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Doctor insights on: Can Pelvic Ultrasound Always Detect 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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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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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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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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Do all ovarian cysts show up on ultrasound?

Do all ovarian cysts show up on ultrasound?

Depends: Ultrasound is very sensitive to proper preparation for the test...A full bladder and no gas is important to see the ovaries adequately. If the ovaries are well seen then cysts on/in the ovaries are well seen...Need to know how well the technician felt they saw things during the test. ...Read more

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What does ultrasound for an ovarian cyst show?

What does ultrasound for an ovarian cyst show?

See below: The ultrasound can differentiate an ovary with fluid (cyst) vs solid (possible tumor). ...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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What can I expect during an ultrasound to check for ovarian cysts?

What can I expect during an ultrasound to check for ovarian cysts?

It should be painles: Sometimes the study is performed wtih abdominal probe in which case a full bladder is necessary to visualize pelvic organs well. Many times, vaginal probe examination is also performed because this produces superb images as the probe can get very close to the organs being examined. You will need to empty your bladder for this part of the exam. Sometimes, 3d images of the ovary may be helpful. ...Read more

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I did ultrasound and found out a small septated ovarian cyst at my right ovary is it dangerous?

I did ultrasound and found out a small septated ovarian cyst at my right ovary is it dangerous?

Probably not.: Your doctor will probably have you get a followup ultrasound. These are very common, and very rarely a cause for concern. However, if it gets bigger or bothers you, your ob/gyn will discuss options. ...Read more

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How can radiologist tell the difference from a malignant and benign ovarian cyst on ultrasound. And is the sympthoms the same.

Imaging findings: Radiologist can simply raise suspicion of malignancy based on imaging findings. These may include internal separation, solid component and presence of fluid in the pelvis.

This may alarm the gynecologist to further investigate the cyst. Final diagnosis is often based on surgical and histopathological evaluation. ...Read more

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Small parovarian cyst found on pelvic ultrasound this year. It was not there a year ago. I thought if you had one, you were born with it?

Small parovarian cyst found on pelvic ultrasound this year. It was not there a year ago. I thought if you had one, you were born with it?

No: You can be born with one but they can develop or be related to surgery in the area. It also may have been there before buy not seen. If it is truly a simple cyst then it is not something to worry about. ...Read more

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What does small amnt simple free fluid in rt adnexa. Mean, I was having a lot of pain we were looking for a cyst during the pelvic ultrasound.

What does small amnt simple free fluid in rt adnexa. Mean, I was having a lot of pain we were looking for a cyst during the pelvic ultrasound.

It is normal: For premenopausal females to have a small amount of simple, free fluid in the pelvis/adnexal area. Free means that is it free floating and not contained in any structure such as an abscess. Simple means that there are no " echogenic foci" within it which could represent blood or pus. ...Read more

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I had a hemorrhagic ovarian cyst, rupture, ultrasound tech said "it measures 3cm, had to be at least 6cm" does this mean I still have a 3cm cyst?

I had a hemorrhagic ovarian cyst, rupture, ultrasound tech said "it measures 3cm, had to be at least 6cm" does this mean I still have a 3cm cyst?

That's what it: Sounds like, but you are better off speaking with your doctor or checking the official ultrasound report for results, instead of relying on what the tech informally says while he/she is performing the exam. ...Read more

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7mm para ovarian cyst seen on ultrasound. I just had a baby and didn't have it before then...Is this anything to worry about? Dr said it was common.

No worries: Para-ovarian cysts are very common non-cancerous fluid collections at the tips of the fallopian tube opening. They rarely cause any trouble. Occasionally they can twist on their stalks and cause pain. ...Read more

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I had an ovarian cyst. Got my vaginal ultrasound recently with no clue of any cyst. But I am still having pain in my abdomen. Can the reports be wrong?

I had an ovarian cyst. Got my vaginal ultrasound recently with no clue of any cyst. But I am still having pain in my abdomen. Can the reports be wrong?

Possibilities...: There are multiple potential reasons why your are still having abdominal/pelvic pain. Ovarian cysts can cause pain but not all the time. Usually happens if they are very large or rupture. Besides a gynecological problem your pain could come fro other sources like bowel problems. Follow up with your doctor in order to get to the bottom of your symptoms and get a final diagnosis and treatment. ...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. Lois Freisleben-Cook
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