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Doctor insights on: Menopausal Transvaginal Ultrasound Can T Find Ovaries

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I had a transvaginal ultrasound today & cysts were found on my ovaries? How serious is this? I'm 52 & only been in menopause 1 year.

I had a transvaginal ultrasound today & cysts were found on my ovaries? How serious is this? I'm 52 & only been in menopause 1 year.

Depends: Simple cyst can occur in the menopause and are usually benign (non cancerous). Its more concerning if you have a family history of ovarian and/or breast cancer in your family or if the cyst is complex. It might be a good idea to get a blood test called a ca-125 and to clarify with your provider if the cysts are simple or complex. ...Read more

Dr. Michael Gabor
2,275 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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Postmenapausal bleeding after 16 years and Transvaginal ultrasound fails to locate one ovary?

Postmenapausal bleeding after 16 years and Transvaginal ultrasound fails to locate one ovary?

PMP bleeding: The ovaries after menopause shrink to the size of what we call streak ovaries and often times aren't visible on ultrasound or CT scan. While many women with menopausal bleeding just have atrophy, you have to treat it as endometrial cancer until proven otherwise. An endometrial biopsy or D&C is warranted here. ...Read more

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A transvaginal ultrasound showed enlarged ovaries. I have a follow up appt in a month. I am scared to death. What can this be?

A transvaginal ultrasound showed enlarged ovaries. I have a follow up appt in a month. I am scared to death. What can this be?

Enlarged ovaries X 2: If both of the ovaries are enlarged, t generally rules out cysts as a factor unless it is PCOS syndrome. See if your MD can see you sooner than one month by setting up a Consultation with him/her for an explanation of the meaning of the ultrasound results. ...Read more

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Hello, I'm a little concerned with my transvaginal ultrasound, it says my right ovary measures 4.2×1.4×2.9cm and left ovary is 3.2 ×1.4×2.1a?

Hello, I'm a little concerned with my transvaginal ultrasound, it says my right ovary measures 4.2×1.4×2.9cm and left ovary is 3.2 ×1.4×2.1a?

Normal size: Those are normal size ovaries. Unless there is some other abnormality mentioned then you can relax as this is normal ...Read more

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I had a transvaginal ultrasound and it was painful... What could be the cause? It hurt while checking my left ovary

I had a transvaginal ultrasound and it was painful... What could be the cause? It hurt while checking my left ovary

Variety of things: A variety of things could cause it. Vaginal dryness, lack of lubricant on the sonogram, placing too much pressure on the probe, a problem in the bladder, rectum, uterus or ovaries are all a few of the possibilities. Finding out if anything abnormal was found on the sonogram is the next step. ...Read more

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Hi, My ovaries are hurting had a ultrasound and the the transvaginal ultrasound came back normal but im still in pain why?

Hi, My ovaries are hurting had a ultrasound and the the transvaginal ultrasound came back normal but im still in pain why?

Source Presumptive: & visualized in mind. Imaging exams do Not show pain or origin. However, ovaries are cystic (eggs develop in & are shed from cysts) & if no cysts (not likely age 19 if menstruating) then unlikely pain from ovaries. Could be related to any of many sources in area, including: small bowel, colon, appendix, bladder, endometriosis, etc. Emotions & past experiences commonly play a big yet hidden role. ...Read more

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A transvaginal ultrasound was normal and that a 2cm shading on r ovary looked benign as US did not brightly shine on it. How do tumors appear on US?

A transvaginal ultrasound was normal and that a 2cm shading on r ovary looked benign as US did not brightly shine on it. How do tumors appear on US?

Irregular mass: Most ovarian tumors in US are first seen as small cystic lesions. If the cystic component is irregular and there are densities in the cyst, especially if greater than 5 cm., then laparoscopic bx used. If lesion is an irregular mass in the ovary not consistent with the smooth ovary, then bx again is indicated. Often an irregular mass is seen on the surface of the ovary and again bx is indicated. ...Read more

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What's hiding my ovaries on a pelvic ultrasound? Can be seen on transvaginal ultrasound instead.

What's hiding my ovaries on a pelvic ultrasound? Can be seen on transvaginal ultrasound instead.

Normal variation: The position of the ovaries varies quite a bit from women to women within the pelvis. Secondly, gas within adjacent bowel loops will distort ultrasound images and 'hide' anything behind that loop. Thus looking from a different angle ie transvaginally, we can find the ovaries that we can see on the transabdominal portion of a scan. ...Read more

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What could cause a "fullness" in the right ovary region. Was told this during pap. Will have a transvaginal ultrasound later this month.?

Usually cyclic cyst: The most common reason for fullness in the right adnexae for someone your age would be a cyclic cyst that is part of your menstrual cycle. These cyst usually rupture when the ovary releases an egg in mid cycle. Other things to consider are infection, endometriosis, ectopic pregnancy, and tumor. If you are otherwise free of symptoms if might well disappear by the time you get the sono. ...Read more

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I recently diagnosed with polycystic ovary cyst bilateral thru my transvaginal ultrasound. I'm having hotflashes for a week now, is this related?

I recently diagnosed with polycystic ovary cyst bilateral thru my transvaginal ultrasound. I'm having hotflashes for a week now, is this related?

Not likely: Its not likely from ovarian hormones, you are still producing them and they don't fluctuate too much in pcos. U have 2x the risk of depression and anxiety closely behind. The diagnosis may have increased your anxiety. R u sleeping at night? A drug called an snri can help vasomotor sx's. You may have high Insulin and then get low blood sugar, this can cause ur sx's. Look up metformin and pcos. ...Read more

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Transvaginal ultrasound found multiple little cysts on my left ovary and 3 large cysts on my right ovary. Do they need to be removed to reduce my pain?

Transvaginal ultrasound found multiple little cysts on my left ovary and 3 large cysts on my right ovary. Do they need to be removed to reduce my pain?

Typically not: Cysts are just bags of water. They are extremely common in young women. They typically disappear with no treatment whatsoever. When they enlarge, they can cause pain which may require pain medication. If large, the doctor may elect to follow these cysts by ultrasound, and in unusual circumstances, may need to remove a cyst surgically. Talk to your Ob/Gyn. ...Read more

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6 months ago Transvaginal ultrasound said left ovary not clearly visible but no signs of adnexal tumor. I now have an 8.5cm tumor on the left ovary. Was this missed 6 months ago?

6 months ago Transvaginal ultrasound said left ovary not clearly visible but no signs of adnexal tumor. I now have an 8.5cm tumor on the left ovary. Was this missed 6 months ago?

Ovary tumor: Not likely to miss a tumor this size. Must have developed in last six months. BE sure you are followed carefully by your doctor. You may need surgery. ...Read more

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I had a transvaginal ultrasound and the result says, "normal ovaries but the right ovary has a small involuting cyst with internal hemorrhage."?

I had a transvaginal ultrasound and the result says, "normal ovaries but the right ovary has a small involuting cyst with internal hemorrhage."?

It sounds: Like this simply represents a resolving hemorrhagic cyst or follicle, a relatively common finding. They may elect to follow up in 1-2 cycles to document resolution. ...Read more

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How accurate is a transvaginal ultrasound? And is it really better than a regular ultrasound at finding tumors in your ovaries and uterus?

How accurate is a transvaginal ultrasound? And is it really better than a regular ultrasound at finding tumors in your ovaries and uterus?

See answer: Transvaginal us is “closer” to the target organs – the uterus and ovaries - and usually demonstrates them in better detail. ...Read more

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Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Yes,: But not reliably. Regional bowel gas can obscure pelvic lymph nodes. Also the position of the ovaries is variable, and they may not be situated next to internal iliac nodal chains. So not seeing enlarged lymph nodes on a pelvic sonogram is not sufficient to exclude them. CT or MRI is much better. ...Read more

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Transvaginal ultrasound shows multiple follicles on left ovary (pcos appearance) and area with hypoechoic center and echogenic rim?

Transvaginal ultrasound shows multiple follicles on left ovary (pcos appearance) and area with hypoechoic center and echogenic rim?

Hormonal imbalances: Multiple follicles is a sign of high estrogen levels. Estrogen can be biotransformed into testosterone via the enzyme aromatase. Aromatase enzyme is increased by high Insulin levels. A high carb diet will increase both Insulin (via stimulatlon of pancreas) and estrogen (via competetive inhibition of glucoronidase enzyme) low carb diet is beneficial to reduce estrogen and insulin. ...Read more

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My transvaginal ultrasound showed a large chocolate cyst on each ovary and ovaries kissing behind my uterus. What are my chances of conceiving?

My transvaginal ultrasound showed a large chocolate cyst on each ovary and ovaries kissing behind my uterus. What are my chances of conceiving?

NOT GOOD: Your doc should have told u that you will need a laparoscopy or robotic surgery as you most likely have endometriosis and after the suregery then u will know your chances which still may not be good as your tubes may be in bad shape also, you may need in vitro to get preg. ...Read more

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Should I see ob/gyn about this? Yesterday I had a transvaginal ultrasound to look at a cyst on my ovary and a fibroid in my uterus. Shortly thereafter, continuing to today, I feel a vibration inside kinda near my left ovary. Should I be concerned or is th

Should I see ob/gyn about this? Yesterday I had a transvaginal ultrasound to look at a cyst on my ovary and a fibroid in my uterus. Shortly thereafter, continuing to today, I feel a vibration inside kinda near my left ovary. Should I be concerned or is th

The: The best thing to do is call your doctor and inform him/her of your symptoms. You may just be dealing with a referred pain from the probe touching your cervix and causing pain in the area you described. Try advil (ibuprofen) or Ibuprofen and monitor for improvement.
I hope you feel better soon. ...Read more

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Had transvaginal ultrasound for prolong period. They said everything is normal. But the results read ovaries not seen. Could cyst still be ruled out?

Had transvaginal ultrasound for prolong period. They said everything is normal. But the results read ovaries not seen. Could cyst still be ruled out?

US pelvis: If the ovaries are not visualized by ultrasound, it means that neither the ovaries nor any ovarian cysts on the ovaries were visualized. ...Read more

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Dull on/off pain in right lower pelvis. IUD inserted 1 mo ago. Pelvis/transvaginal ultrasound came back normal. Should any other tests be done?

Dull on/off pain in right lower pelvis. IUD inserted 1 mo ago. Pelvis/transvaginal ultrasound came back normal. Should any other tests be done?

Give it time: It is possible to have bidding changes or intermittent pain within the first 3-6mos of IUD use. Given normal location on ultrasound, I recommend a trial of Ibuprofen or Naproxen for pain. ...Read more

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Got a pelvic & transvaginal ultrasound recently, & now have pain in pelvis, & pain when I contract muscles to stop urination. It's also uncomfortable to sit straight up or bend forwards. Thoughts?

Got a pelvic & transvaginal ultrasound recently, & now have pain in pelvis, & pain when I contract muscles to stop urination. It's also uncomfortable to sit straight up or bend forwards. Thoughts?

UTI after ultrasound: It sounds like you may have either a urinary track infection or urethritis. You should have this checked out if it persists beyond a few days. ...Read more

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Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.

Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.

Yes and No: Yes: you could definitely have endometriosis with a clear ultrasound, but would not likely have an endometrioma of the ovary
no: it would be pretty unlikely to have ovarian cancer with a clear ultrasound and even if you did have extremely early undetectable cancer, it would not cause pain. ...Read more

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I had a transvaginal ultrasound and was told that if my tubes were blocked they would be inflammed and visible on the ultrasound otherwise they can't be seen. Is that true?

I had a transvaginal ultrasound and was told that if my tubes were blocked they would be inflammed and visible on the ultrasound otherwise they can't be seen. Is that true?

Not necessarily: If there is active inflammation of the tubes they can be distended and visible on sono. Tubes can be obstructed and not dilated and not visible on sono. To diagnose obstruction an x-ray test -hysterosalpingogram involves injecting dye through a catheter inserted in the cervix and seeing if dye flows through the tubes. A similar test can be done with water and ultrasound to see if water passes. ...Read more

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Hey.. I had a transvaginal ultrasound....how do I know no cross contamination I don't know if there was a condom because the wand is very thick

Hey.. I had a transvaginal ultrasound....how do I know no cross contamination I don't know if there was a condom because the wand is very thick

Not to worry: Transvaginal ultrasounds are performed with the condom for that very reason. There should be no facility that performs this study without the proper precautions. ...Read more

Dr. Janet Greenhut
1,743 Doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


Dr. Michael Gabor
228 Doctors shared insights

Transvaginal Ultrasound (Definition)

An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better ...Read more