Doctor insights on:
Adnexal Cystic Lesion Ovarian Cyst
I had a CA-125 done for ovarian cysts (10.5cm and 4cm) Test came back 190. Had another test weeks later and new u/s. Cyst is now 8.4 and CA-125 is 110. Is this even possible? Cysts are hypoechoic cystic lesions possibly endometriomas & endometriosis.
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
1 inch ovarian cyst:
Adnexa are the structures closely related to the uterus and include the ovaries and the fallopian tubes. Left adnexal cyst means a cyst on the left side involving the ovary.
Most of these are benign. ...Read more
Yes: It can. It would be helpful to know your age and history to comment further. Septated cysts are also a malignancy risk but there are septated benign tumors too. Do you mean 27 cm or 27 mm? The smaller one 27 mm is fairly low risk regardless; if you mean the larger (27 cm) the risk is correspondingly higher. I hope this helps, good wishes. ...Read more
Hi I had an episode of ovarian cyst rupture with hemorrahgic ascities on 10th oct 15 and now there no pain or any other symptom But the usg today shows minimal ascites and a cystic mass measuring 5.0✖️3.2✖️4.4 cm Can it rupture again?
Yes: See your gyne and ask about Lap oophorectomy ...Read more
3.5 CM left ovarian cyst w probable parovarian free fluid. Complex right ovarian mass w solid & cystic components & internal vascular flow. This bad?
2 months ago gyn felt adnexal mass. U.S showed ovarian cyst. Now I'm having pelvic pain along with urinary frequency, urgency. What to do next?
UTI?: You may have a urinary tract infection. Call your pcp/gyn so you can leave a urine, that can be sent for a test to determine f you have a uti. Until then, increase your water intake. You can also buy an over the counter med, called uristat, (phenazopyridine) that helps with urinary pain assoc. With utis. This med should only be used for 2 days. If your pelvic pain is severe, see a doc immediately. ...Read more
I have a right adnexal ovarian cystic lesion measuring 11.2x10.9x7.7 cm. May reflect a large endometrioma. Sml Amt free fluid in culdesac. How bad is?
Need firm dx:
MRI can be helpful to firm up the diagnosis of endometrioma and be an adjunct to ultrasound. MRI may find other lesions.
On the other hand laparoscopy has the advantage of getting tissue and performing therapeutics. A small amount of free fluid is non-specific and not unexpected for a cystic lesion of that size.
Decisions as to how to proceed require clinical correlation and advice of GYN. ...Read more
March MR found 3.3cm left ovarian cyst. July follow up US - cyst now 3.8cm mildly complex avascular with septations centre of lesion. What are dangers?
Ovarian anomaly: Please be seen. An ovarian abnormality could be something very simple and of no concern. However the more complex the cyst is the more likely that it could be something of significant pathology. You need to be seen by your physician. ...Read more
US 3.8cm mildly complex ovarian cyst. Septations mainly in mid aspect of lesion and no vascularity seen. What does "mildly complex" mean?
Great question: Not really sure. Any thing that is not a simple cyst is called complex. Sometimes the person who is reading the report does not think it is so bad so calls it mild. But it is not really a medical term. ...Read more
I have hypoechoic lesion (1.5*1.4 cm) in the uterus, an ovarian cyst (1.9*2.0 cm). Does this demand a surgery for removal or medication will work?
Echo of uterus: Only your Dr can advise you on this. We do not know you well enough. ...Read more
I was diagnosis 12 days ago at the ER with ovarian cysts on both ovaries and a complex lesion rupture on the right one I have not had any discharge fever nau?
Ovarian cysts: Ovarian cysts can be physiologic (normal) or pathologic (abnormal). They do not necessarily cause any symptoms. ...Read more
Dx @ ER with ovarian cysts & complex lesion rupture. 12 days just now bleeding lightly w/ leg pain. Much lighter then period no back pain. Er or gyno?
Gynecology: I would never tell a patient not to go to the er for emergencies, but you need to establish a patient physician relationship with someone who can follow you long term and educate you about your problem. ...Read more
R sided hemm. Ovarian cyst 46.6mmx41.9x45.9 volume 46.9ml. History endoand decreased ov reserve n/v, pain how long does it take to absorb? Waiting to do ivf
It may not absorb: If it is truly a hemorrhagic cyst it should resolve in 4-6 weeks if not sooner. If it is an endometrioma, it may not resolve on its own and may require surgery to improve your ivf outcome. I recommend you talk to your reproductive endocrinologist about strategy here. You don't want to lose time if you have diminished ovarian reserve. ...Read more
I have a history of ovarian cyst on my left side some they rapture n some they taking them out what I'm upset is I don't have a normal sex life with my partner cause of the pain I get I wanna know what can I do about this please help me n now also I'm get
You should be disc: Discussing this with your gyn doc, depends on what kind of cysts you have, you may need to get on continuous bc pills to prevent the cysts, if you have endometriosis you may need depo- Lupron (leuprolide) or further surgery so without knowing more details cannot provide other advice so you should make an appt with your gyn or go for a 2nd opinion, but if u go for a 2nd opinion make sure u bring your records. ...Read more
Doc said I hv an ovarian cyst measuring abt 7x6x5 n need surgery. But is it possible if I don't want surgery? Cz im quite busy atm
You need surgery: You have a large cyst. Most cyst at your age are benign. However they can become very large and depending on the surgeon you my end up with a huge scar. Also cyst this size can twist on its pedicle (torsion). This is a surgical emergency. You might have a serous or mucinous-cysadenoma, or a dermoid cyst. Ultrasound should help to give clue what he is dealing with. I would favor laparoscopic surger. ...Read more
Do waht yoru gyn say: Says, it depends what your sxs are how big and what kind, many simple cysts can be watched to see if they resolve with your next period, us should be done to follow it, sometimes you may need bc pills or other meds to help the cyst resolve, sometimes you may need outpt or inpt surgery to take care of it, the most important thing is to see your gyn so it can be followed or treated. ...Read more
Patience vs. Surgery:
Most ovarian cysts in young women are "functional cysts", which evolve from a follicle that you ovulate from, then grow and finally resolve spontaneously over several weeks. Birth control pills do not speed up the resolution, but do decrease recurrences.
If the cyst persists then surgery, often laparoscopic, is necessary to remove the cyst and have it tested for cancer. ...Read more
Ibuprofen: Ibuprofen would be my first recommendation for the occasional ovarian / ovarian cyst pain. If you have discomfort every month, birth control will keep the cysts under control, therefore minimizing any ovarian pain. Occasionally, a large cyst may leak or rupture causing severe pain. Most the time, this is still managed with prescription pain medicine and will resolve over a few days. ...Read more
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