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Doctor insights on: Tubo Ovarian Adhesions

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Dr. Mark Aranson
307 Doctors shared insights

Adhesions (Definition)

Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more


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Would it be true to say that salpingitis is the same thing as a tubo ovarian abscess?

Would it be true to say that salpingitis is the same thing as a tubo ovarian abscess?

Yes and No: All tubo-ovarian abscess (toa) have salpingitis (inflammation/infection of the tube) but not all salpingitis have a toa. If left untreated, most salpingitis will turn into a toa. So yes they are related but not the same. ...Read more

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What is the difference between tubo ovarian complex vs tubo ovarian abscess?

What is the difference between tubo ovarian complex vs tubo ovarian abscess?

Not quite the same: A tubo-ovarian complex can be made up of ovarian cysts involving the far end (distal) end of the adherent Fallopian tube which does not appear to be infected. A tube ovarian abscess demonstrates evidence of an obvious closed infection involving both the Fallopian tube and the ovary. A tubo ovarian complex can also appear to be a tubo ovarian abscess on ultrasound ...Read more

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How to best prevent tubo ovarian abcess caused by strep or staph. I've had 2 in last 2 years.

How to best prevent tubo ovarian abcess caused by strep or staph. I've had 2 in last 2 years.

Just say no to sex: Having unprotected sex might be the biggest risk factor. I'd recommend always using a barrier (condom, cervical cap) anytime you decide to have intercourse. A thorough consult with your physician will provide more answers. Good luck. ...Read more

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When I had a tubo ovarian abcess from strep last year it didn't show up on blood tests. Why? Even though there was a lot of pus and I needed morphine.

When I had a tubo ovarian abcess from strep last year it didn't show up on blood tests. Why? Even though there was a lot of pus and I needed morphine.

You should be Happy: Tubo Ovarian abscess is usually capsulated in chronic cases and the pus is not in your belly. Anything that is not acute and leaking may not show in your blood tests. Also, sometimes we get treated partially by antibiotics that we take empirically and the abscess becomes quiet for some time to allow the infection to remain silent till the abscess becomes huge or spreads to neighboring organs. ...Read more

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Can ruptured ovarian cysts cause scarring or adhesions?

Can ruptured ovarian cysts cause scarring or adhesions?

Yea: Yes it is possible butifenlarging commonly when it is associated with infection or hemorrhage. Most ruptured cysts cause pain but no adhesoons. ...Read more

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Have had 6 major laparotomies and now need to have ovarian cyst removed, have adhesions, will need another laparotomy?

Have had 6 major laparotomies and now need to have ovarian cyst removed, have adhesions, will need another laparotomy?

No simple answer: Unfortunately your abdomen has had multiple surgeries and another laparotomy may be needed. Over time the cyst may fix itself to avoid surgery. Your doctor will observe you for awhile. ...Read more

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Had remover ovarian cycst 2010 irregular Endometruim multi cycst mass in punch of Douglas no Doppler flow adhesion pls help?

Had remover ovarian cycst 2010 irregular Endometruim multi cycst mass in punch of Douglas no Doppler flow adhesion pls help?

See GYN: Ok I have to assume you are under the care of a GYN to get all this information if you are not see a GYN mean while you must have some hormonal problem to cause the irregular endometrium and can cause the multiple cyst a combination of laparoscopy to evaluate the cyst and make sure you do no have any malignancy and take samples might provide more answer good luck ...Read more

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Can having a tubo ovarian abscess cause you to get ovarian cysts? Never had them before had mass pelvic sepsis, now have them. Is there a link?

Can having a tubo ovarian abscess cause you to get ovarian cysts? Never had them before had mass pelvic sepsis, now have them. Is there a link?

Yes: Yes if you had a massive tubo-ovarian abscess, depending on how it was treated, it could cause ongoing issues with ovarian cyst formation. I'm so sorry you're going through this. ...Read more

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Surgery 9.dys ago bad pain left. Side. Of.belly button had lapro 4 ovarian cysts and lysis of adhesions from previous gall bladder s feel really bloated?

Surgery 9.dys ago bad pain left. Side. Of.belly button had lapro 4 ovarian cysts and lysis of adhesions from previous gall bladder s feel really bloated?

Schedule follow up: Usually people are feeling pretty normal 9 days after a laparoscopic surgery. If you are still having pain then it is important to schedule a follow up post op visit with the doctor who did your surgery to make sure all is ok. ...Read more

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Ovarian cyst ovaries may be removed can it be done vaginally I have abd adhesions and pelvic adhesions previously?

Ovarian cyst ovaries may be removed can it be done vaginally I have abd adhesions and pelvic adhesions previously?

Good question: Transvaginal removal of ovarian cyst would be difficult but percutaneous aspiration of the cysts under ultrasound or ct guidance may be very beneficial in your case if the cysts are causing symptoms. ...Read more

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I have adhesions in fallubian tube and both of ovaries also I have ovarian cysts over ovaries what should I do to solve this problem?

I have adhesions in fallubian tube and both of ovaries also I have ovarian cysts over ovaries what should I do to solve this problem?

Depends: If you are trying to conceive and both of your tubes are blocked you will need ivf. Regarding your ovarian cyst it depends on the size and type of ovarian cyst. Some ovarian cysts can be followed conservatively over time while others needs to be removed surgically. Your obgyn can guide you with regards to the necessary follow up. ...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

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1 complex ovarian cyst and postmenopausal I am 60. Just had polyp remove from uterus may have com ov cyst removed but I have adhesions. Hysterectomy?

1 complex ovarian cyst and postmenopausal I am 60. Just had polyp remove from uterus may have com ov cyst removed but I have adhesions. Hysterectomy?

Adhesions from: Previous surgery or infection can cause technical difficulty during surgery. If you need to have removal of complex ovarian cyst in order to exclude malignancy, you should proceed with the procedure, even if the operation could be technically difficult. Consult with your gyn for opinion. ...Read more

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Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions

Adhesions are likely: The thing that sounds most likely would be more adhesions. The worrisome thing would be a possible bowel obstruction due to adhesions but the ct should have shown this. ...Read more

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Pain in r upper abdomen a few days ago now pain in r lower abdomen history of ovarian cysts endometriosis fibroids and adhesions. When do I go to ER?

Pain in r upper abdomen a few days ago now pain in r lower abdomen history of ovarian cysts endometriosis fibroids and adhesions. When do I go to ER?

Pain tolerance?: Every person has a different pain tolerance before acting, however, if the pain prevents you from walking, talking, laughing or breathing then a E.R. Visit would be appropriate. It would be a good idea to see a md for those symptoms long before a E.R. Visit is necessary as diagnostic testing can be done more cheaply on an outpatient basis. ...Read more

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I have adhensions in falubian tube and ovaries and I have small ovarian cysts over ovary. Dr said I must do IVF is it difficult how much success rate?

I have adhensions in falubian tube and ovaries and I have small ovarian cysts over ovary. Dr said I must do IVF is it difficult how much success rate?

Depends: For women age 26 when infertility is only due to a tubal disease the success of ivf is relatively high. Here in the us we have a success rate of approximately 50%-60% chance of pregnancy with one ivf cycle. The success rate could be higher or lower based on other factors such as the condition of the sperm, the number of eggs retrieved etc.. ...Read more

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8 week followup u/s for simple left ovarian cyst which remains same. Right side (no cyst) now measures 19 cc up from 12cc last time. Concerning?

No: Simple ovarian cysts are usually benign (not cancer) in a woman in her early 30s. If they become large or painful, they can be removed with laparoscopic surgery but frequently go away on their own. ...Read more

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Can complex fluid filled ovarian cysts become cancerous? Why might there be a bright ring around it on u/s then no ring on f/u u/s? Causing much pain.

Can complex fluid filled ovarian cysts become cancerous? Why might there be a bright ring around it on u/s then no ring on f/u u/s? Causing much pain.

Yes it can: Complex cysts can be cancerous depending on their size and rate of growth. A CA125 test can help decide its nature. Ultrasound is a good test to measure increase in size and also may show any solid components inside the cyst. You should get the ultrasound repeated in 3-4 months and have your gynecologist guide you further. You may need surgical removal if it is causing you much pain or increased s ...Read more

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What age it s more possible to get ovarian cancer?

What age it s more possible to get ovarian cancer?

Ovarian cancer: The average age of a woman with ovarian cancer in the us is 62-63. In women with a family history, women with brca1 mutations usually get cancer earlier and women with brca2 mutations get ovarian cancer at a later age. ...Read more

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Need help when ovarian cancer recurs, what kind (s) of cancer is it most likely to be?

Need help when ovarian cancer recurs, what kind (s) of cancer is it most likely to be?

The same cancer: Recurrence means that it's the same cancer that has come back. While it may come back in a different place in the abdomen-- the cell type is the same regardless even if the ovaries are no longer there. A biopsy will show if the recurrence is consistent with the original cancer. ...Read more

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U/S says 5.6cm ovarian cyst resolved, but it still hurts all the time. What could be going on? I'm still having all the same symptoms.

U/S says 5.6cm ovarian cyst resolved, but it still hurts all the time. What could be going on? I'm still having all the same symptoms.

Cystic fluid: If the ovarian cyst resolved by rupturing with fluid accumulation on the lining of the internal body cavity (peritoneum), then that's why you are still symptomatic. Eventually this will resolve if that is the case. ...Read more

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2nd time in 3 months an U/S has shown bilateral ovarian cysts. But I thought only one ovary ovulates each month? R ovary hurts, cyst is 1cm.

2nd time in 3 months an U/S has shown bilateral ovarian cysts. But I thought only one ovary ovulates each month? R ovary hurts, cyst is 1cm.

Bilateral cysts: A one cm ovarian cyst is quite small and in the process of ovulation production both ovaries are stimulated and cysts sometimes forms. You are correct that ovaries generally alternate ovulation, but unless you have PCOS most cysts are benign and unilateral. ...Read more