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Doctor insights on: Can A Pelvic Ultrasound Miss An Ovarian Cyst

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Can a pelvic ultrasound miss an ovarian cyst?

Can a pelvic ultrasound miss an ovarian cyst?

Yes: Any abnormality can be missed by a diagnostic procedure, but and ultrasound missing a significant ovarian cyst is very rare. ...Read more

Dr. Michael Gabor
2,271 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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I had a pelvic ultrasound which showed a blood filled ovarian cyst. How serious is this?

I had a pelvic ultrasound which showed a blood filled ovarian cyst. How serious is this?

Not very serious.: Hey blood-filled for hemorrhagic cyst is not uncommon. If it is not painful then it can be observed to see if it will resolve without treatment. If a hemorrhagic cyst causes pain or does not resolve and it may need to be removed surgically. Hope this helps. ...Read more

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Pelvic ultrasound revealed 3.8 cm functional, septated ovarian cyst. Dr. said no follow up is needed. Should I be concerned?

Pelvic ultrasound revealed 3.8 cm functional, septated ovarian cyst. Dr. said no follow up is needed. Should I be concerned?

Probably not.: This finding is not concerning unless you have a family history of ovarian cancer or a genetic cancer syndrome like BRCA. If you are worried then request a repeat ultrasound in a few months to be sure that the system has resolved. Hope this helps. ...Read more

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Would a pelvic ultrasound show when a dermoid ovarian cyst has ruptured? What would it show?

Would a pelvic ultrasound show when a dermoid ovarian cyst has ruptured? What would it show?

Rupture is serious: Dermoids can have hair and teeth in them, so are complex on U/S, . The black stuff in the picture is hair. They often grow slowly but rarely rupture. If so, it's like appendicitis and needs immediate surgery.
U/S is a good screen for ovarian masses, but with a "surgical pelvis" CT is done. An early sign of impending rupture on U/S might be fluid in the pelvis, but this is not diagnostic. ...Read more

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Can a doctor tell from a pelvic ultrasound if an ovarian cyst is cancerous or benign? Or do they all look alike and need further tests?

Can a doctor tell from a pelvic ultrasound if an ovarian cyst is cancerous or benign? Or do they all look alike and need further tests?

It depends: Certain features make it highly likely that a cystic lesion is benign (e.g. a small "simple cyst"), and others make it more likely to be malignant. There is significant overlap between benign and malignant features, so at times it is impossible to tell. Other times the appearance is so characteristic that benignity/malignancy can be predicted fairly reliably. Age and other findings also factor in ...Read more

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How long does it take for ovarian cyst rupture to cure? Had pelvic ultrasound everything okay I have anxiety I keep thinking chronic appendix

How long does it take for ovarian cyst rupture to cure? Had pelvic ultrasound everything okay I have anxiety I keep thinking chronic appendix

Trust pelvic US: Every woman differs, but usually 6-8 weeks. You might want to temporarily ease off sexual activity until you are pain free. If pain worsens or fever, seek medical attention. Doubt it has connection to appendix even though pain is in same general area. Good luck, heal soon. ...Read more

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How soon can a pelvic ultrasound tell if your preganant? Can a corpus lutem be a early sign of pregenacy? Can a ovarian cyst be a very early sign?

How soon can a pelvic ultrasound tell if your preganant? Can a corpus lutem be a early sign of pregenacy? Can a ovarian cyst be a very early sign?

4 weeks: Earlier ultrasound can show signs such as thickened endometrium but pregnancy cannot be confirmed until a gestational sac is seen. A yolk sac & embryo are more diagnostic but may not be seen until later. An HCG level of 1, 000 should correlate with a gest sac. A cl or ovarian cyst occur with ovulation so are not early signs of pregnancy. Take care. ...Read more

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Hello, please explain what the finds of my recent transvaginal and pelvic ultrasound found. Right ovary 4.4 x2.9x1.1 CM simple cyst and on the left 5.5 x4.8x2.9 ovarian cyst prior ultrasound measurements were 6.9x5.8x6.5 which was smaller in size but also

Hello, please explain what the finds of my recent transvaginal and pelvic ultrasound found. Right ovary 4.4 x2.9x1.1 CM simple cyst and on the left 5.5 x4.8x2.9 ovarian cyst prior ultrasound measurements were 6.9x5.8x6.5 which was smaller in size but also

Depends: It is difficult to answer your question with certainty without knowing your clinical history, laboratory findings, and detail information of the ovarian cysts. Simple cyst may be monitored over time with us but more complex cysts may require specific management. When a cyst improves in size, it's usually is a good sign but accurate measurements are not always reproducible on us. ...Read more

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Please tell me, could a pelvic ultrasound miss a cyst?

Please tell me, could a pelvic ultrasound miss a cyst?

What kind of cyst: If you mean ovarian cyst. Yes very small ovarian cysts can be missed on ultrasound exam. ...Read more

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Is it possible to miss an ovarian cyst on a transvaginal ultrasound and find it on a CT scan?

Is it possible to miss an ovarian cyst on a transvaginal ultrasound and find it on a CT scan?

Possibly: No test is 100% perfect and anything can be missed on any diagnostic test especially if it is small. In general ultrasound is best for imaging the female reproductive organs and is much less expenxive than a ct or mri. ...Read more

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Having left sided pelvic pain. Had ultrasound and have a right ovarian cyst but have no pain on right side, only left. Have spotting also?

Having left sided pelvic pain. Had ultrasound and have a right ovarian cyst but have no pain on right side, only left. Have spotting also?

See below: Without knowing a patients medical history, nor the ability to question and examine her, it's difficult to give advice as to possible causes, but the following may be helpful: for advice on spotting see: http://bit. Ly/1CnC9xV for causes of pelvic pain see: http://bit. Ly/1JvdCZM ...Read more

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Can they miss ovarian cyst on ultrasound scan?

Can they miss ovarian cyst on ultrasound scan?

Not usually: Ovarian cysts and even small follicles are typically identified with ultrasound. ...Read more

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Should I be worried my gyn bumped up my appointment after receiving my pelvic and transvag ultrasound results. I have History of ovarian cyst.?

Should I be worried my gyn bumped up my appointment after receiving my pelvic and transvag ultrasound results. I have History of ovarian cyst.?

No: Usually significant findings are communicated timely in order to delineate a plan as soon as possible. Sometimes a partner takes over, during unexpected leave, etc. ...Read more

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Had pelvic pain last month ultrasound showed 2 left ovarian cysts had right sided abd pain 2 days ago showed 2 right ovarian cysts. Any suggestions?

Had pelvic pain last month ultrasound showed 2 left ovarian cysts had right sided abd pain 2 days ago showed 2 right ovarian cysts. Any suggestions?

This may be normal.: It is natural to form ovarian cysts every month. The cysts are where the eggs are being released from the ovary. If you become pregnant, this cyst supports early pregnancy. Sometimes, these cysts can get large and burst, causing pain. This can be prevented with some form of birth control. Work with your doctor to determine the right choice of management/prevention for you. ...Read more

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Can small ovarian cysts go undetected in an external ultrasound and pelvic exam?

Can small ovarian cysts go undetected in an external ultrasound and pelvic exam?

Maybe: Small ovarian cysts may not be detected but usually are not clinically significant. Usually can detect ovarian cysts of 3-4 mm in diameter with good diagnostic ultrasound. ...Read more

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Gynae performed transvaginal pelvic ultrasound scan since sep'11-mar but in no'12 I was operated for 2 choc cysts & fibroid. How could she miss these?

Gynae performed transvaginal pelvic ultrasound scan since sep'11-mar but in no'12 I was operated for 2 choc cysts & fibroid. How could she miss these?

Not perfect: It depends on the size of the cysts. You were having pain, ultrasound did nor reveal a problem, then got laparoscopy and saw the problem. Doctors nor ultrasounds are perfect. I would get on the pill for the endometriosis. There are times when being on the pill increases ovulation when you get off; just 2 or three months can make a difference. ...Read more

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Hello there! What to do after a total hysterectomy with ovaries left In place. Now having pelvic pain and had ultrasound which showed ovarian cysts?

Hello there! What to do after a total hysterectomy with ovaries left In place. Now having pelvic pain and had ultrasound which showed ovarian cysts?

Many choices: Have a chat with your GYN MD about your choices which include everything from cyst suppression with the oral contraceptive pill to surgical extraction and hormone replacement therapy. ...Read more

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Abd/pelvic pain once a month lasting 4 days for about a year. Had CT and ultrasound each time showed ovarian cysts. Can't take birth control, suggestions?

Abd/pelvic pain once a month lasting 4 days for about a year. Had CT and ultrasound each time showed ovarian cysts. Can't take birth control, suggestions?

I suggest: See a live doctor for an exam and an evaluation, not possible to give a worthwhile diagnosis online. Chances are excellent you can be helped. ...Read more

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I missed my period for 2wks I did an ultra sound and saw a 7cm by 4 right ovarian cyst. I am on provera (medroxyprogesterone) for 10 days. I have bn tryn to hav a baby for 3years but can't please what do I do. Help me pls?

I missed my period for 2wks I did an ultra sound and saw a 7cm by 4 right ovarian cyst. I am on provera (medroxyprogesterone) for 10 days. I have bn tryn to hav a baby for 3years but can't please what do I do. Help me pls?

Infertility expert: There are doctors who specialize in just these problems. You and your sexual partner should be seen by one and fully evaluated. There are numerous possibilities and options fro correction. Go soon and have a great baby. ...Read more

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Is it possible to have an ovarian cyst and it not show up on ultrasound?

Is it possible to have an ovarian cyst and it not show up on ultrasound?

Cysts are of varying: It depends on the size of the ovarian cyst. If the cyst is small (<2-3cm), it may not show up. But anything large enough would show up on an ultrasound, provided the procedure is done by an experienced operator and the cyst is of significant size (>3-4cm). ...Read more

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Had an ultrasound in July confirmed 6cm ovarian cyst. Had surgery oct 11th no cyst found. Why surgery? Why did they not check b4? Unnessesary surgery?

Had an ultrasound in July confirmed 6cm ovarian cyst. Had surgery oct 11th no cyst found. Why surgery? Why did they not check b4? Unnessesary surgery?

Most likely: Ovarian cysts are common findings. Most cysts are 'simple' (benign appearing). Studies show than most cysts will resolve with time and surgery is not necessary, even for cysts as large as 10 cm. Unless a woman is having symptoms such as pain suggestive of ovarian torsion, most cyst may be manage with serial ultrasound every 3-6 months to evaluate for resolution or increase in size. ...Read more

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How does an ovarian cyst look in a transvaginal ultrasound?

How does an ovarian cyst look in a transvaginal ultrasound?

Cysts,: When simple, are internally dark on ultrasound as the fluid reflects few of the sound waves. In essence, a smooth, round, black or dark, structure in the ovary is seen. Also, no internal blood flow on doppler. ...Read more

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Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Hemorrhagic cysts: A hemorrhagic cyst is a type of benign ovarian cyst that is very common. Typically one would simply monitor it and repeat the sonogram in 1-3 months to confirm resolution. Your specific case should be evaluated by a doctor after a complete history and physical exam to determine the proper management ...Read more

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I have done a pelvic ultrasound and the result were: 1cm complex lesion in the cervix. 2.7 cm simple cyst of the right ovary. What does it mean?

I have done a pelvic ultrasound and the result were: 1cm complex lesion in the cervix. 2.7 cm simple cyst of the right ovary. What does it mean?

Ultrasound findings: The lesion on your cervix could be a nabothian cyst but it really hold be investigated further. The simple cyst in your ovary is physiologic and will resolve on its own. ...Read more

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Pelvic ultrasound 3.1 cm cyst left ov, CA level 35.1, is range ok? Test range is up to 38.1 for lab I had. Don't have cancer but now I'm concerned.

Pelvic ultrasound 3.1 cm cyst left ov, CA level 35.1, is range ok? Test range is up to 38.1 for lab I had. Don't have cancer but now I'm concerned.

Why did you have US?: Tell us if you had any pelvic symptoms which lead to doing the pelvic ultrasound?
Benign cysts of the ovary are common. Your CA level is normal.
My advice is to follow the advice of your gynecologist who ordered your first Ultrasound. Follow up repeat ultrasound 1 or 2 more times, 6 months apart, to check on the size of your cyst and any changes//growth ...Read more

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Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Probablyl: Depending on the appearance of the cyst, your doctor must have felt that it was safe. Not all female cancers are genetically related (so, for ex: if you family has a history of cervical cancer that does not increase the risk for ovarian cancer). The ova-1 test or ca-125 tests can help to see if your cyst is higher or lower risk to be a cancer. But there are lots of cysts that are not cancers. ...Read more

Cyst (Definition)

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


Dr. John Landi
2 Doctors shared insights

Pelvic Ultrasound (Definition)

This is an ultrasound test to examine the organs of the pelvis, typically using either a trans-abdominal or trans-vaginal approach, depending on what is suspected, such as ovarian ...Read more