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Doctor insights on: Transvaginal Ultrasound Ovarian Cysts

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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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Getting a transvaginal ultrasound due to ovarian cyst what to expect? Diagnostic Imaging Center

Getting a transvaginal ultrasound due to ovarian cyst what to expect? Diagnostic Imaging Center

Slight discomfort: Usually you get undressed from the waist down and lay down on a table with stirrups for your heels. A long, skinny, lubricated ultrasound transducer is inserted into the vagina by the technician. Once it is in the tech will move it from place to place, taking pictures of the uterus, ovaries and other pelvic structures. When everything has been seen and recorded, the transducer is removed. ...Read more

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How does an ovarian cyst look in a transvaginal ultrasound?

How does an ovarian cyst look in a transvaginal ultrasound?

Cysts,: When simple, are internally dark on ultrasound as the fluid reflects few of the sound waves. In essence, a smooth, round, black or dark, structure in the ovary is seen. Also, no internal blood flow on doppler. ...Read more

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Is it possible to miss an ovarian cyst on a transvaginal ultrasound and find it on a CT scan?

Is it possible to miss an ovarian cyst on a transvaginal ultrasound and find it on a CT scan?

Possibly: No test is 100% perfect and anything can be missed on any diagnostic test especially if it is small. In general ultrasound is best for imaging the female reproductive organs and is much less expenxive than a ct or mri. ...Read more

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Transvaginal Ultrasound 5mm mass, no bloodflow. 1.1cm endometrium; 1.5cm probable hemorrhagic ovarian cyst. Should I worry? Very heavy menses, IV Fe.

Transvaginal Ultrasound 5mm mass, no bloodflow. 1.1cm endometrium; 1.5cm probable hemorrhagic ovarian cyst. Should I worry? Very heavy menses, IV Fe.

Sono not worrisome: The findings on your transvaginal sonogram do not seem to be cause for alarm but unfortunately they do not explain why you have "very heavy menses" and need IV Fe...which are "causes to worry". It would be good to consult a hematologist to rule out a blood coagulation disorder and a Reproductive Endocrinologist to find out why you may or may not be ovulating regularly and why you bleed heavily. ...Read more

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I may have an abnormal he 4 blood test. Do I have ovarian cancer. I have an ovarian cyst 3.4 CM which is being monitored with transvaginal ultrasounds?

I may have an abnormal he 4 blood test. Do I have ovarian cancer. I have an ovarian cyst 3.4 CM which is being monitored with transvaginal ultrasounds?

An abnormal HE-4: Is not good but what is the ca-125 or did they do an ova-1? And if you are not, you should be referred to a gyn oncologist for evaluation and is not hard to remove that ovary through the davinci or laparoscope if necessary, as at your age the ovary is worthless and hopefully it will be benign. ...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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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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Hello I have a ovarian cysts and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all that's mean. Thanks?

Hello I have a ovarian cysts and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all that's 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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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

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I have an ovarian cyst that won't go away... I had 3 transvaginal ultrasounds. Now the dr says it's normal... I had an abnormal endometrial biopsy?

I have an ovarian cyst that won't go away... I had 3 transvaginal ultrasounds. Now the dr says it's normal... I had an abnormal endometrial biopsy?

Likely benign cyst: If the cyst appears benign (without septation or nodules) and has been stable over a reasonable time frame, it likely is benign. This is not related to endometrial problems. ...Read more

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Dr. Says I have small, bilateral ovarian cysts after trans-vaginal ultrasound. Says he thinks they are functional. Could be serious? 32 year old woman.

Dr. Says I have small, bilateral ovarian cysts after trans-vaginal ultrasound. Says he thinks they are functional. Could be serious? 32 year old woman.

I am sure your: Doc told u that is not serious as many women have that, if the cysts would grow which is unlikely then it could be a problems but that rarely happens if u have small functional cysts, if your periods are irregular or other problems that can often be treated with bc pills unless you are trying for pregnancy. ...Read more

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Just had (2hrs) transvaginal ultrasound to look at an ovarian cyst. Now have pain from pelvic area radiating up to abdomen & bloating. Should I be worr?

Possibly: How big is the cyst? What are its characteristics? If a cyst suddenly ruptures, then it's possible to have some pain which will pass with some time and ibuprofen/advil. If the pain persists and worsens, see a doctor because it could be hemorrhagic (bleeding). Good luck! Consider birth control pills to prevent ovarian cysts from forming. ...Read more

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Can you get ovarian cyst after a partial hysterectomy? I had a trans-vaginal, & trans-abdominal ultra sound, now I was told I had to get a CT scan

Can you get ovarian cyst after a partial hysterectomy? I had a trans-vaginal, & trans-abdominal ultra sound, now I was told I had to get a CT scan

Yes: About 10% of women with hysterectomy with the ovaries left in will need surgery for cysts (not always cancer). Ultrasound and MRI are best for evaluating the ovaries, but ct is sometimes used in preoperative evaluation. If that is the case, your doctor may be worried about cancer. Make sure a gynecologic oncologist is involoved before going to surgery. ...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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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

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Transvaginal ultrasound for ovarian cancer what are they looking for?

How the ovaries look: They are looking for how the ovaries look in terms of size and shape generally. ...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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Could the transvaginal ultrasound not catch ovarian cancer on time before it spreads to other organs?

Could the transvaginal ultrasound not catch ovarian cancer on time before it spreads to other organs?

Possibly: The transvaginal ultrasound (u/s) is arguably the best screening tool for ovarian cancer (oca) but certainly the quality of the u/s and the state of the oca when it was discovered can affect the value of the early diagnosis. A recent study comparing the survival of persons whose oca was detected by u/s to those diagnosed by other means showed significant increased survival in the u/s group. ...Read more

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Does this mean that the transvaginal ultrasound does not catch ovarian cancer on time before it spreads?

Only a small: Percentage of ovarian cancers are found by accident on ultrasound before they spread outside of the ovary. ...Read more

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What care should I get? Ovarian cyst removed. Bad acne, unwanted hair. More ultrasounds? What medication?

What care should I get? Ovarian cyst removed. Bad acne, unwanted hair. More ultrasounds? What medication?

PCOS diagnosis: Symptoms hormonal imbalance/pcos include weight gain, acne, thinning scalp hair, excess hair growth, irregular or absent periods, difficulty conceiving, and ovarian cysts, & it elevates risk for Insulin resistance. Usually there is excess of androgens, male hormones. The 2003 criteria for diagnosis are 2 of 3 of androgen excess, ovulatory dysfunction, and polycystic ovaries. See endocrinologist. ...Read more

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Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Hemorrhagic cysts: A hemorrhagic cyst is a type of benign ovarian cyst that is very common. Typically one would simply monitor it and repeat the sonogram in 1-3 months to confirm resolution. Your specific case should be evaluated by a doctor after a complete history and physical exam to determine the proper management ...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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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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Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Probablyl: Depending on the appearance of the cyst, your doctor must have felt that it was safe. Not all female cancers are genetically related (so, for ex: if you family has a history of cervical cancer that does not increase the risk for ovarian cancer). The ova-1 test or ca-125 tests can help to see if your cyst is higher or lower risk to be a cancer. But there are lots of cysts that are not cancers. ...Read more

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My daughter has a history of ovarian cysts. Recent ultrasound shows no cyst just lots of fluid around ovary and adhesion in ovary. What does this mean?

My daughter has a history of ovarian cysts. Recent ultrasound shows no cyst just lots of fluid around ovary and adhesion in ovary. What does this mean?

Ovarian cysts.: If an ovarian cyst ruptures, it coul cause some fluid. It is not possible to see adhesions on ultrasound, generally, so I am not sure about that. ...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. 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