the blood is released to flood into the abdominal cavity.

The pain may become unacceptable when the cyst breaks. Mercifully, these occurrences are auto-regulating and do not typically necessitate surgical intervention. The right level of health can be restored after a cyst ruptures if the patient takes appropriate rest. It is uncommon for blood to leave the body via the vagina. An effective medicament for the treatment of hemorrhagic cysts is considered to be tetracycline although a physician’s advice should always be taken. Upon torsion occurring, another type of painful ovarian cysts can come about. Ovarian torsion is also referred to as adnexal torsion, and is a severe and painful condition that must be urgently dealt with.
Endometroid cysts can be caused by endometriosis and are formed when a small area of endometrial tissue is rejected after bleeding. The tissue ends up as a transplant into another place where it grows larger. One of the main symptoms of endometriosis is serious and continual pain. The pain is at its most unacceptable when a cyst breaks. The blood building up in the tissue makes it turn a darker shade of brown and this phenomenon is therefore called a chocolate cyst. Upon final system rupture, fluids that were contained inside can pass into the pelvis, the uterus and the bowels.

If multiple follicular cysts are generated in the ovaries these are referred to as polycystic ovaries. This situation also known as polycystic ovarian syndrome causes problems with the correct menstruation cycle. PCOS retards the ovulation process making cysts filled with clear fluid develop next to the ovaries. PCOS is still not entirely clear to health care professionals. Nonetheless, the reasons for PCOS happening have been hypothesized as genetic weaknesses or lacking hormones. Studies indicate that insulin-resistant women have more chance of contracting PCOS. The same ovarian cells that are active in the development of teeth and hair can also contribute to dermoid cysts. This is an infrequent kind of cyst but can grow big and turn out to be quite painful. It is also frequent that women with ovarian cysts mix up the signs of endometriosis with signs of pelvic inflammatory disease.

It is often late in the diagnosis when ovarian cyst torsion is identified which often leads to necrosis or infarction of the cyst. The pain is intense in cases of ovarian torsion even if no cases of death have been recorded. Ovarian cyst torsion can be caused by a number of factors, one common one being anatomic changes. Cyst torsion is frequent for young teenagers with abnormal development such as long fallopian tubes or an absence of mesosalpinx. The presence of a large corpus lustrum during pregnancy increases the risk that the patient will suffer ovarian torsion.

Women who are being treated for infertility with for example induction of ovulation are even more menaced. The reason is that the theca lustrum cysts have a tendency to increase the volume of the ovaries. Ovarian cysts whether benign or malignant, are all at risk for torsion. There is no long-term solution using prescription medicines for painful ovarian cysts, even if there may be temporary pain relief. A holistic program however will tackle the problem at the root and thus bring a long lasting remedy. Conventional medicine on the other hand only focuses on the symptoms. Any results are therefore temporary and maybe accompanied by various side effects. A holistic agenda is a multi-dimensional program that targets all the underlying reasons that make ovarian cysts develop. There are many factors that contribute to the presence of painful ovarian cysts. These factors may either initiate the generation of cysts or simply aggravate the condition of those that already exist.

Frequently Asked Questions

  1. QUESTION:
    Adnexal cyst (near right ovary)?
    my doc found a fluid filled cyst near my right ovary, I’m 34 and take birth control pills, gyno said it’s nothing to worry about it’s common and would resolve but I get a slight pressure and discomfort in that area. Going to see her again next week, if it’s still there, it will be three months since she found it in october. I am worried anyways, anyone else experience this while on birth control? I am bad about taking them on time, I often double up because I forget. Help, scared…..

    • ANSWER:

  2. QUESTION:
    is adnexal cyst dangerous ?and what are its treatments?
    my mother ,45 yrs old has o cys on right ovary .its 4.5cm in size .what is the cause of it?
    is surgery need to remove it

    • ANSWER:

  3. QUESTION:
    Doctor said I had a mass over right ovary. Ultrasound ref. said adnexal mass. What is this? Worry not worry?
    Had exam done. during exam had biopsy and he said I felt bulky over right ovary. Symptoms: Pain in that area, have had a cyst on right side for yrs. Horrible pms, headaches, cramping, bleeding is REAL bad, period comes two times a month with spotting in between at times, frequent urination and constipation, hair loss. I’m 31 and have 3 children and have had a tubal ligation done. Need to get an ultrasound done aside from biopsy. The u.s. ref. said right adnexal mass. Just wondering if anyone knows what this is or has any of these symptoms. I won’t get the results till the beg. of Dec.
    Thank you
    Periods also last for 7 days
    I guess I’m just more concerned because I am drained. I have no energy tired and feel like crap. Nauseated all the time. And the big one Cancer does run in my family. I’ve had 4 realatives die and I have one currently battling ovarian cancer. She also had cancer in endometrial cancer and endometriosis. I would never ever want to have something like that or go through that. Sometimes you know something isn’t right. What it is I don’t know. But I definately recommend any woman getting screened for any and all female illnesses and diseases. Thank you everyone for your answers and support on this issue.

    • ANSWER:
      Worrying is not going to help -easier said than done.But pray about it.

  4. QUESTION:
    PCOS,on left ovary,Possiblity of Endometrial cyst & Nabothian Cyst-Please HELP how dangerous is this?
    1.I would like to know if anyone has the same medical issue and has managed to conceive, after the age of 30+
    2.How did your gynac take care of the cysts
    3.Were there any medications involved, any side effects?
    4. Were you on a alkaline diet?

    Please find below ultrasound scan report
    PS:Hameglobin levels are normal and the patient is non diabetic.
    Uterus:The uterus is anteverted and demonstrates smooth contours with normal echotexture measuring 6.3×4.5 cm with a midline echogenic unintterrupted endometrial echo measuring 1.1cm.Uterine contours are smooth No intrauterine mass is seen.Nabothian cyst is noted in the cervix measuring 0.9 cm.An oval right adnexal mass is noted measuring 5.8x5cm with a well defined thick thick walled circular echogenicity measuring 4.4 x4.3

    Ovaries: The right ovary is seen on the inferolateral aspect of uterus and shows multipls periphral sonolucencies with central echogenic stroma measuring 3.7×3.25cm.Fluid is noted adjacent to the right adnexal mass

    Impression: Oval right adnexal mass with well defined thick walled circular echogenicity with peripheral vascularity.Possibility of right sided endrometrial cyst/hamorrahgic cyst to be considered.Left ovary appears polycystic
    Uterus shows no abnormality.Nabotian cyst is noted in the cervix

    • ANSWER:

  5. QUESTION:
    what is normal size of ovary?
    my ovaries : right 24.5*16.1mm
    left 22.8*18.8mm
    right adnexa-an oval sonolucent para ovarian lesion 56.6*48.0*33.6mm
    left adnexa-no abnormal mass
    conclusion- right para ovarian septated cyst is seen measuring 56.6*48.0*33.6mm s/o mucinous cyst adenoma
    left ovary is normal with no adnexal mass
    anteverted anteflexed normal sized uterus is seen with proliferative type endometrium with e/o an ovalmyometrial myoma in posterior wall measuring 15.0*11.9mm.
    uterus : av/af, measures – 59.8*38.3*31.9mm
    endomentrial lesion in posterior wall measuring 15.0*11.9mm.

    doctor gave me treatment for this, tablet is zenflox-oz, rantac, phlogam.
    is this wright treatment?

    • ANSWER:
      Normal ovaries are the size of grapes.

  6. QUESTION:
    Are polyfollicular ovaries the same as PCOS?
    I had an ultrasound after a CT scan indicated ‘lesions’ on my pelvis. The ultrasound said there was no ‘adnexal cysts’ however I have polyfollicular ovaries. I have irregular, heavy & painful periods & adult cystic acne & excess body hair, I googled polyfollicular cysts & it came up with polycystic ovaries but my obgyn said I had nothing to worry about. Is he correct or should I get a 2nd opinion?

    • ANSWER:
      if you have polycystic ovaries you need to get a second opinion. it’s not just a cystic disorder, it’s got to do with your whole endocrine system, hormone levels, and blood sugar too. you could be insulin resistant, and have a ton of other issues you didn’t even know about. it happened to me. get checked out.

  7. QUESTION:
    My wife’s uterus ulatra sonography was done.And the impression wrote is “few left adnexal varices’.pls explain
    details Uterus:retroverted enlarged and 8.8X5.1X5.3cms with normal myometrial and endometrial echos.The endometrial lining appears laminar with thickness of 0.9cms .No myometiral mass or endometrial collection seen.The cervix shows a few nabotian cysts.
    Ovaries: Bothe ovaries are normal in size.,with multiple developing follicles.
    No adnexal lesion or free fluid seen in the POD.

    6months back she did scanning , the Doctor said she is having febroids and to remove uterus.she is aneamic..But now improved and hb count is 10.43.
    Kindly help me by giving a reply,
    thanks,farhad

    • ANSWER:
      Adnexal means pertaining to accessory organs or tissues as in the relationship of the fallopian tubes and the uterus. Varices are varicose veins or arteries. So it may mean that the left fallopian tube had a few varicose veins. It’s not “nabotian”, it’s nabothian cysts. These are common in women of reproductive age, especially in those who have had children. The pathology report doesn’t sound alarming to me. It sounds good. Her hemoglobin’s a little low but that’s nothing that iron supplements can’t correct.

      If you are truly concerned, and I don’t really see anything to be concerned about, you should be sitting, right now, with her doctor asking these questions. Don’t you agree that person is your very best source of information about your wife’s reproductive health?

  8. QUESTION:
    Should I be worried ( ovarian cyst)?
    A few months ago I found out I had a (small) 21mm cyst on my right ovary via vaginal ultrasound (was in ER for miscarriage). I had a sharp pinching sensation in my right side that went away a couple of weeks later. Now it’s almost 3 months later and I again felt the pinching at the start of my period a week ago. I went to my OBGyn last week who did a pelvic and said she felt nothing. She said the ER report had said they found “no adnexal mass”, which meant it was a simple cyst. Neither she nor the ER docs seemed worried in the least. I am worrying myself sick (that’s my nature!) about this whole thing and would love to hear from others who have had ovarian cysts! Please tell me some things so I can stop making myself sick with worry – I’ve never been diagnosed w/one before so it’s freaking me out. I have a toddler but would like more kids and am worried about that as well… thanks in advance!

    • ANSWER:
      I had one at age 19, but it went away. And I have three children now. You gyno will keep an eye on this when she does your pap test. Simple cyst do not turn cancerous.
      It is easy to say, “Dont worry”, but hard to do it. Later on in life I had a small tumor on an ovary, but the doctor did one of those micro incisions, and I went home the same day.
      Trust your doctors dear.

  9. QUESTION:
    Lesion on spleen, CT and Ultrasound?
    Not too long ago I went to the Emergency for severe, severe abdominal/pelvic pain. (I’m a 21 year old female, by the way). A CT was done to rule out appendicitis. I have a copy of the report, and a few things were discovered…

    LOWER THORAX: There is a small focal area of pleural thickening along he medial left lung base. There is dense breast tissue bilaterally.

    IMPRESSION: There is a 3-cm right adnexal cyst with a moderate amount of free pelvic fluid which is particularly seen in the cul-de-sac region and within the endometrium.
    Approximately 7-mm low- attenuation lesion in the inferior aspect of the spleen which is too small to characterize in the current study. This lesion is well circumscribed and may represent a benign cyst. However, attenuation value is higher than expected for a simple cyst possibly due to volume averaging. Ultrasound may be helpful to differentiate between cyst versus a solid lesion.

    The ER doctor didn’t mention the lesion on the spleen, only the ovarian cysts. A pelvic ultrasound was done that day.

    FINDINGS: The uterus is retroverted. There is moderate uniform thickening of the endometrium to 12 mm, which presumably relates to the patient’s menstrual cycle. The right ovary has multiple cysts, the largest of which measure 3 cm in diameter. The left ovary has multiple follicular cysts that measure 5 mm and less in diameter.

    I understand that ovarian cysts are quite common, and generally don’t cause any problems. It appears mine ruptured and that;s what caused me to be in pain.

    What I’m curious about is the pleural thickening-I haven’t been exposed to asbestos to my knowledge, what can cause this?

    Also, several days after my ER visit, my primary doctor ordered an ultrasound to check out the splenic lesion.

    FINDINGS: There is an 8-mm round hypoechoic area in the spleen that is difficult to characterize. There may be slight acoustic enhancement. Although this could represent a simple cyst, it does not display the classic appearance. A folow-up splenic ultrasound study could be performed in 3 to 6 months to document stability.

    I understand doctors are busy; I’ve gotten some answers but will have to wait until my next appointment for further clarification. I’d like some additional opinions, thanks in advance for any help =]

    • ANSWER:
      I’m not really sure what it is you want to know. Are you wanting to know if you should be concerned about the findings? The answer is no.
      It is very common for people to have various little things in their body. Usually they don’t know it and usually no one knows what caused it. A tiny spot of plural thickening is not a reason to think it could be mesothelioma, which takes 25 years to manifest.
      The lesion in the spleen is very small and not seen well enough to call it a cyst so the only thing to do is watch it. I would be more worried about the ovarian cysts as they are FAR more likely to cause you problems.

  10. QUESTION:
    Mass found on my right ovary. So scared?
    I had a miscarriage last week and during the transvaginal ultrasound, they found a mass on my ovary. The doctor at the ER said it was a dermoid cyst and didn’t seem concerned. However, on the paperwork she gave to me to give to my OB, it identified it as a “complex adnexal mass”. Tomorrow I see my OB but I am sick with worry. Anyone have a similar experience?
    Thank you for all the helpful responses. I will try to calm down a little.
    My OB wasn’t concerned about the mass. He said it was just a cyst that developed during the pregnancy and he will monitor it. In all, he disagreed with nearly everything the ER told me.

    • ANSWER:
      How old are you? If you’re fairly young, the chances that this is something serious like cancer is pretty low. Cysts are common and are found all the time on the ovaries. “complex adnexal mass” is just medical terminology that sounds more frightening than what is probably really is. My ovaries are full of cysts and all are benign. Don’t worry. If there was something they deemed might be serious, you would have been pushed into seeing a doc that day or the next….or they would have called in a specialist while you were in the ER. This is just protocol they are following. Don’t worry about it. I wouldn’t at all. The doc will get it solved for you tomorrow and will probably tell you it’s just a benign lesion.

      Sorry about the loss of your baby and I wish you all the best.

  11. QUESTION:
    cat scan on soft tissue calcification on a normal size right ovary?
    Your Open QuestionShow me another »
    Cat Scan on right adnexal mass?
    I wrote before telling everyone about the soft tissue calcification found on my normal size right ovary.. Well the results of the cat scan is 2.1cm calcified mass.The differential diagnosis includes a right dermoid, or ovarian cyst versus calcified fibroadenoma?????
    can anyone tell me about these and if I am not having any symptoms( the original was found on a yearly ultrasound for hormone replacement therapy) that does anything need to be done right away??????
    thank you

    • ANSWER:
      wrong section dear … this is the respiratory disease section …. try relocating your question … so that you get a thoughtful response … best wishes :)

  12. QUESTION:
    What does that means ?
    I just had a TVS test and the results were that I have a LEFT ADNEXAL CYST. TOP NORMAL SIZED UTERUS. The size of it is 1.6 X 1.4 cm and that’s in my left ovary. Does anyone know what that means exactly? Could this be a start of an ovarian cancer? I haven’t talked to my doctor yet but I’m worried to death and can’t find much information about that..

    • ANSWER:
      a cyst in ur ovary is uaually nothing.. usually a follicular cyst ie where your producing ur next egg from. we often just recheck it in a few months time and its usually gone so dont fret.

  13. QUESTION:
    DOCTORS notes and PREGNANCY???
    sorry this is a little bit long try and bare with me
    the clinic thinks im almost 6 weeks pregnant i think im 3-4 weeks pregnant due to irregular periods that are from 22-53 day cycles
    * went to ER for spotting red and brown on monday at around 11 am the hcg was 436
    * ER for update on tuesday to see if its miscarriage 9 am hcg was 558

    * Monday : Transvaginal pelvic ultrasound was performed. Positive pregnancy test with spotting.

    * Endometrium, is somewhat thickened . There is no evidence of intrauterine pregnancy. A small amount of fluid is seen cul-de-sac. <- what the heck does that mean????

    * The right ovary contains a simple cyst. Adequate blood flow is seen to the right ovary. No adnexal masses seen on the right.

    * The left ovary there is a complex heterogeneous cystic mass measuring 12 by 9 by 7mm.(<-what does that mean?) Thre is some increased vascularity to this mass. With a positive pregnancy test, and absence of intrauterine pregnancy, this complex mass in the left could represent ectopic pregnancy. There is a minimal amount of free fluid present.

    what could all this mean????
    i have no pain just periodic cramps like 3 in 24 hours spotting has continued and goes from brown to a little red and stops then starts
    what could the small amount of fluid seen in the cul-de-sac be ?

    has anyone been through or knew someone else with similar report ? how did it turn out ?

    1 angel in heaven and waiting to see what the next one will be!

    HELP ME IF YOU CAN DO I HAVE ANY HOPE FOR THIS PREGNANCY WHAT ARE MY CHANCES OF FULL TERM?????????

    • ANSWER:

  14. QUESTION:
    has anyone had this kind of ovarian issue ?
    I had an ultrasoud of my ovary which showed complex adnexal area with both solid and cystic components could be a hemorrhagic cyst or unknown etiologies my right ovary measures 3.5×2.0×3.6 with a cyst or whatever it is 2.9×1.8×2.7 and left ovary is 2.3×1.4×2.0 so the right ovary is almost double the left anf the thing on the ovary has solid and fluid in it anyone have this and what is it and what can i expect I go back to the docs on the 10th

    • ANSWER:
      I don’t know what that means but you should find out if you have an ovarian cyst. Some are cancerous and needs to be surgically removed.
      My doctor prescribed me bc pills because I had an functional cyst but Im ok now. It didn’t grow as big so surgery was not necessary.

  15. QUESTION:
    PCOS,do I clearly have it? (after ultrasound & bloodpressure check only)?
    This month I had an extra long period for the first time, I started having periods at age 13 Im now 16.
    I was worried about it so I went to see an OB, they asked about it and then took me for ultrasound. When they saw the results,they said I have Pcos (no blood tests) because they found cysts on my ovaries. Could I truly have Pcos? I don’t have problems with facial hair, or hair loss Im also not obese. But I do have a history of diabetes though I was a bit stressful this following month though.My period for the past years are regular by the way.

    heres the findings
    the uterus is anteverted with homogenous myometrial echopattern. Endometrial is thin measuring 5.4 mm. The right and left ovaries are normal in size. Both ovariies contain mutiple small subscapular follicles with dense stroma.

    there are polycystic ovaries no adnexal mass noted

    so is this a correct diagnosis? Pls help.

    • ANSWER:
      You should use altace, it is the best about it you can get information from here http://webmd27.notlong.com/AA5LkK5

  16. QUESTION:
    PCOS,do I clearly have it?
    This month I had an extra long period for the first time, I started having periods at age 13 Im now 16.
    I was worried about it so I went to see an OB, they asked about it and then took me for ultrasound. When they saw the results,they said I have Pcos (no blood tests) because they found cysts on my ovaries. Could I truly have Pcos? I don’t have problems with facial hair, or hair loss Im also not obese. But I do have a history of diabetes though I was a bit stressful this following month though.My period for the past years are regular by the way.

    heres the findings
    the uterus is anteverted with homogenous myometrial echopattern. Endometrial is thin measuring 5.4 mm. The right and left ovaries are normal in size. Both ovariies contain mutiple small subscapular follicles with dense stroma.

    there are polycystic ovaries no adnexal mass noted

    so is this a correct diagnosis? Pls help.

    • ANSWER:

  17. QUESTION:
    Is it possible to have in between periods while taking contraceptive pills (11 pills) for the first time?
    I am 35 years old. My menstrual period became irregular since August, 2009. I missed last August, which I expected to come on the 22nd, but it came only on September 12. Spotting only from September 12 to 14 then became heavy on Sept. 15 to 19. It lasted until Sept. 22. I was worried, so I got an transvaginal ultrasound. The result were: 0.7 endometrium; normal size anteverted uterus w/ myoma uteri (size about 1 cm only, so small my ob said); nabothian cysts; no adnexal mass; clear cul de sac; no ovary pathology detected). My ob-gyne’s finding was hormonal imbalance. She gave me vitamin e 400 iu. I got my period again on October 12, but very light (like spotting only) till Oct. 20. On Oct. 21 to 22 with little blood clots, it was a little heavier, then spotting again from the 23rd to 27th. On the 28th to November 2, was heavier with many blood clots coming out. My blood pressure goes down to 90/60. I was so worried so I went to see my doctor again. She said it was really hormonal imbalance. So she gave me contraceptive pills (I never took it before) which will i take for 3 months to balance the hormones, and iberet-folic 500, aside from vitamin e. I have been taking the pills for 12 days now. While taking the pills, I had light-brown discharge (on and off). On the 11th pill, I bleed (with little blood clots). Now, it’s gone again. I was so worried, really don’t know what to do. Please help me.

    • ANSWER:
      It takes your body up to 3 months to get used to new birth control pills (even when switching). It is highly common to see spotting in-between periods. If after 3 months you are still having issues you might want to see if another pill would be better for you. (Each woman interacts differently with every pill!)

      Also, see if you can get tested for pre-menopause. Sounds like that may be the cause of all of this.

  18. QUESTION:
    Translation of Pelvic U/S?
    I was diagnosed with PCOS today(mild apparently) but the sonographer wrote:

    ‘The uterus is antevertes and lies in the midline measuring 7.9 x 4.2 x 5.5 with an endometrial thickness of 12.6mm”

    “Ten predominately perpherially based subcentimetre follicles in the right and left ovary. Right ovary measures 13.6cc & the left 6.5cc”

    “There is no free fluid within the pelvis and no adnexal mass lesions are appreciated”

    1. Is my endometrial thickness normal? Does this have anything to do with conceiving?

    2. Is my right ovary larger because I’m going to ovulate? (im currently CD 16)

    3. If i have 10 cysts on my ovaries (not sure if this is 10 in total or 10 cysts per ovary) does this mean I am not ovulating?

    The Dr has requested another blood test (7-11 days prior to my AF due date) to see if I ovulated this month – so far I dont think I have …

    Thank you for any input/advice …

    • ANSWER:
      I hate to say it cause I know it’s not the answer you want but only your doctor should be helping you figure out the results.

  19. QUESTION:
    I have PCOD,is it something serious, does the treatment have side effects?
    Uterus normal in shape, size & echotexture. Measurements are 9.0 x 4.6 x 3.2 cms. The myyometrial echotexture is homogenous. No focal mass lesion is seen. No intra/extrauterine gestational sac is seen.
    The endometrial echocomplex is central in position & 9.8mm in thickness.
    The internal os is closed. The cervical canal is normal with no intrinsic or extrinsic deformity.
    Both ovaries appear to be bulky in size with echogenic stroma and multiple tiny subcortical cysts.
    Right ovary measures 3.5 x 2.8 x 2.0 cm volume: 10.87 cc
    Left ovary measures 3.3 x 3.2 x 2.7 cm volume: 15.59cc
    No adnexal pathology is seen.
    There is no evidence of free fluid in the pouch of Douglas.
    please also note that am 22 years old, sexually inactive, my weight has increased rapidly for 48 kgs to 55 kgs within the last 3months, my height is 163 cms. And i haven’t had my periods since mid february.
    Any help would be appreciated. In case treatment is recommended, I’d like to have info on what it involve

    • ANSWER:
      PCOD/PCOS in excess, along with the absence of ovulation, may cause infertility

      Symptoms of PCOD, such as weight gain, excess hair growth (particularly on the face), thinning hair, and acne, can be upsetting and affect a woman’s confidence. Losing a pregnancy can cause feelings of loss and guilt. Coping with PCOD can be stressful and women can experience depression and mood swings. …

      PCOS – Treatment
      PCOS- Menstrual Irregularities
      Anovulation can lead to an abnormal overgrowth of the uterine lining (endometrial hyperplasia) increasing the risk of uterine cancer. Menstrual abnormalities can be treated with cyclic progestins or oral contraceptives. It is recommended that treatment allows for shedding of the uterine lining at least every three months.
      The goal of PCOS treatment is to decrease the amount of androgens in the bloodstream, thereby decreasing the clinical effects of androgens on the body (e.g., hair growth and acne).
      PCOS- Metabolic Abnormalities
      Insulin resistance and hyperinsulinemia (elevated blood insulin levels) are common in women with PCOS. These metabolic abnormalities can lead to impaired glucose tolerance and type II diabetes mellitus. Currently, metformin, an insulin-sensitizing medication, is used for the treatment of patients with PCOS. The goals of treatment include improving insulin resistance and lowering insulin levels, thereby improving associated metabolic problems ..
      Treatment must be designed to address both short-term goals and long-term consequences of PCOS to the patient

  20. QUESTION:
    Can you please interpret my pelvic scan report for me (It’s in doctor language)?
    I just received my reports today and I have an appt with my gyno next week to discuss the results but I’m so worried. I just want to know if everything is ok?? like when it says “several follicles present” does that mean I have polycystic ovaries??

    *11/07/07*

    Findings: Transabdominal scan only (patient not sexualy active)

    The uterus is anteverted and appears normal with no fibroids or adenomyosis seen. 58mm in length. Endometrium is homogeneous and measures 7mm in thickness. Right ovary is enlarged (42cc in volume) and contains a 4×3.3.8cm complex cystic lesion. No internal vascularity found. Multiple linear echogenic echoes within the cystic mass noted. Left ovary appears normal with several follicles noted and containing a 2cm simple cyst. No free fluid seen.

    Comment: Right ovarian cystic lesion, nature is unsure. Most likely either a dermoid cyst or hemorrhagic cyst. Follow up scan in 6 weeks recommended.

    *02/12/08*

    Scan on 11/07/07 showed the right ovary to be 42cc. This included 4cm complex cystic lesion. Query dermoid, query haemorrhagic cyst.

    Transabdominal study only. Transvaginal scan declined.
    Findings: The uterus is normal in shape, size and echotexture. No myometrial lesion is present. The endometrium is normal in appearance with a double layer of thickness of 6mm. Both ovaries are normal in appearance. The right is 9cc and the left is 4.5cc. Several small follicles are present in each ovary. A simple 20mm cyst is present in the right ovary compatible with a dominant follicle. There is no adnexal mass or free fluid present. Both kidneys are normal.

    Comment: Resolution of the previously documented right ovarian complex cyst. Normal pelvic ultrasound.

    • ANSWER:
      Just focus on the “Comment” at the end of each report, that’s all you need to understand, the rest of the report is descriptive documentation.

      On the initial scan in November, they found a right ovarian cyst, which on follow-up scanning in February, it has resolved. It’s disappeared, it’s gone! You got a normal pelvic ultrasound. :o)

      The part on the Feb report that says, “A simple 20mm cyst is present in the right ovary compatible with a dominant follicle” is completely normal. (It means that you are ovulating and this “cyst” is actually the egg that is getting ready for ovulation this menstrual cycle).

      — P.S. This does not mean that you should not go to your Gyne appointment though. Let your Gyne, discuss the whole report with you, and he/she may have additional recommendations for you. Your doctor knows your whole case, I only saw your report.

  21. QUESTION:
    Can anyone help me understand this MRI?
    My dr says mild adenomyosis, but I think the report is conflicting and states other issues, any ideas?

    MRI of the pelvis without gadolinium.

    Technique:
    1. Axial T1 SE.
    2. Axial T2 SSFSE with fat-sat.
    3. Coronal T2 SSFSE with fat-sat.
    4. Sagittal T2 SSFSE with fat-sat.
    5. Axial proton density with fat saturation.
    6. Coronal 3 mm T2-weighted images with fat-sat.

    Findings: The uterus is enlarged measuring approximately 9.6 x
    6.5 x 5.0 cm. The uterus demonstrates myometrial heterogeneity
    with what appears to be linear focal areas of alternating
    decreased and increased signal. The junctional zone is distinct
    and normal in appearance measuring approximately 5 mm in
    thickness. There is a focal cystic structure in the right mid to
    lower segment junctional zone which measures approximately 7 x 3
    mm. This is consistent with focal adenomyosis. Diffuse signal
    abnormality in the uterus does not appear to represent
    adenomyosis. This may represent venous engorgement, possibly from
    pelvic congestion syndrome. There appear to be prominent adnexal
    varices which are not well evaluated without contrast. This could
    be better assessed with endovaginal ultrasound using Doppler
    interrogation with Valsalva maneuver. Doppler evaluation of the
    uterus might also be helpful at the same time.

    There is a tiny 3 to 4 mm hypointense lesion in the right aspect
    of the uterus adjacent to the junctional zone which may represent
    a very small submucosal fibroid.

    The cervix is within normal limits. The vagina is normal.

    The right ovary is within normal limits measuring approximately
    2.5 x 1.7 x 1.3 cm. The left ovary measures approximately 3.7 x
    2.3 x 2.8 cm and contains a dominant simple-appearing 1.9 cm
    cyst.

    A small to moderate amount of free fluid is also noted in the
    posterior cul-de-sac.

    There is no evidence for pelvic adenopathy. The bladder is within
    normal limits. The visualized bowel and rectum appear to be
    within normal limits. The bones of the pelvis appear normal.

    Impression:
    1. Enlarged uterus with slightly heterogeneous linear myometrial
    parenchymal structures which suggests vascular engorgement,
    possibly related to pelvic congestion syndrome. The findings of
    diffuse heterogeneity are not consistent with diffuse adenomyosis
    as the junctional zone is normal. This could be better evaluated
    with endovaginal ultrasound with Doppler with and without
    Valsalva maneuver.
    2. There is a small focus of adenomyosis in the junctional zone
    measuring approximately 7 x 3 mm. This is of uncertain clinical
    significance.
    3. Prominent adnexal varices are suggested. This again would be
    best evaluated with endovaginal ultrasound and Doppler with and
    without Valsalva.
    4. 1.9 cm simple-appearing left ovarian cyst.
    5. Normal right ovary.
    I guess the other issues are that it says something about a submucosal fibroid, venous engorgement (whatever that is), and prominent adnexal varices (whatever that is). I agree with the cyst on the ovary being due to ovulation.

    I guess I just need to be patient and see what my dr says. I am having a hysterecomty at the end of July anyways, but my other MRI never showed anything.

    • ANSWER:
      What about it makes you think it might be other issues? It sounds like your ovaries are normal (the cyst on the left is likely a normal cyst produced due to ovulation). Your pelvis is normal, cervix and vagina are normal. So it’s the ovary with the problem, and though it could be several possibilities, adenomyosis seems most likely. You could get the tests done that are recommended in the report to confirm or refute that, but I can’t comment from here without seeing anything.

  22. QUESTION:
    What is the procedure our patient had?
    FINDINGS: On bimanual exam, the uterus was found to be anteverted at approximately six weeks in size. There were no adnexal masses appreciated. The vulva and perineum appeared normal. Laparoscopic findings revealed normal appearing uterus, fallopian tubes bilaterally as well as ovaries bilaterally. There was a functional cyst on the left ovary. There was filmy adhesion in the left pelvic sidewall. There were two clear lesions consistent with endometriosis, one was on the right fallopian tube and the other one was in the cul-de-sac. The uterosacrals and ovarian fossa as well as vesicouterine peritoneum were free of any endometriosis. The liver was visualized and appeared normal. The spleen was also visualized.
    INDICATIONS: This patient is a 34-year-old gravida 4, para-4-0-0-4 Caucasian female who desires permanent sterilization. She recently had a spontaneous vaginal delivery in June and her family planning is complete.

    PROCEDURE IN DETAIL: After informed consent was obtained in layman’s terms, the patient was taken back to the operating suite and placed under general anesthesia. She was then prepped and draped and placed in the dorsal lithotomy position. A bimanual exam was performed and the above findings were noted. Prior to beginning the procedure, her bladder was drained with a red Robinson catheter. A weighted speculum was placed in the patient’s posterior vagina and the 12 o’ clock position of the cervix was grasped with a single-toothed tenaculum. The cervix was dilated so that the uterine elevator could be placed. Gloves were exchanged and attention was then turned to the anterior abdominal wall where the skin at the umbilicus was everted and using the towel clips, a 1 cm infraumbilical skin incision was made. The Veress needle was then inserted and using sterile saline ______ the pelvic cavity. The abdomen was then insufflated with appropriate volume and flow of CO2. The #11 bladed trocar was then placed and intraabdominal placement was confirmed with the laparoscope. A second skin incision was made approximately 2 cm above the pubic symphysis and under direct visualization, a 7 mm bladed trocar was placed without difficulty. Using the Hulka clip applicator, the left fallopian tube was identified, followed out to its fimbriated end and the Hulka clip was then placed snugly against the uterus across the entire diameter of the fallopian tube. A second Hulka clip was then placed across the entire diameter just proximal to this. There was good hemostasis at the fallopian tube. The right fallopian tube was then identified and followed out to its fimbriated end and the Hulka clip was placed. snugly against the uterus across the entire portion of the fallopian tube in a 90 degree angle. A second Hulka clip was placed just distal to this again across the entire diameter. Good hemostasis was obtained. At this point, the abdomen was desufflated and after it was desufflated, the suprapubic port site was visualized and found to be hemostatic. The laparoscope and remaining trocars were then removed with good visualization of the peritoneum and fascia and the laparoscope was removed. The umbilical incision was then closed with two interrupted #4-0 undyed Vicryl. The suprapubic incision was then closed with Steri-Strips. The uterine elevator was removed and the single-toothed tenaculum site was found to be hemostatic. The patient tolerated that procedure well. The sponge, lap, and needle counts were correct x2. She will follow up postoperatively for followup care.

    Question: What is the procedure our patient had?

    • ANSWER:

  23. QUESTION:
    got cat scan for soft tissue calcification.. need help?
    Cat scan on soft tissue calcification on a normal size right ovary?
    Cat Scan on right adnexal mass?
    I wrote before telling everyone about the soft tissue calcification found on my normal size right ovary.. Well the results of the cat scan is 2.1cm calcified mass.The differential diagnosis includes a right dermoid, or ovarian cyst versus calcified fibroadenoma?????
    can anyone tell me about these and if I am not having any symptoms( the original was found on a yearly ultrasound for hormone replacement therapy) that does anything need to be done right away??????
    thank you

    • ANSWER:
      If you are not having symptoms you do not need to do anything now. You do need to seek medical help if the cyst starts causing problems or if you develop certain symptoms. Check this site.

      http://www.emedicinehealth.com/ovarian_cysts/page4_em.htm

  24. QUESTION:
    I am a 27-year-old woman.My weight is 63 kg,ht 168cm I took a pelvic scan a week back and below is my report:?
    Uterus – measures 6.0 x 3.0in its long axis.
    Cavity echoes are normal.
    Endometrial thickness measures 5mm.
    There is a hypoechoic mass measuring 1.7 x 1.5cm (intramural) identified in the posterior wall of the uterus suggestive of a FIBROID.

    Myometrical echoes are normal.

    Cervix – Normal in size and echotexture.
    Cervical outline appears regular.

    Ovaries – Right ovary measures 3.7 x 2.0 x 1.6 cm (Volume 5.92 cb cc)
    Left ovary measures 3.3 x 2.0 x 1.7 cm (Volume 5.61 cb cc)

    Both the ovaries show multiple cysts of less than 6 mm size, these cysts are peripherally situated.

    Pouch-of-Doughlas – No free fluid in the POD.
    No adnexal mass lesions.

    Endometrial thickness – 5 mm

    Blood sugar is normal
    Hormones Free T3, Free T4 and TSH are normal

    IMPRESION

    Normal Uterus with a small FIBROID
    Bilateral polycystic appearing ovaries.

    The doctor asked me to take Clomid 100mg and Metformin tablets. I have been having them for the past one week. I went for the scan again today and they have told that my Endometrial thickness is 9.5mm and there are nice follicles in the right ovary. The size of the follicles is 2.0 x 1.9.

    Could anyone tell me what does this mean??? Is the medicine reacting in my body??? I badly need an answer as I am deeply depressed.

    • ANSWER:
      metformin tablet is given for polycystic ovaries.most of the woman are having it now so dnt worry. if u r trying to conceive these tablets will support

  25. QUESTION:
    am single 27 year old girl (still virgin) recently I have missed period?
    Iand after a month my pelvic area and abdomen hurted so I went to emergency dr. she recommended me the ultra sound and below are the result can any one tell me what is going wrong with me?

    please reply me asap

    Neena G.

    anterverted uterus, normal in size and shape measuring 6.8 * 3.8 cm. endometrial canal is normal, no free fluid seen in posterior cul de sac. Left ovary, measured about 2.6*1.8 cm with multiple follicles. There is a well defined cystic mass 5.7*7.2 cm seen in right adnexal region showing internal echoes findings may suggest infected / hemorrhagic cyst.

    • ANSWER:

  26. QUESTION:
    Is it normal to have Vascular Calcifications noted in pelvis?
    I recently had a Abdominal radiography, frontal (AP). My doctor’s asst. said everything was normal but I read that there is a subtle levo curvature centered at L3 and vascular calcifications were noted in my pelvis. Should I not be concerened? I also had a Abdominal, Pelvic computed tomography (CT) that was told was normal as well. However, I read that my ovaries are noted bilaterally and a small cyst is seen in the left ovarian/adnexal region measuring 1 cm.

    • ANSWER:
      Jennifer…you are fine. But for future health, I would minimize sodas which are high in phosphates. Try to eat a healthy diet with organic fruits, and vege.s. Eat complex grains, and minimize sweets. I would eat one serving of oatmeal every day to help clean out your arteries/veins. Also try to get omega 3 oils in your diet, like one to two tablespoons of organic flax oil every day. I would also take a magnesium supplement (500 mg of magnesium citrate) and a vitamin D supplement (2000 IU of Vitamin D3) every day. These also will help keep your vascular system healthy among other systems of your body. The ovarian cyst is normal. Drink plenty of fluids and minimize junk food and drinks. This will help the cyst clear.

  27. QUESTION:
    I have PCOD,is it something serious, does the treatment have side effects?
    Uterus normal in shape, size & echotexture. Measurements are 9.0 x 4.6 x 3.2 cms. The myyometrial echotexture is homogenous. No focal mass lesion is seen. No intra/extrauterine gestational sac is seen.
    The endometrial echocomplex is central in position & 9.8mm in thickness.
    The internal os is closed. The cervical canal is normal with no intrinsic or extrinsic deformity.
    Both ovaries appear to be bulky in size with echogenic stroma and multiple tiny subcortical cysts.
    Right ovary measures 3.5 x 2.8 x 2.0 cm volume: 10.87 cc
    Left ovary measures 3.3 x 3.2 x 2.7 cm volume: 15.59cc
    No adnexal pathology is seen.
    There is no evidence of free fluid in the pouch of Douglas.
    please also note that am 22 years old, sexually inactive, my weight has increased rapidly for 48 kgs to 55 kgs within the last 3months, my height is 163 cms. And i haven’t had my periods since mid february.
    Any help would be appreciated. In case treatment is recommended, I’d like to have info on what it involve

    • ANSWER:
      PCOD/PCOS in excess, along with the absence of ovulation, may cause infertility

      Symptoms of PCOD, such as weight gain, excess hair growth (particularly on the face), thinning hair, and acne, can be upsetting and affect a woman’s confidence. Losing a pregnancy can cause feelings of loss and guilt. Coping with PCOD can be stressful and women can experience depression and mood swings. …

      PCOS – Treatment
      PCOS- Menstrual Irregularities
      Anovulation can lead to an abnormal overgrowth of the uterine lining (endometrial hyperplasia) increasing the risk of uterine cancer. Menstrual abnormalities can be treated with cyclic progestins or oral contraceptives. It is recommended that treatment allows for shedding of the uterine lining at least every three months.
      The goal of PCOS treatment is to decrease the amount of androgens in the bloodstream, thereby decreasing the clinical effects of androgens on the body (e.g., hair growth and acne).
      PCOS- Metabolic Abnormalities
      Insulin resistance and hyperinsulinemia (elevated blood insulin levels) are common in women with PCOS. These metabolic abnormalities can lead to impaired glucose tolerance and type II diabetes mellitus. Currently, metformin, an insulin-sensitizing medication, is used for the treatment of patients with PCOS. The goals of treatment include improving insulin resistance and lowering insulin levels, thereby improving associated metabolic problems ..
      Treatment must be designed to address both short-term goals and long-term consequences of PCOS to the patient