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Doctor insights on: Ovarian Mass Felt During Exam

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Can ovarian cancer be felt during exam?

Can ovarian cancer be felt during exam?

In some cases: In some cases of ovarian cancer, a mass (or masses) can be felt in the pelvis with a manual vaginal examination. In advanced cases, a swollen abdomen from ascites can be seen on exam (but this is not specific for ovarian cancer). In most cases of ovarian cancer, the findings on exam are quite nonspecific. ...Read more

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Sudden pelvic pain, esp left ovary, very bloated. Endometriosis TBC, US next week, but worried cyst has ruptured. Palpable ovary mass ~7cm. Go to A&E?

Sudden pelvic pain, esp left ovary, very bloated. Endometriosis TBC, US next week, but worried cyst has ruptured. Palpable ovary mass ~7cm. Go to A&E?

Severe pain?: If you have severe pain, nausea or vomiting or a fever then you definitely need to go to the ER. If the pain is more reminiscent of previous episodes of endometriosis related pain you could see how things go over the next couple of hours and take some NSAIDs. If you are concerned at all then it is appropriate to go to the ER. ...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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Ct scan showed upper left adnexal cystic mass 4.2x3.2x4.2cm with thickened enhancing rim. Physical exam did not feel mass, still have abdominal pain?

Ct scan showed upper left adnexal cystic mass 4.2x3.2x4.2cm with thickened enhancing rim. Physical exam did not feel mass, still have abdominal pain?

This needs attention: When did you perform the ct? In your age group (assuming post menopausal) this complex appearing cyst could be any thing including an ovarian neoplasm. If this cyst persists and / or increases in size, it will need further evaluation and work up. Contact your gynecologist to discuss more. ...Read more

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Does an ultrasound clearly differentiate between ovarian cyst and ovarian cancer. Does ovary/period pain after eating sound like large cyst. ?

Does an ultrasound clearly differentiate between ovarian cyst and ovarian cancer. Does ovary/period pain after eating sound like large cyst. ?

Ultrasound: An ultrasound may show whether the ovary is fluid filled or solid, or simple or complex. Ovarian cancer is usually complex and solid, but not always. A repeat ultrasound is often recommended. A CA 125 blood test may help differentiate the two... Refer to: http://www.mayoclinic.org/diseases-conditions/ovarian-cancer/expert-answers/ca-125/faq-20058528 ...Read more

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I am experiencing frequent urination, slow or weak urine stream, spotting, pain during sex, pelvic mass and pelvic pain. US revealed indeterminate 7cm ovarian mass with nodularity and debris. ?

I am experiencing  frequent urination, slow or weak urine stream, spotting, pain during sex, pelvic mass and pelvic pain. US revealed indeterminate 7cm ovarian mass with nodularity and debris. ?

Needs evaluation: If your sonogram showed a 7 cm complex ovarian mass with nodularity then this needs to be evaluated by an Obgyn. Your doctor needs to guide you on the next steps. This is even more important since you are having symptoms ...Read more

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Bilateral pelvic pain, abdominal pain during intercourse, acne, and family history of PCOS. Normal pelvic exam and thyroid. Is PCOS a likely cause?

Bilateral pelvic pain, abdominal pain during intercourse, acne, and family history of PCOS. Normal pelvic exam and thyroid. Is PCOS a likely cause?

Maybe: Your workup is incomplete. This could be endometriosis as well. You need much more blood work and likely a pelvic US to help determine if PCOs or something else. If sexually active an STD and infection check may be warranted. The acne of PCOs is usually fairly severe and over a large portion of the body, so yours may or may not be related. ...Read more

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How does a virgin get PID? I have lower left abdominal pain. History of ovarian cyst. 2 normal pelvic exams bu irregular bleedin.BloodTest show anemia

How does a virgin get PID? I have lower left abdominal pain. History of ovarian cyst. 2 normal pelvic exams bu irregular bleedin.BloodTest show anemia

Cant be PID: Pelvic inflammatory disease requires that micro organisms pass up the vagina into the cervix and from there travel up the fallopian tubes to produce abscesses. Having ovarian cysts and bleeding into the pelvis with associated pain and a normal pelvic exam along with a virginal status rules out PID ...Read more

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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?

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

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Extreme bloating & pain after eating, dx ovarian cysts, pelvic venous congestion, partial seizures. Every blood test normal could it be ovarian tumor?

Extreme bloating & pain after eating, dx ovarian cysts, pelvic venous congestion, partial seizures. Every blood test normal could it be ovarian tumor?

Ans: Well if you were diagnosed with ovarian cysts then there is your dx for that. Now the bloating after eating you need to have some more blood tests one for h pylori. You also need to check the gallbladder and then look at the colon for a colitis. See your doctor ...Read more

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How accurate is a transabdominal ultrasound in assessing an ovarian cyst? Had to stop transvagingal ultrasound, extremely painful

How accurate is a transabdominal ultrasound in assessing an ovarian cyst? Had to stop transvagingal ultrasound, extremely painful

Depends: This depends on a number of factors: the quality of the ultrasound machine; how much your urinary bladder was distended; and particular location of the ovaries in your pelvis. ...Read more

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Lost left ovary to torsion. Found cyst on right side at 2cm b/c of pain. Doc didn't say anything about it during pelvic exam during pap.Should I worry?

Lost left ovary to torsion. Found cyst on right side at 2cm b/c of pain. Doc didn't say anything about it during pelvic exam during pap.Should I worry?

Here are some ...: Finding right ovarian cyst on US for pain may be just an incidental finding, which still carries uncertain clinical significance; but as time goes by, its importance will unfold and reveal. Thus, I would not waste time to think and worry about it since nothing done will change how your condition should be handled. More? Seek timely professional attention and counseling. ...Read more

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During a recent postpartum pelvic exam, my ob found 2-3 hard marble-like nodules in bladder region, had never felt anything like it before. Wt cld b?

During a recent postpartum pelvic exam, my ob found 2-3 hard marble-like nodules in bladder region, had never felt anything like it before. Wt cld b?

Ask : Without seeing or feeling what you are talking about it would be hard to offer an opinion. The doctor doing the examination is the best one to go. I would ask what the doctor thinks and ask if a biopsy is needed. ...Read more

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On recent ab ct/ contrast my mensentric nodes were visable. Could a ruptured solid septated ovarian mass be the cause? Crohns and colitis ruled out.

On recent ab ct/ contrast my mensentric nodes were visable. Could a ruptured solid septated ovarian mass be the cause?  Crohns and colitis ruled out.

May be normal: Incidental findings of small structures such as mesenteric lymph nodes on ct are most often normal. Radiologists comment only on what they see. It is up to your doctor who ordered the ct scan to tell if this is clinically important & relevant you you, or likely a normal radiology finding. ...Read more

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MRI shows 4.8cm ovarianRight complex cyst,coccyx bone erosion,free fluid in pelvic area & simple ovarianLeft cysts. Should I request ca125 testing?

MRI shows 4.8cm ovarianRight complex cyst,coccyx bone erosion,free fluid in pelvic area & simple ovarianLeft cysts. Should I request ca125 testing?

Maybe: I think it would be best to get the opinion of a gyn oncologist about this. While age 23 would be very unusual to have cancer, these gyn specialists would still be a good source of information. Hope this helps! ...Read more