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Doctor insights on: Pelvic Ultrasound Ovarian Cysts

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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
2,239 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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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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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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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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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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Does ultrasound tests for ovarian cysts?

Does ultrasound tests for ovarian cysts?

An U/S of anything: Shows size, shape, and consistency of the tissue, or inconsistencies that are fluid filled (cysts) or solid filled or at least not filled with water density...This can be menstrual cycle dependent as well, and ovaries are on both sides, with the tubes are called adnexa. Fluid in the abdomen acan also be seen. None of this provides a diagnosis: need cells or tissue. ...Read more

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Hello i have a ovarian cysts and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all thats mean .. Thanks?

Hello i  have a ovarian cysts  and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all thats mean .. Thanks?

Complex cyst: In your age group, complex cysts are typically from involuting follicles containing blood or endometriomas (benign collection of blood). There is an increased risk of cancer the larger the size of the cyst. All complex cysts should be followed with an additional ultrasound to document resolution. ...Read more

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Can pelvic ultrasound detect tubo ovarian abscess?

Can pelvic ultrasound detect tubo ovarian abscess?

Yes: In fact, pelvic ultrasound in the form of a transvaginal ultrasound (ultrasound probe placed in the vagina) is usually the study of choice to detect tubo-ovarian abscess. This study has a sensitivity (likelihood of detection) of very roughly 85%...But like any ultrasound study can vary based on the experience of the sonographer. ...Read more

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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. Katharine Cox
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