Doctor insights on:
Pelvic Mass After Hysterectomy
Hello. I had a hysterectomy 6 years ago. It was a total hysterectony and removal of both ovaries. Ave a lot of pain today and the ER doc told me I had a 1 inch pelvic mass (presumably a cyst) on something that looks like an ovary. I will check in with m
Schedule follow up: The next step is a visit to your obgyn. Bring a copy of the report that showed the cyst. They will need to review it. If the pain has resolved then another type of imaging to determine what is seen should be considered. If the pain continues they may consider a diagnostic laparoscopy. They will also want to know if you are sure both ovaries were removed. Sono/ct or MRI may be helpful here. ...Read more
I was told that I have a pelvic mass and fibroids on my uterus should I consider a hysterectomy I am 50?
Tough question: Fibroids reduce in size after menopause, so the fibroid answer would depend on when menopause occurs. (crystal ball time!) the more concerning question pertains to the pelvic mass. In your (our) age group, we have to consider a pelvic mass as a possible tumor - possibly ovarian cancer. Talk with your doctor clearly about your diagnosis and options. Good luck. Lgromkomd. ...Read more
My 78 year old relative had a CT of the abdomen and pelvis. A unrelated finding was a report of fibroids on her uterus. This was a suprise as she had a hysterectomy 45 years ago. Pelvic ultrasound confirmed no uterus but identified some type of mass.
Details: The answer is in the details. You may not be getting all the information since you are not there speaking with the doctor. Abd masses on ct should certainly be evaluated by her physician. ...Read more
Depends on DX: It depends on the type of mass it is. Some masses may be very rapidly growing and others are very slow growing or may not grow at all. Get the mass checked out and discuss with the dr. Best wishes. ...Read more
Unpredictable: First of all it is unusual to get a first time diagnosis of fibroids at age 50 unless they are very small. They really should not be large and growing at that age. That would slightly increase the risk of cancer. But fibroids may cause no symptoms, or they may cause pain, bleeding, constipation, etc. Depends on number, size and location. ...Read more
Different imaging.: Sometimes things can be well demonstrated on ct and not ultrasound and vice versa. I'd need your studies to compare. Occaisionally, there are artifacts with either modality that can mimic a mass when there really isn't one. Bowel loops can often do this with either test. ...Read more
Pelvic mass: Needs evaluation asap. Consult with us to determine if you need further evaluation. ...Read more
I think I have a pelvic mass, maybe large ovarian cyst. I am thin and think it bulges on one side. How can I be sure?
See your Dr.: See your doctor who will exam you. Your doctor may recommend an ultrasound of the pelvis. ...Read more
I had a surgery to remove a pelvic mass lipoma 15cm x9 CM 4 weeks ago, my doctor said 4weeks would be okay but it was not comfortable should I worry?
Question unclear: I am not sure what your question is. Please rephrase and ask again. ...Read more
Strength of modality: Ultrasound (us) is 1st line for adnexal masses, better to say B9 or not, non-ionizing radiation. Depends if vaginal or abdominal. Ct is not as specific as us but better if non-pelvic origin, used to evaluate spread. ...Read more
I have a pre-standing QT prolongation. I have to do an MRI with gadolinium-based contrast for a pelvic mass. Will gadolinium prolong QT even more?
Don't believe so: While Gadolinium (Gd) can cause a more serious condition, nephrogenic systemic fibrosis (NSF), to my knowledge there is no verifiable, consistent prolongation of the QTc from Gd. Now, you have to be careful as QTc prolongation may be due to whatever Gd is conjugated with. Ask your Radiologist and Cardiologist to get clarification. What is being imaged? Why? What Gd conjugate will be used? Alterna? ...Read more
It depends: On the characteristics of the mass, but surgical resection may be needed. ...Read more
Possible pelvic mass had total hyst with removal of fallopian tubes, uterus, cervix and ovaries. Should I be worried?
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.?
Multiple indications.: If 1) pain is chronic and interfering with normal activities, sexual functioning, mood, and/or relationships, 2)conservative measures like birth control pills have failed, and 3) no future fertility is desired, then a hysterectomy can be considered. For some diseases, like endometriosis, a hysterectomy is the only definitive cure. ...Read more
Depends: The location and cause of the abscess is of importance and so is the reason for your hysterectomy. However, the basic approach is the same. The infection needs to be drained in some way, and antibiotics are needed but can't do the job alone is most cases. See your gyn surgeon if you suspect this problem. ...Read more
I'm having a lot of pelvic pain I have had a total hysterectomy and I am still having pain I'm unable to do daily activities. Wat will help?
I had a hysterectomy in May I still have ovaries I have a cycts on left ovary 3.64cm and free flow flyid in pelvic lots of pain what can I do?
Resee your doctor.: It is unclear as to why you are having pain. Either resee the same doctor or have a consultation with another GYN for a second opinion. ...Read more
I had complete hysterectomy years ago 2nd time they say I have an left mass with cyst on it. They say it is an ovary. I have no left over piece there?
A hysterectomy is removal of the uterus but sometimes can be performed at the time of an oophorectomy (removal of ovaries). You don't need to have both done all ways and if you had a hysterectomy, I would clarify with the surgeon if the ovaries were left behind or taken out at the time of surgery.
There are times when a small remnant of the ovary can be left behind but it is infrequent & uncommon ...Read more
Pelvic diaphragm: Pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. It is important in providing support for pelvic organs (bladder, intestines, the uterus, and in maintenance of continence as part of the urinary and anal sphincters. Urinary/fecal incontience or organ prolapse will develop when debilitated. ...Read more
Hysterectomy august 2013 still experiencing continuouse pelvic pain n is getting worse what could be the cause n how can it be treated very painful?
After the first initial 6 weeks after hysterectomy, should you still experience aches and pains in the pelvis and back and bottom?
Not uncommon: Some post surgical pain is common for several months but reducing as time passing. ...Read more
6cm septated solid mass on r ovary. Told hysterectomy is needed. How long should I wait to seek second opinion? How urgent is it to act upon?
Seek Options: It's premature to schedule hysterectomy (removal of uterus) for a solid 6 cm ovarian mass. It may be benign (teratoma, cystadenoma, endometrioma, etc) versus malignant. Ultrasound can give info to grade these risks (nodules, septations types, etc) but cannot diagnose cancer. In fact, only tissue bx can DX cancer. Consider ovarian cystectomy vs oophorectomy, lsc vs open, & discuss with your gyn. ...Read more
29y/o F had hysterectomy 2.5 yrs ago, having bloody and brown discharge, pelvic pain the past two weeks. Went to dr, swab test neg. What is it?
When you say: "swab test" do you mean Pap? Do you know what type of hysterectomy you got? Was it "supracervical" ie was the cervix spared? Still have ovaries? If you still have a cervix & ovaries, you may also have a teeny bit of uterus capable of making an endometrium. Vaginal fissures or cervical changes deeper than the swab can reach are also possible. Consider transvaginal ultrasound for further info. ...Read more
I had a total hysterectomy last august n I'm 35, my pelvic pain has been steadily increasing over the last months what can be done what's the problem?
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