Adnexal Cyst – Causes of Mass in Adnexa and Ovary

A mass or a cyst in the adnexa of the uterus is a common presentation in women of all age groups.

What Is Uterine Adnexa?

Adnexa refers to adjoining anatomical parts of the uterus. It includes the fallopian tubes and ovaries as well as associated vessels, ligaments, and connective tissue.

Any lump or mass found within adnexa of uterus is abnormal and needs to be evaluated. Such a mass usually originates from ovary or fallopian tube. However, it may arise from various other structures such as the bowels, the peritoneal lining covering the viscera, the ligaments holding the uterus in place or the adjoining lymph nodes.

Adnexal masses may be benign or cancerous.

Cystic or Solid Lesions

A lesion is called cystic if it’s a closed sac-like structure that contains a liquid, gaseous, or semisolid substance in it. Alternatively, it may be solid and full of cells. In general, solid lesions have more chances of being malignant.

Diagnosing the mass involves detecting its site of origin and its nature. Causes vary in premenopausal and postmenopausal women. In arriving at the probable diagnosis, the age of the patient, the history, the findings on physical examination and the results of radiologic and lab reports are studied.

Causes of Adnexal Mass in Premenopausal Women

Physiological Ovarian Cysts

These may be either follicular cysts or corpus luteum cysts. They comprise the most common type of adnexal masses in this age group.

Follicular cysts- Normally, each month the ovary sheds an egg into fallopian tube. Sometimes, the egg is not shed and remains in the ovary. Later it forms a cyst around itself. This cyst may grow big enough to give an adnexal mass.

Corpus luteum cysts- Sometimes the egg gets shed but leaves behind its covering which forms a cystic swelling.

Ectopic Pregnancy

A condition where the fertilized egg is implanted somewhere else than the uterus. The site of implantation is usually the fallopian tubes. In this case, pregnancy tests would be positive. Menstrual cycle and other symptoms of pregnancy are absent.

Endometriomas

Sometimes endometrial tissue (lining of the uterus) enters the ovary by retrograde flow. There, it forms a cystic structure called chocolate cyst. This structure secretes during periods just like normal endometrium, slowly forming a swelling in adnexal region.

They typically increase during periods. They are painful and may get ruptured to produce severe pain.

Polycystic Ovaries

As explained earlier, normally each month an egg sheds out of ovary into the fallopian tube. In polycystic ovaries, this does not happen. The egg remains in the ovary itself to form a small cyst. Slowly many such cysts get formed.

On ultrasonography, multiple cysts are seen in the ovary. Patient usually has problem conceiving.

Tubo-ovarian Abscess

There may be some infection in the tube or the ovary. Later an abscess is formed which presents as an adnexal mass. The patient also has fever.

Hydrosalpinx

Fluid filled dilatation of one or both the fallopian tubes is called hydrosalpinx. This occurs secondary to some pelvic infection or trauma. The condition is often asymptomatic. However, some women complain of lower abdominal pain.

Hydrosalpinx may cause infertility.

Leiomyomas

These are tumor like growths in the uterus. They are smooth, rounded and almost always benign, that is, non-cancerous. Patient may have heavy and prolonged bleeding during menses.

Malignant neoplasms are extremely rare in this age, however they still need to be ruled out.

Causes of Adnexal Mass in Post Menopausal Women

Primary and secondary neoplasms such as ovarian carcinoma and metastatic disease from uterus, breast or gastrointestinal tract need to be ruled out in this age group. Serum markers called CA-125 is done, which may indicate the presence of malignancy.

Leiomyomas

Ovarian fibroma are common in peri and post menopausal patients. The presenting symptom may be abdominal pain. The diagnosis is made on ultrasound that shows a solid lesion.

Diverticular Abscesses

With time, small pouches may get formed that erupt from the weak muscular walls of the large intestine. These pouches are called diverticula. In course of time, they may get irritated, swollen or infected to give symptoms.

Causes in a Newborn Baby Girl

In newborns, a small functional cysts (less than 1 to 2 cm) may get formed due to the influence of maternal hormones. They may regress during the first few months of life on their own.

Treatment

This depends upon the size of the cyst and its associated symptoms. In case of small cysts, one may not need any medical intervention. Small physiologic cysts usually disappear on their own in due course of time.

For bigger cysts, medical intervention is required, depending upon the disorder.

Surgical Treatment

Two types of surgeries are available for ovarian cysts:

  • Exploratory laparotomy
  • Pelvic laparoscopy to remove the cyst or the ovary

It is important to know the type of tissue in the cystic mass. Ruling out malignancy is also important.

The ultimate diagnostic tool is histological examination. The primary goals of diagnostic evaluation are to confirm that the adnexal mass is ovarian and to determine whether it’s benign or malignant. A laproscopic biopsy may be taken followed by histological exam.

Medical Advice (Q&As) on “Adnexal Cyst – Causes of Mass in Adnexa and Ovary

  1. pooja

    I have 6 wk 5 ds pregnancy with CRL 7.6mm but a cyst of approximately 46.6mm in size is noted in right adenexal region and right ovary is not identified seperated from it.
    Is it some abnormality or there are chances of getting my pregnancy effected adversely.

    Reply
    1. Buddy M.D. Post author

      We don’t know the pathological nature of the adenexal mass. Without histopathology report, exact diagnosis can not be reached. The good thing is that most of the adenexal masses are benign in nature. You may have to let it be and continue with your pregnancy.

      The mass is unlikely to interfere with the pregnancy. However, serial and regular follow ups by ultrasound are absolutely necessary.

      Take Care,

      Buddy M.D.

      Reply
  2. Deb

    Hi I am 58 yrs old. I had uterine cancer in 2006 leading to a total hysterectomy. I now have a ‘cystic lesion of the rt. adnexa. It is 4.2cm by 3.4 cm. Please advise

    Reply
    1. Buddy M.D. Post author

      You need to go for a biopsy test at the earliest. Since you have had uterine cancer in the past, and secondaries (cancerous growth) have to be ruled out first.

      Though, there are pretty good chances that the cystic lesion is not cancerous. It may be a physiological cyst originating from the ovary.
      Take Care,
      Buddy M.D.

      Reply
    1. Buddy M.D. Post author

      Well yes, follow up would be essential to see if there is any change in the size of the lesion. This is done by pelvic scan. Your doctor may want to take a biopsy at some point if required.

      Take Care,
      Buddy M.D.

      Reply
  3. Anonymous

    Right adnexa shows echogenic lesion with small follicles, the lesion measures 54*50mm. Right ovary is not separately visualized. Retroperitoneum appears normal to the extent visualized. No ascites. No obvious dilated bowel loops noted.
    The report of scan is this so advise me what need to be done….

    Reply
    1. Buddy M.D. Post author

      Do you have any symptoms? What made you go to the doctor and get this scan done? Let us know, so that we advice you.

      As such, small symptomless lesions like these usually require no treatment. Medical intervention is required if they grow in size, or give any symptom. However, a regular follow up would be necessary to see if there is any change, as in the size.
      Take Care,
      Buddy M.D.

      Reply
      1. Bujji

        I have gone for regular health checkup . No symptoms or pain. The health checkup scan report shows this. So i want to know, what does this mean.
        Thankyou,
        Bujji

        Reply
        1. Buddy M.D. Post author

          It is quite likely that the lesion is a follicular cyst or a corpus luteum cyst arising from the ovary itself. Such cysts commonly occur in women of reproductive age group.

          Since it is small and symptomless nothing needs to be done at the moment. However, just be watchful for any symptom. Also, an yearly follow up for the cyst would be required.

          If the cyst remains as such, it’s alright. However, if it complicates in any way or grows in size, medical intervention would be required.

          Take Care,
          Buddy M.D.

          Reply
  4. hi

    I’m 20 year old and having adnexal cyst of 4.4 * 3.9 and it’s of same size size from one year. I have also taken medicines prescribed by a gynaecologist so I wana know that is this a dangerous thing or is it have any harmful effects on pregnancy. I’m not married yet. Kindly inform me soon. I am really worried.

    Reply
    1. Buddy M.D. Post author

      What was the nature of this cyst? What were your symptoms? What diagnosis did your gynecologist make?

      Though it is unlikely that the cyst will interfere with your married life, it would be better to get it treated.

      Usually, hormonal pills are given for treatment. If the cyst is big enough, it’s surgical drainage may be considered.

      Take Care,

      Buddy M.D.

      Reply
  5. hi

    Yes, she gave me hormonal pills but it did’t cause any change in its size. Symptoms are nothing – no pain, no menstral cycle disturbance. It was diagnosed by an ultrasound for my kidney. It was operated 9 years ago. Now I can’t go for surgical process as I’m busy with my studies. So how much chances are there that it may interfere with my married life?

    Reply
    1. Buddy M.D. Post author

      You may not worry about these cysts. Nothing needs to be done for them at the moment.

      Medical intervention would be required only in the following conditions:
      It grows in size
      Gets infected or bleeds.
      Gets twisted or causes pain.

      As such, they are unlikely to affect your married life.

      Take Care,
      Buddy M.D.

      Reply
  6. J

    I recently got a pelvic transabdominal ultrasound to exclude pcos. It was found that I have a large left sided adnexal cyst 10.2×9.0×7.5 cm. My family doctor suggested I do another ultrasound. But I am worried. Can this be a tumor? I am in my early 20s and have high dhea-s levels, also show signs of hirutism. Thank you.

    Reply
  7. Gurpreet

    Hello Doctor, my ultrasound report says that there is a large cystic lesion in the right andexa measuring 69 X 58mm in size? What does it suppose to mean. Am little worried.

    Reply
    1. Buddy M.D. Post author

      You may read above about the various causes of cystic lesions.

      Do you have any symptoms?

      Reply
  8. Hema

    Sir, I am 38 years old married woman. My right adnexa shows a cystic lesion of size 3.2*2.5 cms with internal echoes, adjacent to right ovary,no solid elements /septation /abnormal increased vascularity -? Endometriotic cyst. Urinary bladder is distended. No calculus/ wall thickening. Uterus is retroverted, measuring 6.0*4.0*4.0 cm. No myometrial / endometrial focal lesion seen.Thickness is 6mm.Cervix shows nabothian cyst. Left ovary appears normal. No free fluid in POD. Sir we need a child. May this problem affect my pregnancy? Do I need any surgery. Please inform me doctor .

    Reply
  9. gold chris

    Hello sir, I’m 22 yrs old and I went 4 and ultrasound which showed dat I’m 6wks pregnant and there is a left adnexa cystic mass measuring abt 3.1 x 3.0 cm in size. Pls tell me wat I’m to do. Thx

    Reply
    1. Buddy M.D. Post author

      You just need to be observant about the mass throughout pregnancy.

      In all likelihood, the mass will not interfere with your pregnancy. Do continue with your pregnancy.

      If your doctor notes any change in the lesion in subsequent ultrasounds, like if it grows or ruptures, medical intervention may be required.

      Reply
  10. Deborah Andrew

    I did a pelvic scan and the result says: a thin walled cyst containing a single echogenic structure is seen in the right adnexium measuring 3.2*2.1*1.9cm. No fluid collection in the POD. Please, what does this mean? I experienced miscarriage in september 2012 and am 30 years old.

    Reply
    1. Buddy M.D. Post author

      Sorry to hear about your miscarriage.

      As mentioned above, it is important to find out the nature and origin of this cystic swelling. We need to know what it is.

      Cystic swellings of this type commonly originate from the ovary in your age group. They may be due to hormonal imbalances. Such lesions may interfere with conception and pregnancy.

      It is recommended to manage this lesion first, before planning a conception. The nature and origin of the mass needs to be investigated.

      Reply
  11. Anonymous

    Hi, I am a 35 yrs old married woman. I want to be mother. Due to some family related issues we have just started our journey for being pregnant. Last week we consulted a Dr. He suggested me to do USG. The report shows:

    1. Right Ovary – Bulky

    2. A Right adnexal cyst (39.9 mm) without any internal echo is seen closed to it. Right Ovary measures 39.9×31.6 mm

    3. Mildly heterogeneous cervix

    So my question is : What should be the next necessary steps to take?
    Is it hamper our planning to be pregnant (will we continue trying)?

    Reply
    1. Buddy M.D. Post author

      Are you having regular monthly cycles?

      See, it is not necessary that these findings would interfere with your conception. However, the possibility cannot be ruled out.

      It is necessary to know the nature of this adnexal mass. It is quite likely, that it is some cystic mass from the right ovary, something like polycystic ovarian disease.

      Such cystic masses from the ovary may be due to hormonal imbalances. This may also lead to infertility.

      You may try to conceive and wait for a month or two. If you don’t succeed, it would be advisable to go for further evaluation.

      Get your hormonal levels checked up. You may discuss with your doctor about getting a follicular study done.

      Reply
  12. Gloria

    Hi Doc, I’ve been having a huge loin & abdominal pain for last two weeks. A couple of USs and CTs were done with the latest being a CT with Contrast and the results of which say as follows;

    CT Scan
    “Cystic lesion in right adnexa most likely represents follicular cyst? Simple right ovarian cyst, needs clinical correlation.”

    Pelvic US
    “Cystic structure with echogenic debris is noted measuring 3.6 x 3.3 cm. Could be Hemorrhagic Cyst.”

    Kindly tell me if this is a major issue or do I have to take any medications? I still have the loin pain coming on and off and a burning sensation in my vaginal area.

    Pls advise. Many thanks.

    Reply
    1. Buddy M.D. Post author

      Appears to be some benign growth from the ovary. Follicular cysts are very common in women of reproductive age group and account for majority of adnexal masses.
      Read above about follicular cyst and other causes of adnexal masses.

      The hemorrhagic debris may be due to it, or some other condition like endometriosis.

      Though there is nothing serious or life threatening, you do require further evaluation and treatment.

      Since the cyst is small, you’ll just be treated with medicines (pills) for some time.

      Reply
  13. Julie

    Initial reason for going to physician: Unexplained swelling hands, feet, ankles. Itching. Lab work indicated liver enzymes elevated. Low WBC 3.7. Ultrasound indicated enlarged liver and lower left renal cyst.
    Follow up CT of abdomen and pelvis indicated 1. Splenomegaly. 2. Left kidney hypodensities which appear to represent parapelvic cysts. 3. Right lower quadrant adnexal cyst with some peripheral enhancement (16 mm low attenuation area with surrounding enhancing tissue).
    I am 50 yrs old. Had a hysterectomy due to increased bleeding and mothers history of leiomyosarcoma of uterus.
    Please advise. Thanks!

    Reply
    1. Buddy M.D. Post author

      It could be related to your liver. Medical conditions affecting the liver may hamper its functioning.

      Our liver synthesizes certain protein molecules like albumin, which help in maintaining the oncotic pressure between blood and extracellular fluid. Lack of this protein, albumin, may lead to edema (swelling) in the peripheries.

      Edema results as water enters the extracellular spaces from the blood vessels.

      What were your albumin levels in blood? Any other problem like pain in abdomen or groin, problem with urination etc.?

      Reply
  14. Richa

    I too have the same case of cyst in ovary and uterus with severe dismenorrhea (5-8days). It was detected 2 yrs ago with size of 2 cm and now in december the size diagnosed was 7.5cm. Doctor has suggested laproscopy. I don know how reliable it would be but I am really afraid and would like to answer some of your questions mentioned:-
    1. yea, I feel that some of the areas in my lower abdomen stiffens during periods and they can be felt by touching during period which otherwise cannot be distinguished.
    2. yea I had taken oc as a part of treatment for the cyst but irregularly (2 yrz) but latest in dec-jan.
    3. I am not married and had never had any physical relationship.

    What do you suggest?

    Reply
    1. Buddy M.D. Post author

      Since your cyst is growing and has reached a considerable size, it would be better to go for laproscopy.

      Your doctor may require taking out some tissue from the mass for histopathological examination. Only then, the exact diagnosis would be possible.

      Reply
  15. sister

    The doctor’s diagnosis: 13 cm complex, multiseptated left adnexal cyst with adjacent free fluid. What does this mean? Is there a cure? I’m 44 years old, I don’t have insurance and I’m worried! Please advise. Thank you.

    Reply
    1. Buddy M.D. Post author

      It would be better to go for a medical insurance first. Such problems may require surgical procedures for treatment, like laproscopy etc.

      Do you have any symptoms?

      Reply
  16. Tyneal Carter

    I’ve been having pelvic pain since 2011. I went for an transabdominal-transvaginal-three-dimensional and color doppler sonography. It showed that I have a 1.0×1.2 x0.8 cm hypoechoic complex cyst in the right ovary. The cyst has minimally thickened wall with heterogenous interal echoes and no appreciable color doppler vascularity. It also said multiple oblong cysts in the right adnexa-adjacent to and separate from the right ovary. These cyst measure 5x7x5mm-7x12x6mm and 7x9x6 mm. These cysts are anechoic and thin walled with no appreciable color doppler signal. I’m a 29 year old female with two children. Should I be worried and will I need surgery to feel better?

    Reply
    1. Buddy M.D. Post author

      It would be better to go for medical treatments first. Surgery is not recommended at this stage.

      Cyst formation is common in your age group. It is mainly due to abrupt changes in hormonal levels, which is common is this phase of life.

      However, you need to keep an eye over these cysts by ultrasound imaging. If these cysts grow in size, surgical intervention may be required.

      Reply
  17. Sanghmitra Chowdhury

    I have had some abdominal pain and fever during last menstrual period (11/07/13 to16/07/13). I am 35 yrs. Old. The clinical findings are as follows:
    1. Bulky uterus. 2. Enlarged right ovary with tiny cysts inside, 5.42 cm/3.27cm 3. Left adenexal cystic SOL with low level internal echoes, 4.94cm/ 4.16cm 4. left ovary normal in size, mea-3.13cm/2.04cm
    The following significant information about myself
    1. I have 8 yrs. Old single girl child in my 10 yrs. Married life 2. There is no swelling in my abdomen 3. No significant weight difference happened during menstrual period 4. No abnormal per vaginal bleeding occurred 5. I have never taken oral contraceptive pill. Please let me know what is the treatment.

    Reply
  18. Prakash

    Hi Sir, I got married 1 year and tree months back. And she is 27yrs old. This month she didn’t get her regular period clearly. Then we consulted to Doctor and she advised us to do ultrasound. We got report that : URINARY BLADDER: Normal wall. Echofree cavity.
    UTERUS Anteverted Normal size measures 6.8 x 3.lcms. Normal myometrium. Endometrium is normal in thickness 10.2 mm.
    OVARIES: Left ovarian cyst measuring 3.9 x 3.6 cms. Right ovary not seen, separately, Right adnexal cyst measuring 7.8 x 4.9 cms
    OTHERS: No ascites appreciated. No mass or collection in RIF or POD
    IMPRESSION: BILATERAL ADNEXAL CYST — ? OVARIAN.

    Then again Doc advised to do Ultrasound and we got report :
    URINARY BLADDER: Normal wall. Echofree cavity.
    J.!!5 Anteverted Normal size measures 7.4 x 3.6 cms. Normal myometrium. Endometrium thickness measures 12mm.
    OVARIES: Right ovary cyst with simple inniaisptations çsuringJA) x
    5.0 cms . Right ovary not seen separately. Left ovary thick walled cyst
    Uie internal echoes measuring 48 x 34 mm.
    OTHERS: No ascites appreciated. No mass or collection in RIF or POD

    Then Doc advised us to remove the extra masses through laparoscopy treatment.
    As per research through this webpage I got that it would be pregnancy.

    Could you please advise us that should be appropriate action for this condition.

    Thanks and Regards, Prakash

    Reply
    1. Buddy M.D. Post author

      You may get her hormonal levels checked up (Pregnancy test) to rule out pregnancy.

      It is possible for a conception to get implanted else where in the pelvic cavity, than the uterus itself. Such pregnancies are called ectopic pregnancies.

      These pregnancies are not always safe and many of them are not able to complete the full gestational period.

      From your wife’s ultrasound report, it doesn’t look like she’s pregnant. She has some cysts in her ovaries, which need to be removed.

      As your doctor is suggesting, a laproscopic removal of these cysts would be advisable. Only after that, she would be able to conceive, since there are pretty good chances that these cysts are interfering with conception.

      Read here about a similar case, where adnexal mass was confused as pregnancy.

      Reply
      1. Prakash

        Hi Doc.
        Thanks for your respectable advise.
        We have one doubt that she doesn’t have any issue or not getting any pain (like: pain in her belly or pelvis, bloating or swelling, pressure on her bowel or bladder, bowel discomfort, or the need to wee more frequently). She doesn’t feel uncomfortable in ovary. Actually as per research we got that these are the symptoms which will be faced when cyst would be become large or masses. But she doesn’t get any problem as mentioned above.
        As per doctor advised we took the test of CA – 125 which has mentioned below.
        CA – 125 Value – 5.06 Units Bio Chemistry – U/ml
        Ref. Range – Less than 35.0

        Could you please advise that what would be appropriate treatment for her that which will help us.

        Thanks and Regards,
        Prakash

        Reply
        1. Buddy M.D. Post author

          Her CA 125 is much within normal range, ruling out the possibility of cancers (malignancy).

          Her ovarian masses are small in size. Big masses ranging 5 cms and above are able to press upon the adjoining structures and give pressure symptoms, like pressure on bowel/bladder causing frequent need to urinate, heaviness in the pelvic area leading to pain and other such symptoms.

          Small cysts do not give pressure symptoms. However, they do cause gynecological problems.

          As you may read above, these cysts are produced due to hormonal fluctuations which may occur due to stress and the artificial lifestyle we live in. So, such cysts cannot be considered to be normal.

          Complications and problems caused by ovarian cysts

        2. They may grow in size to form large masses and give pressure symptoms
        3. May bleed inside
        4. Get infected or twisted
        5. Can interfere with conception
        6. So, treating this condition is recommended.

          There are two modalities of treatment:

        7. Hormonal pills
        8. If a cystic mass can be differentiated from the ovary, laproscopic removal of the cystic mass may be considered.
        9. Reply
  19. Rahul Jha

    My Wife age is 33 and she had got a abdominal pain we go through CAT X RAY and UltraSound –
    below is doctor report – what do you suggest us-
    LIVER is normal in size, shape and echotexture. No focal mass lesion seen. No IHBR dilatation seen.
    GALLBLADDER is well distended with normal wall thickness and an echo free lumen.
    PORTAL VEIN and C.B.D. are normal in course and calibre.
    PANCREAS is normal in size and echotexture.
    RETROPERITONEUM is free from any significant lymphadenopathy.
    SPLEEN is normal in size and echotexture.

    BOTH KIDNEYS are normal in position, size and shape. Cortico-medullary differentiation is well maintained. Bilateral pelvicalyceal systems are not dilated. There is no evidence of calculus on either side.
    RIGHT KIDNEY measures 10.4 x 3.9 cm.
    LEFT KIDNEY measures 10.5 x 4.5 cm.

    URINARY BLADDER is normal in outline and distensibility. Wall thickness is normal. Lumen is echofree.
    UTERUS is normal in size, anteverted in position measuring 80 x 56 x 50 mm.
    MYOMETRIAL echotexture is normal with no focal mass lesion.
    ENDOMETRIAL thickness is 7.9 mm.
    Left ovary is normal in size and echotexture.
    There is a large SOL noted in the right adnexa measuring 11 x 9 cm in size with area of internal echoes and hyper-echogenecities. No flow noted within the lesion.
    No free fluid seen in the Cul-de-sac.

    OPINION : FEATURES ARE STRONGLY SUGGESTIVE OF RIGHT
    OVARIAN MATURE TERATOMA.

    PLEASE CORRELATE CLINICALLY

    Reply
  20. jennifer mphuka

    I have been experiencing backaches each moment I walk long distances and do some work. My uterus was removed 8 years ago. Please make me understand my health status. Recently I went for a check up and below are the details:
    Uterus is not apprecited.
    Left adnexal appears with a cystic mass with septation, measuring 7.25cm x 10.03cm.
    Right adnexal is normal.
    No free fluid collection in the pouch of douglus.
    Comment: Left ovarian cyst. Am married with children and aged 41.

    Reply
    1. Buddy M.D. Post author

      How big is the left adnexal mass? Is it big enough to cause you backache?

      Big bulky mass in the adnexa may pull upon the muscles of the back and give back aches on prolonged standing or long hours of work.

      However, if the mass (lesion) is small, it may not be the cause of your aches.

      The back pain appears to be mechanical in nature. Prolonged standing or straining of any kind pulls upon them. They get stained and give you pain. As people reach their 30′s, both, the bone strength and muscle elasticity tend to decrease.

      You need to do two things:
      Rest, when it aches. Do not over strain.
      Strengthen your back muscles gradually by exercises.

      Also, loosing weight, if you have recently gained any, would benefit.

      Reply
  21. Anju

    Lesion measures 40*28 mm noted in right adenexa. Calcific area seen. Flat plains between lesion and right lateral wall of uterus poorly distinct.

    Reply
    1. Buddy M.D. Post author

      What are your chief complains (that is, symptoms that took you to the doctor)?

      The mass appears to be small. Usually, such lesions are treated by medicines and surgery is not required.

      Reply
      1. sujatha

        Sir, thanks a lot doctor for your immediate reply. Sir I want to know this ectopic? If ectopic means tubal ectopic or ovary? or after implantation aborted naturally? Now no pain and no spots. In which place my pregnancy stopped and why? Please reply only these sir. And if I am pregnent next time, possible for same thing will happen? Again I tell my lot of thanks in this time.

        Reply
        1. Buddy M.D. Post author

          It cannnot be said for sure that it is an ectopic. However, since no gestational sac is visible is the uterine cavity, chances of this being an ectopic a big.

          Ectopic can be in the tube, ovary or even the adnexal space. This has to be confirmed by LAP.

          Pregnancy stops growing in a natural way within the first month of conception in cases of ectopics. This is so because all places, except the uterus, are incapable of pulling on with pregnancy. This is natural and desirable for the fetus. The fetus needs space to grow. Only the uterus can provide it. Also, placenta formation occurs only in the uterus.

          Next pregnancy may not be the same. Hopefully, you’ll be lucky to have a normal pregnancy in the uterus next time.

          Reply
          1. sujatha

            Sir, once again I thanks to you lot. In my case, if ectopic, where it is sir? Tube or ovaries or adnexal? As per scan report, they said mass near ovaries (lap report fully typed in 1st question). What it is that sir? In which case, ectopic, fluid (blood) accumulates in POD. Please reply.

          2. Buddy M.D. Post author

            Mass near the ovaries may imply the fallopian tube or the adnexa, it is difficult to say without actually seeing the scans.

            However, fallopian tubes are the commonest location of an ectopic.

            Fluid, particularly blood, in the POD may be due to rupture of the gestational sac or some leakage from the same.

  22. Amita

    After USG ” An approx 3.1 x 3.3 x 4.7 cm sized solid cystic lesion is seen in Rt adnexa. Rt ovary is not seen separate from the lesion, remarks given by Radiologist. Also mensuration is not being timely. Almost it comes after 50 days, 60 days, 75 days or 90 days. After taking ovral L / pills it comes timely. It becomes irregular when I do not take pills. Please guide me. What action can be taken?

    Reply
    1. Buddy M.D. Post author

      The cystic lesion in your right adnexa may be responsible for your menstrual irregularities.

      How long have you been taking these pills?

      Reply
  23. Dan

    My wife is 60 years old, with hyperandrogenism and symptoms of virilization. She is also obese, with an “apple” shape. A recent pelvic US showed that she has small bilateral cysts with debris. We are concerned that these symptoms might suggest OC. Any advice/thoughts/ would be greatly appreciated.

    Reply
    1. Buddy M.D. Post author

      Further investigations are required before anything can be commented on the situation.

      Ovarian cell tumors (like leydig cell carcinomas) do produce symptoms of hyperandrogenism and virilization. But without a biopsy, nothing can be said.

      It is suggested that you proceed with further investigations at the earliest.

      Reply
  24. kenos

    I just returned from the ER and I am concerned with the diagnosis. I was having what I thought might be kidney infection symptoms fever, back pain on both sides, nausea, frequent urination. UA came back clear so they ordered a CT scan which revealed 3.9 x 3.5 cm cystic mass emanating from left ovary. Too large to be considered physiologic in size. Differential diagnosis includes benign ovarian cyst, endometrioma, cystadenoma, cystadenocarcinoma and others. Further work up is needed.

    Persistent mucosal thickening within the urinary bladder since 2011. My biggest concern with this is I had a partial hysterectomy with right oophorectomy in dec 1999 and left oophorectomy March 1 2013. Therefore, the ovarian cyst diagnosis seems impossible to me.

    I plan to follow up with my gynecologist this week, but I can stop the fears running through my head. What could it be? Obviously the Radiologist didn’t fully read my surgical history. I am 41 years old. recurring cyst, extreme pain and heavy bleeding were the symptoms leading to the hysterectomy. Thanks!

    Reply
    1. Buddy M.D. Post author

      Your radiologist has seen a cystic mass in the location where ovaries are normally located.

      Since you have had a hysterectomy with bilateral oophorectomy, it is not possible that the cystic lesion is any thing originating your the ovary or the uterus. So, it cannot be an ovarian cyst, endometrioma, cystadenoma or a cystadenocarcinoma.

      Further work up is required to investigate the nature of the mass. You may require a biopsy.

      Reply
  25. Shantee

    Hello! Within the right adnexal region, there is an oval area of decreased attenuation which measures approximate 2.7cm with internal characteristics which measure fluid density. What dose this mean?

    Reply
    1. Buddy M.D. Post author

      Adnexa is the region in the pelvic cavity which is adjacent to the uterus, that is on the side of the uterus. Read above in detail about it.

      Your right side adnexa shows a small cystic (fluid filled) sac. The cause and nature of this cyst has to be investigated.

      Commonly, such masses are functional cysts, as described above.

      Do you have any symptoms?

      Reply
  26. shantee

    I have pain in my belly, a lot. Some time sex is not enjoyable, light headed. I vomit a lot I just feel lazy sometimes.

    Reply
  27. Josphine

    Please reply what this statement mean?

    Mixed echogenic mass with no obivous internal vasularity visualized within the endometrium – ? Blood clots.

    This is scan report given when was I scanned for any retained products present in my uterus. I took medicine for aborting why because now only we are having 1yr girl baby to avoid we aborted this baby. So please tell me what the above statement states, and whether I have to go for a DNC.

    Thanks ,
    Josphine

    Reply
    1. Buddy M.D. Post author

      Though you have made a successful abortion, your uterus seems to contain some left over products.

      This often occurs when medicines are taken for abortion.

      Your CT scan doesn’t specify the nature of the contents left. However, it is likely that only some blood clots are there.

      These clots are usually passed out of the vagina in a natural way by itself. You may wait for sometime for your body to clear it up. If this doesn’t happen, you may go for a DNC.

      Watch for any pain in the pelvic region, any discharge or fever, report to your doctor immediately. These may be signs of PID (Pelvic inflammatory diseases) which is common after abortions.

      Reply
  28. Joell

    I have been going back and forth to the doctor for various symptoms for over a year. I have back pain, upper abdominal pain, gas, bloating, bowel problems, frequent urination, nausea, and sometimes vomiting. I have the Mirena IUD for 4 years now. I stopped get a period 4 months ago and severe lower abdominal pains. So I went to the ER and found that I had a complex septated cyst measuring 3.2×2.7×2.6cm on my right ovary. My right ovary measured 4.5×3.2×3.0cm. I was advised to do a follow-up at 6 weeks. I did, and the cyst has shrunk some to 2.0×1.5×1.9 and is described as a complex cyst with peripheral vascularity. Is this okay? Is the cyst going away on it’s own. I am still having most of my symptoms, and I am so uncomfortable and in pain most of the time even though the cyst is relatively small. Also, this time they also found a 1.5×1.5×1.7cm cyst with echogenic wall and peripheral vascularity on my left ovary that is described as likely representing a corpus luteal cyst, and that is a probable left ovarian corpus luteal cyst. Can this also be causing the pain? It used to be on one side, and now there’s pain on both sides. Also, there is a small amount of fluid within the posterior cul-de-sac. I am 33, and I have 3 kids. I had a c-section with each one. I have never had these kinds of symptoms or pains before in my life until now. I have never been diagnosed with cysts, but my Sister was and required a hysterectomy. Also my Mother has cancer, so the presence of anything new going on with my body is nerve racking. Please advise. The Dr.s I have don’t seem to know what to do, but they are planning to remove my Mirena IUD to see if my symptoms subside.

    Thank you!

    Reply
  29. Teewhy

    I was having abdominal pain on my left side so I was adviced to do ultrasound scan, the result shows
    normal size uterus with diameter of 3.9cm, echo pattern is homogeneous, uterine outline is regular, myometrial texture is normal, endometrial thickness is normal, right ovary normal in size and structure. Cystic mass in the left adnexa with ap diameter of 4.8cm with regular wall and contains clear fluid, right adnexa is free, pod normal, no pelvic collection, no fibroid, no cyesis or retain products sighted. Please, I am worried and I don’t know what to do. I was given pain relief drugs and asked to do a repeat scan one month time to see if cyst has regressed or grown in size. I am 32 years and married for 3 years and have had 2 miscarriages, trying for a baby earnestly.

    Reply
    1. Buddy M.D. Post author

      Such cysts commonly occur in women in these years of life. The reason is slight hormonal disturbances, which are common in this age.

      These cysts may interfere with conception. So, it is important to treat them before getting pregnant.

      There are chances that the cyst gets resolved on its own with time. So, it is advisable to wait for a few months and observe the cyst closely. If it does not regress, you may go ahead with further evaluations.

      Your doctor would investigate you further to know the nature and origin of the cyst. This may be a endometrial cyst or a functional cyst.

      Read more about endometrial cysts.

      Reply
  30. melange

    I recently had CT scan and it showed prominent adnexa on left side with a recomendation for a pelvic ultrasound. I’m in a lot of pain…in abdominal area back and leg. Also experiencing shoulder pain.

    Reply
    1. Buddy M.D. Post author

      You need to go ahead with the investigations to get yourself diagnosed.

      Depending upon your age and associated symptoms, you may be having a fibroid, endometriosis or some other condition.

      Reply
  31. prasha

    Dear sir, I am 30 years old and my recent sonography report says I’ve mixed echogenic mass (40*30*25mm) seen in right adnexae, seperated from right ovary and uterus. No fluid or other abnomalities noted. I want to know, can this mass affect my future pregnancy? I’ve married 2 years before and don’t have babies yet.
    May Kindly reply please. Thanks.

    Reply
    1. Buddy M.D. Post author

      Not all masses of the adnexa are active and affect pregnancies.

      Let us know your symptoms. What made you go to the doctor and get the sosgraphy done?

      Reply
  32. anilhparmar@rediffmail.com

    After suicide of my only daughter (who was 19 then) in 2009, my wife had tried for test tube baby. She was 50 years old then. However, there was a miscarriage. For the last ten days, she was suffering from pain in her abdomen. Her sonography report shows as follows:

    Uterus : Small in Size – 33 x 25 MM
    Both Ovary Appear to be atrophied
    37×32 MM size well defined cystic lesion seen in left adnexal region.
    No free fluid seen in POD
    Follow up required
    What is the meaning of this? Is there anything serious to her health? Anil H. Parmar
    anilhparmar@rediffmail.com

    Reply
    1. Buddy M.D. Post author

      It is too late to go for a pregnancy now. After 50, normal production of pregnancy hormones does not occur. Even if an egg is implanted in her uterus, carrying on with preganncy till term would be difficult. Adoption would be a better option.

      As for the adnexal cyst, further investigations are required to see what it is. Doesn’t sound serious.

      Reply
  33. Marie

    Hi Doctor, I am unmarried 25 yrs old virgin. I have regular periods. I have never missed a period since the age of 13 and the bleeding is normal. Slight on the 1st day, max on second and goes on decreasing till the 5th day. The pattern of my period is – Say my period has started on sep 22, the next period usually occurs on (Oct 22 + 7 days = First week of Nov). This has been the trend since my childhood.

    But this time my period started on Oct 22 after having last period on Sep 22. It lasted for around 10 days. The bleeding was NOT heavy. The first 4 days, it was ~1 teaspoon, then it gradually increased to two tablespoons a day and gradually stopped. It was not painfull all through. After my last period on Sep 22 there was a lot of stress at my home due to some reasons. NOt sure if the mass is due to hormonal changes. I do not feel pain/see any sweeling as such in my lower abdomen. However, I have a vague feeling that may be my right lower abdomen is slightly bigger than the left.. just may be by few millimeters.

    I see that my abdomen is very very flat during my period. After the period it slightly bulges up.

    I have not had any abnormal vaginal bleeding but I have regular white discharge which increases slighlty before the onset of my period. However, my recent period stopped on Nov 3rd. On Nov 7th, I had a hectic day -trekking , when I returned home that day, I found a little bit of blood mixed with my white discharge. This was for only that night. The next morning, my dischage was white again and is white untill today.

    I have never taken oral contraceptives.

    I went to my GYN to discuss about my prolonged period. She asked me to go for an Utlrasound pelvic scan. Below is the result:

    Urinary bladder : Well distended. Bladder walls are normal. No evidence of calculi.

    Uterus: Anteverted normal size. Shows normal echopattern. Measures 68 x 31 x 47 mm.

    Endometrium : measures 11 mm in thickness.

    Right ovary : Not visually separetely visualised.

    Evidence of heterogenous lesion of size 46 x 29 x 33 mm in right adenexa with ovarian and fuild filled tubular structure s/o Tubo ovarian mass.

    Left ovary : measures 29 x 22 mm. Normal in size and normal echotexture.

    IMPRESSION : * Right adenexal tubo ovarian mass.

    I’m worried if this is a problem and needs a surgery or if it would get well with medications. Also, if it would cause any problems during pregnacy after marriage – going to take place after two months. Please advise.

    Reply
    1. Buddy M.D. Post author

      Nothing too serious.

      Such gyne problem do have hormonal links. May be the stress you have gone through has added up to the illness. It would be advisable to avoid stress, start practicing some relaxation technique, like meditation or yoga on a daily basis. Make a routine and learn to escape stress in a long term.

      You need to go ahead with the investigations to know the nature of the tubo-ovarian mass. It would be better to get it treated before conceiving a child.

      Such problems are curable, your doctor may try treating you with hormonal medications. Surgery is not always required.

      Reply
  34. eli

    I am a 19 years unmarried girl, suffering from severe pain in the right side of umbilicus and later fever. In ultrasound, right adnexal cyst measured 3.5*3*2.9 with thin internal septation and minimal fluid in pod was seen. I had taken analgesic for pain even in injectable form but pain is not reduced. What should I do?

    Reply
    1. Buddy M.D. Post author

      Further evaluation is required. Thorough examination needed.
      Sounds like an infection. The cyst or its nearby structures may be infected.
      You need to be prompt about getting your treatment.

      Reply
  35. crazy

    I had a hysterectomy in Oct 2013. Doctor left my ovary. I had been having right side pains, been feeling sick and my bladder fills full all the time even hurts when I empty my bladder. Doctor did an U/S and the reading concerns me. It reads 4.4 cm cystic structure with thick wall lying next to a normal-appearing right ovary. A normal-appearing left ovary is not seen. The cystic structure therefore probably represents a left ovarian cyst which has shifted towards the right side. No free fluid in the pelvis. That being said I was wondering what that all means and do I need surgery. Thanks.

    Reply
  36. Debra

    My ultrasound said I have proliferative endometrium 18mm and my right ovary is abnormal appearance with no mass but a cyst and ovarian volumne 8.2 with color doppler flow. No left ovary visualized. What does this mean?

    Reply
    1. Buddy M.D. Post author

      Reflects some kind of a hormonal disturbance, you need to be evaluated further.

      Endomerium is the innermost lining of the uterus. This layer proliferates, that is grows, to form a cushion like surface each month, so that the egg may get implanted over it. If no implantation occurs, the proliferated layer sheds off in a natural way in the form of menstrual flow.

      Your uterus is in a proliferated state. This is not normal and needs to get investigated further. It may be due to some inflammation, or hormonal problem.

      Reply
    1. Buddy M.D. Post author

      Average size of a normal uterus is (7.5 × 5 × 2.5)cm and is shaped like an inverted, flattened pear.

      The size of the uterus increases after 8th week of pregnancy.

      Reply
  37. anonymous

    My mother is 45 yrs old and she gets a lot of pain in her abdomen during her menstrual cycle and sometime irregular bleeding. The following is her TVS report. Please advise. Is hysterectomy, a solution?

    UTERUS is normal is size, anteverted in position measuring approx 6.7×5.6×3.8 cm
    MYOMETRIAL echotexture is normal with no focal mass lesion
    ENDOMETRIUM is normal with thickness of approx 6.5 mm
    Few cysts are noted in the sub endometrial region. The largest measures approx 8.5mm and shows a tiny peripheral speck of calcification. It is located in the anterior wall.
    BOTH OVARIES are normal in size and echopattern
    BOTH ADENEXA are free
    No free fluid in cul-de-sac.

    Her PAP SMEAR results were as follows: Smear show fair number of superficial and intermediate squamous cells along with endocervical and metaplastic clusters in a background of moderate number of polymorphs. some intermediate squamous cells rounding.
    Negative for intraepithelial lesion or malignancy, inflammatory smear.

    Reply
    1. Buddy M.D. Post author

      There is no need for hysterectomy at the moment.

      It is common to get menstrual disturbances during peri menopausal years. During these years of life, the ovaries of a woman secrete reduced amounts of the female hormone, estrogen.

      Clinially, this results in irregular and painful menses, disturbed sleep, mood changes and hot flushes.

      The condition is medically treated by giving a mild supplement of estrogen externally for some time. Some pain medication may also be given. You may discuss this with her gynecologist.

      However, it is important to exclude other causes of irregular bleeding like myomas, endometriosis or even malignancy, since these are all common at this stage.

      Her pap smear report shows she is clean. If required, your doctor may ask for an internal biopsy or DnC.

      Reply
  38. rekha vinod

    Left Ovary is enlarged in size and shows a cyst of size 49*40 mms with few internal echoes. What treatment shall I take for this condition?

    Reply
  39. anonymous

    US Pelvis
    Clinical Indication: Mass ABD Pelvic Unspecified
    Comparison: No prior studies currently available for comparison
    Findings: The uterus is normal in size, measuring 5.5 x 3.0 x 5.0 cm.
    It is retroverted. There appears to be a complex cystic and solid endometrial lesion, measuring approximately
    2.0 x 0.8 x 1.9cm. There is also endometrial fluid present. The uterus also appears to be either arcuate or partially septate. The partially cystic and solid lesion is present on the right. Fluid is noted on the left.

    The left ovary is normal in size and unremarkable in appearance. The right ovary is not identified either with transabdominal or transvbaginal imaging.

    Impression:
    1. There is an endometrial complex solid and cystic lesion present on the right, which may represent a polyp or polypoid mass. Endometrial carcinoma cannot be excluded.
    2. Retroverted uterus with arcuate versus partially septate morphology
    3. Nonvisualization of the right ovary.

    I’m a 66 year old woman, can you explain what the above information means.

    Thanks

    Reply
    1. Buddy M.D. Post author

      There is some kind of abnormal growth in your uterine cavity. This growth may be active, glandular in nature and is secreting some fluid.

      It may be benign or malignant.

      You need to be investigated further to know the nature of this growth. Malignancy has to be ruled out.

      Reply
  40. Irum khan

    A unilocular simple cyst measuring 31*32mm seen in the right adnexa with clear cintents. No solid component seen on color doppler, no blood flow seen. What does it mean? I’m 25 years old and I had married since 7 months. I am worried that due to this I would have no babies in all my life. I am not pregnant yet.

    Reply
    1. Buddy M.D. Post author

      Doesn’t sound worrisome. It is common to get functional cysts in your age group. Most of them are symptomless and gradually disappear on their own in 3 to 5 months.

      Read more about functional cysts in the above written article.

      Do you have any symptoms? What made go to your doctor and get an U/S done?

      Reply
  41. kate chan

    I’m 34 years old, 1 child. Impression: normal sized and retroverted uterus with proliferative endometrium. Hypoechoic solid mass lesion 5.7×4.7cms, is noted in the left adnexa, likely ovarian in origin.
    negative cul-de-sac
    ca 125=80.27
    HE4=60.10
    What does this mean? Thanks.

    Reply
  42. kate chan

    Sonographic report: transvaginal ultrasound
    The uterus is retroverted and normal in size measuring 5.6×4.5×3.6cms.(LxWxAP). The myometrial echopattern is uniform. Endometrial lining measures 5mm. The uterine cavity is empty. No focal mass lesion noted.

    Hypoechoic solid mass lesion measuring 5.7×4.7cms. is noted in the left adnexa. No calcifications noted. Free fluid is not evident in the cul-de-sac. Is it possible to shrink by itself? Thanks.

    Reply
    1. Buddy M.D. Post author

      What are your symptoms, that made you go to your doctor and get an U/S done? Let us know, so that we can have a better insight into your problem.

      The sonographic picture indicates towards a uterine problem, where the inner most lining of the uterus proliferates.

      Normally, the inner most lining of the uterus, called endometrium, grows or proliferates every month to become soft as to provide a cushiony bed for the fertilized egg.

      If fertilization occurs, the egg gets implanted over this layer. If not, the layer is shed off during the menstrual flow each month.

      Sometimes, this layer may grow uninhibited, as in a condition called endometriosis. it may even grow outside the uterus to give an adnexal mass.

      Read more on endometriosis.

      Reply
  43. Monica

    Hello, I’m Monica, I’m 26 yrs old, not married yet. I’m worrying because the result of my ultrasound is I’m having a cystic focus measuring 2.5 x 3.0 cm in my left adnexal region. The impression is LEFT ADNEXAL (OVARIAN) CYST. I’m worried about this.

    Reply
    1. Buddy M.D. Post author

      Are you having regular monthly cycles? What are your symptoms that made you go for an ultrasound?

      Reply
  44. kusum

    Hello sir, My age is 30 and I am married and trying to conceive since last 1.5 year but could not succeed. I have little pain in my abdominal since 5 to 6 month and it’s got worse one day. Our physician adviced for ultra sound. After the ultra sound it’s report said that I have in ovary a mixed echogenic mass in right side of uterus with pid. The mass is size of 45×30 mm. Is it a tumor or cyst? I am worried about the malignancy. I have regular periods with bad abdominal pain and triedness and leg pain. My weight is consist. My urine exam shows the pus cell and albumin and epithelial cell trace. Before one year, I had very bad vaginal smell for almost 4 month and it got cured with the antibiotic and vaginal capusuls. There are no history of any type of cancer in my family. Doctor gives me antibiotic and diclofenic and paracitamol and iron tablets. I am afraid of cancer. Please help me. Thank you very much sir.

    Reply
    1. Buddy M.D. Post author

      This does not sound like malignancy at all.

      However, if your are suspicious, there is no harm in getting a test done to rule out pregnancy.

      You may go for a pap smear. This is a simple OPD testing, where a sample is taken from your cervix and tested for the presence of malignant cells.

      What is clear is that you have PID. You need to get that treated before conceiving.

      Reply
  45. Veronica

    Here’s my results:
    Right ovary: A right adnexal simple cyst measuring 54 x 36 x 33 mm is noted. The right ovary is not otherwise identified.

    The Doctor gave me birth control and said he’s see me in 2 months but really gave me no other information. From what I’ve always heard of cyst they seemed fairly normal. But the more I read into this kind and size it doesn’t seem so. At what point do they check if it’s cancerous and is there any good references I can look into?

    My symptoms are extreme abdominal bloating (but only during my period), pressure in my lower back and legs, heavy periods. My Doctor sent me in for a pelvic ultrasound after a miscarriage when this was found. Thanks.

    Reply
    1. Buddy M.D. Post author

      This does not sound malignant. It may be a big sized functional cyst or endometriosis in the adnexa. However, you may still go for investigations to rule out cancer, to be on safer side.

      For this you may go for blood work, detecting tumor markers in blood. Also, a pap smear can be done.

      The final diagnostic investigation is taking a biopsy from the adnexal cyst itself. This would require a laproscopy. As from your symptoms and signs, this is not required at the moment.

      It is worth trying hormonal pills for treating your adnexal cyst. It is suggested that you take these pills for some time and wait for the response. The cyst is likley to regress with the treatment.

      Reply
  46. sashel

    Hi sir, I’m 21yrs old. I’m having problem getting pregnant. I was on birth control for a year. I got off a year not starting to see back my period 3 months now but I have a irregular period and a 2.1cm cyst on my right ovary. Me and my partner are trying to get pregnant but there’s no improvement so I’m a little bit worried about that. I can’t get pregnant. Please sir, I really need your help.

    Reply
  47. sashel

    I even got an appointment for 11 july. So I want to know if I can get pregnant or the cyst preventing that to happen. I even wait until my ovulation days to try get pregnant and I’m still having a period.

    Reply
    1. Buddy M.D. Post author

      It may take around a year after leaving the oral contraceptives, before you get normal regular period.

      There is nothing serious, nothing to worry. Since you are very young, it is suggested you be patient and give it time. Let your periods get regular and normal. This may take a few more months.

      Meanwhile, it is very likely that the cyst would regress on its own.

      The cyst is unlikely to be interfering with conception. It may be a functional cyst in the ovary, and is commonly encountered during these years.

      Reply
  48. ada

    Hello, I am 26 yr old, and I am married. My period start 24 june and end 29 june. Then after 5 days my bleeding started, sticky and thick blood, not regular, and lower abdominal pain regular. My USG report is- right adnexa shows a hetrogenous soft tissue area of size -34*15mm just adjacent to right ovary. Doctor gives me antibiotic. Please help me. Is this critical?

    Reply
    1. Buddy M.D. Post author

      It doesn’t sound critical. Your doctor is suspecting some infected pathology in your pelvic region. So, he is trying antibiotic treatment first.

      It is advisable to take those pills and go according to his diagnosis. If you don’t respond to the treatment being given, we may need to think differently.

      Reply
      1. ada

        First of all thanks for reply, and thanks to reply to others queries too, I have some websites, and I know how difficult work it is to daily reply visitors question. Respect to you.

        //It doesn’t sound critical. Your doctor is suspecting some infected pathology in your pelvic region. So, he is trying antibiotic treatment first.//

        //It is advisable to take those pills and go according to his diagnosis. If you don’t respond to the treatment being given, we may need to think differently.//

        yes, my doc said similar things, we followed her instruction, but for the 4-5 days there was no changes. Everything was in same condition. So my husband advices me to changed doc.

        We changed doc.

        I meet new doc on 12th july, after taking her medicine, from evening, blood stop but sticky water was coming, I was taking medicine on time, properly.

        But today morning, again blood started coming with pains in breast and in lower abdominal,right side.

        If you wish, I can write the medicines names here. Please guide what to do next. I’m really worried due to this, please help. Trillion of thanks in advance.

        Reply
          1. ada

            The current medicines :

            doxycycline
            bcomplex
            monoloc 150
            vevoron (tab)

            1 more thing, from yesterday night, blood is not coming and I’m feeling better too. However, there are few pains in breast and gas is disturbing a lot.

            Can I conceive baby during this? Any problem if I make relation?

            Again, trillion of thanks in advance. May God bless you for doing all this. Ameen.

          2. Buddy M.D. Post author

            It is not a good idea to conceive before treating your PID (pelvic inflamatory disease). If you conceive now, you may have problems carrying on with your pregnancy.

            There are chances you may respond to the treatment being given. Have you been tested for tuberculosis? If not, talk to your doctor about screening you for T.B.

  49. Shamsunnahar

    Hello, sir I am 48 years old. My left adnexa contain a anechoic cystic area measuring about (9.6×8.6)cm. I have abdominal pain doing heavy work. I cannot even walk in peace. My doctor said that it is a tumor and need to be operated. What can I do now? Has it any alternative? Please say broadly about that.

    Reply
  50. shamsunnahar

    No biopsy taken. 12 days ago, I went to doctor because of my pain and heavy fever. Then the doctor said that need to be a ultrasonogram test report. In the report the doctor found that left adnexa contain a cyst measuring about(9.6×8.9)cm. Then doctor said that it is a tumor and need to be an operation. What can I do now? Has it any alternative? Please say broadly about that.

    Reply
    1. Buddy M.D. Post author

      It is difficult to say what exactly is the adnexal mass. It may be from the ovary or the tube. However, whatever be its nature, it sounds infected.

      You need to take antibiotics for it. Since the mass is quite big, surgical drainage would be essential. If left as such, the infection may spill and spread.

      May be your doctor is planning a surgical drainage of the lesion.

      You may discuss the operation with him. A tumor, if present, would require removal of the ovary and tube of that side. That would be a major operation.

      Reply
  51. sonia

    I’m 23 old unmarried girl. I have irregularity in menstrual cycle from last 4-5 months with severe pain and less bleeding. My usg report shows left adnexal endometriotic cyst of size 6×5 cms. Is it a serious problem? Please tell me in detail what treatment I should take either it is surgical or medical.

    Reply
    1. Buddy M.D. Post author

      Read to know exactly what is an endometriotic cyst.

      This is not a serious condition though, you require prompt treatment. You need to see a gynecologist for this.

      Since such conditions respond well to hormones, you are likely to be treated with hormonal pills. Only sometimes, surgical drainage of the chocolate cyst is required.

      Reply
  52. vijay laxmi

    Sir, I’m 45 years old and in my right ovary found30× 36 mm cyst by ultrasound test. My gynecologist suggested me to go surgeon. Please advice me that operation is compulsory for this condition? I’m so worried about it.

    Reply
  53. Monisha

    Hi, I am a 28 years old married girl, have completed 1.5 years of married life.

    Recently I had ‘Ultrasound Whole Abdomen’ and my medical report says:

    Right Ovary measures 3.4 x 3.3 cms and appears bulky. A 3.1 x 3.0 cms hypoechoic area is seen in right ovary suggestive of a cyst. No obvious adnexal mass lession seen.
    I’m little worried, please suggest me what to do. Thanks. Regards.
    Monisha

    Reply
    1. Buddy M.D. Post author

      What are your symptoms? Are you having normal menses?

      Your U/S report suggests some hormonal problem. This may interfere with conception.

      Reply


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