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Doctor insights on: Unilateral Ovarian Agenesis

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What causes ovarian dermoid cysts?

What causes ovarian dermoid cysts?

Not known!: Hello, we don't know why ovaries make their cysts. Seems that they are a very active organ, what with making eggs and hormones, and sometimes the egg-making cells just overgrow and become a dermoid cyst, complete with hair, skin, and other cells that the 'germ cell' (egg producing cell) has in it's potential. Wierd, huh! they are benign, but don't go away without surgery, and can be recurrent. ...Read more

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Sonography of scrotum; bilateral varicocoele with bilateral testicular calcification?

Sonography of scrotum;     bilateral varicocoele with bilateral testicular calcification?

See answer: 1) ~15-20% of males have a varicocele; most common on left side; almost always asymptomatic requiring no treatment; except can be associated with infertility in small % especially if testicular size is small. 2) testicular microlithiasis: ~5% of males; asymptomatic requiring no treatment except regular self-exam for testicular mass because of weak association with testicular cancer. See urologist. ...Read more

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What causes an ovarian dermoid cyst?

What causes an ovarian dermoid cyst?

Embryonic cells: Ectodermal embryonic cells enclosed into the ovary at early formation "get activated" later in life producing dermoid cysts, that can contain hair and teeth when surgically removed and opened. ...Read more

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Could polycystic ovarian syndrome without ovarian cysts?

Could polycystic ovarian syndrome without ovarian cysts?

No.: Ovaries having cysts is part of the syndrome. There are some medical conditions that can mimic some of the symptoms of PCOS, such as metabolic syndrome. A complete history and workup would aid in identifying this. ...Read more

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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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What does bilateral functional ovarian follicles mean?

What does bilateral functional ovarian follicles mean?

Normal: Sounds like you have been reading an ultrasound report? Bilateral means "both sides, right and left" and follicles are normal ovarian cysts, where eggs live. The word functional is redundant here, but also describes a normal ovarian finding. ...Read more

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Can Ovarian serous cystadenocarcinoma cyst resemble functional cyst on MRI?

Can Ovarian serous cystadenocarcinoma cyst resemble functional cyst on MRI?

No: A simple cyst has a very specific benign appearance, while a cystadenocarcinoma usually has characteristics that are pathognomonic for a complex mass. A benign hemorrhagic cyst may resemble a worrisome cystadenoca. If you are worried about an ovarian cyst, talk to your doctor. You can do an ultrasound in 4-6 weeks. If it is a cancer, it will not be the same size or have the same characteristics. ...Read more

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

 L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

Not necessarily: While cancer is a possibility it is not the most likely diagnosis. More testing such as doppler flow studies on ultrasound can help with the diagnosis. It may well require surgery to know for sure. Good luck. ...Read more

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What causes ovarian torsion?

What causes ovarian torsion?

An unbalanced ovary: Often times if an ovary or fallopian tube are unbalanced due to a cyst in either structure, the ovary or tube can twist on its blood supply, causing ovarian torsion. This can be detected with a pelvic ultrasound. Ovarian torsion usually occurs with abdominal and pelvic pain. ...Read more

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I have polycystic ovarian syndrome. is a 2.8 cm cyst surgical?

I have polycystic ovarian syndrome. is a 2.8 cm cyst surgical?

Not always: If a 2.8 cm cyst is smooth and stable on repeat ultrasound exams and not causing any pain it does not always need to be removed. However, if causing pain or has suspicious findings or growing on ultrasound, then it should be removed. ...Read more

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Complex bilateral cysts on ovaries. Is this serious?

Complex bilateral cysts on ovaries. Is this serious?

Possibly: The word complex is thrown around a lot in ultrasound but it is actually pretty worthless. There are things that look "complex" but are benign and can easily be identified as such and similar with malignant lesions. It really depends what it actually looks like. Were there any other descriptors of the lesion. ...Read more

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Can complex ovarian cysts cause polycystic ovarian disease?

Can complex ovarian cysts cause polycystic ovarian disease?

No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...Read more

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What causes an ovarian teratoma?

What causes an ovarian  teratoma?

Unknown: Tearatomas arise from multipotential germ cells. What causes them is unknown. They can contain any type of body structure or organ. One old theory was that they were an undiagnosed twin within the baby that was born. The cystic fluid is skin oil from skin appendages, which are common. ...Read more

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Ovarian cyst post menopause?

Ovarian cyst post menopause?

Depends: Depends on the size and appearance. Though no radiographic test is perfect. The only way to know what it is for sure is to take it out. See a gyn to determine if this is necessary. ...Read more

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History of early stage breast cancer have septated ovarian cyst?

History of early stage breast cancer have septated ovarian cyst?

Need more details: I highly recommend you consult your oncology team and get evaluated by a gynecology oncologist. Since you are <50, it makes me concerned about a brca mutations (if you have not been tested, then get tested!). Ovarian cancer and breast cancer can be related, especially if brca is positive. If you have a estrogen positive tumor, then stopping the ovaries from making hormone may be beneficial. ...Read more