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.


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.


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.


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.


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.


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 week 5 days pregnancy with CRL 7.6 mm. But a cyst of approximately 46.6 mm in size is noted in right adnexal region and right ovary is not identified separated from it.

    Is it some abnormality? Are there chances of getting my pregnancy affected adversely?

    1. Buddy M.D. Post author

      We don’t know the pathological nature of the adnexal mass. Without histopathology report, exact diagnosis can not be reached. The good thing is that most of the adnexal 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.

    2. Anonymous

      I’m 37 having 2 kids in my USG report there is evidence of a nabothian cyst measuring 8.1 mm in the cervix And anechoic lesion 5*3.3 cm in the left adnexa internal echoes are noted within. Please tell me what can be done.

      1. Buddy M.D. Post author

        The nabothian cyst is harmless. You may ignore it for the time being. This cyst can become a problem only when it gets infected.

        You need to take care of your personal hygiene and diet. A rich diet would give you protection against diseases.

        As for the adnexal mass, this needs monitoring throughout pregnancy. Some of them remain as such and don’t cause any trouble.

        Only those masses which respond to hormones may grow in size as pregnancy progresses. They may present as a problem.

    3. Sangita

      I have 5 weeks 6 days pragnant my right side ovarian cysts 36×39mm can any chance of child is abnormality or chance of miscarage plece answer me

      1. Buddy M.D. Post author

        It’s difficult to give a precise comment without actually examining you. Would depend upon the nature of the cyst, if or not, it’s growing with pregnancy.

        However, in most cases, such cyst stay as such and do not interfere with pregnancy.

  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 4.2 cm by 3.4 cm. Please advise.

    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.

    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.

  3. Wendy

    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. Please advise me what needs to be done?

    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.

      1. Wendy

        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.

        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.

  4. Cindy

    I’m 20 year old and having adnexal cyst of 4.4 * 3.9. It’s of same size size from one year. I have also taken medicines prescribed by a gynecologist.

    Is this a dangerous thing or does it have any harmful effects on pregnancy? I’m not married yet. Kindly inform me soon. I am really worried.

    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.

  5. Cindy

    Yes, she gave me hormonal pills but it didn’t cause any change in its size. Symptoms are nothing – no pain, no menstrual 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?

    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:

      1. It grows in size
      2. Gets infected or bleeds.
      3. Gets twisted or causes pain.

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

  6. Julie

    I recently got a pelvic transabdominal ultrasound to exclude PCOS. It was found that I have a large left sided adnexal cyst 10.2 x 9.0 x 7.5 cm.

    My family doctor suggested that I get another ultrasound. But I am worried.

    Can this be a tumor? I am in my early 20s and have high DHEA-S levels, with signs of hirsutism.

  7. Gurpreet

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

    1. Buddy M.D. Post author

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

      Do you have any symptoms?

  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. There are no solid elements/septation or 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 is seen. Thickness is 6 mm. 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 .

  9. Gold Chris

    Hello sir, I’m 22 yrs old. I went for an ultrasound.

    It showed that I’m 6 wks pregnant and there is a left adnexa cystic mass measuring about 3.1 x 3.0 cm in size. Please tell me what should I do?

    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.

  10. Deborah Andrew

    I had a pelvic scan and the result says:
    A thin walled cyst containing a single echogenic structure is seen in the right adnexa 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.

    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.

  11. Rosie

    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)?

    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.

  12. Gloria

    Hi Doc, I’ve been having a huge loin and abdominal pain for last two weeks. A couple of USG and CT were done with the latest being a CT with contrast and the results of which are 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 a hemorrhagic cyst.”

    Kindly tell me if this is a major issue? 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.

    Please advise. Many thanks.

    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.

      1. Carolyn

        Within the right adnexa is an ovoid circumscribed fluid density mass
        measuring 4.5 x
        2.7 x 4.1 cm. There is a small amount of free pelvic fluid. Urinary bladder is
        unremarkable. No free air or lymphadenopathy identified. What dose this mean?

        1. Buddy M.D. Post author

          Some pelvic organ of your right side, likely to be the right ovary/ tube, is swollen. These organs are likely to be affected by some pathology that needs to be investigated.

          What are your symptoms, menstrual problems, pain etc.?

  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!

    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.?

  14. Richa

    I too have the same case of cyst in ovary and uterus with severe dysmenorrhea (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 laparoscopy. 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 years) but latest in December-January.
    3. I am not married and had never had any physical relationship.

    What do you suggest?

    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.

  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.

    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 laparoscopy etc.

      Do you have any symptoms?

    2. shashi bansal

      Sir, I’m 48 years old menopausal, closed 10 years back. We are suffering from abdominal pain.
      My ultra sound report is
      Both Ovaries are small. Both adnexae show tubular cystic masses with clear fluid contents
      with the one on right side meas. 82 x 25 mm in size and on left side meas. 87 x 36 mm in size-?HYDROSALPINX
      Please suggest me medically treatment.

      1. Buddy M.D. Post author

        Read here about what is a hydrosalpinx.

        Hydrosalpinx cannot be let as such. As you can understand, there is fluid accumulated in your tubes. This needs to be drained.

        You may try a course of antibiotics. Sometimes, when the hydrosalpinx is caused due to some pelvic infection, these pills work.

        If it doesn’t work, the condition is managed surgically.

        The tubes are either drained or dissected out. You’ll need to discuss this with your operating doctor.

  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 heterogeneous internal 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?

    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.

  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 adnexal 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.

  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 3.1 cm. Normal myometrium. Endometrium is normal in thickness 10.2 mm.
    OVARIES: Left ovarian cyst measuring 3.9 x 3.6 cm. Right ovary not seen, separately, Right adnexal cyst measuring 7.8 x 4.9 cm
    OTHERS: No ascites appreciated. No mass or collection in RIF or POD

    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 x 5.0 cm . 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 web page I got that it would be pregnancy.

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

    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 laparoscopic 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.

      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.

        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, laparoscopic 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 caliber.
    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.



  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 appreciated.
    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 Douglas.
    Comment: Left ovarian cyst. Am married with children and aged 41.

    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.

  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.

    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.

      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 pregnant next time, possible for same thing will happen? Again I tell my lot of thanks in this time.

        1. Buddy M.D. Post author

          It can not 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.

          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?

    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?

      1. Kavita

        I have recently been diagnosed and Adnexal mass are measuring 40*35*28 mm (A heteroechoic area) seen on right side calcification.
        In Blood test, thyroid is found with 5.1 ( Normal is between 0.7-4.1).
        My question is like if I want to conceive, will aforesaid situation could be a problem in future pregnancy?
        What problem I can face in conceiving due to my thyroid level.

        It can be treated with medicine or not?

  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.

    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.

  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!

    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.

  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?

    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?

  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.

  27. Josphine

    Please reply what this statement mean?

    Mixed echogenic mass with no obvious internal vascularity 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 D&C.

    1. Buddy M.D. Post author

      Though you have made an attempt for abortion, your uterus seems to contain some left over products.

      This often occurs when medicines are taken for abortion. And this is one of the serious problems while attempting this.

      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 D&C.

      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.

  28. Teewhy

    I was having abdominal pain on my left side so I was advised 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.

    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.

  29. melange

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

    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.

  30. 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, separated from right ovary and uterus. No fluid or other abnormalities 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.

    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 sonography done?


    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?

    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 pregnancy 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.

  32. 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 Sept 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 painful all through. After my last period on Sept 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 swelling 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 slightly 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 discharge was white again and is white until today.

    I have never taken oral contraceptives.

    I went to my Obgyn to discuss about my prolonged period. She asked me to go for an Ultrasound 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 separately visualized.

    Evidence of heterogeneous lesion of size 46 x 29 x 33 mm in right adnexa with ovarian and fluid filled tubular structure s/o Tubo-ovarian mass.

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

    IMPRESSION : * Right adenexal tuboovarian 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 pregnancy after marriage – going to take place after two months. Please advise.

    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.

  33. 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?

    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.

  34. 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.

  35. Debra

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

    1. Buddy M.D. Post author

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

      Endometrium 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.

    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.

  36. 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.

    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.

      Clinically, 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 D&C.

  37. rekha vinod

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

  38. 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 transvaginal imaging.

    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.


    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.

  39. Irum khan

    A unilocular simple cyst measuring 31*32mm seen in the right adnexa with clear contents. 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.

    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?

  40. 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
    What does this mean? Thanks.

  41. kate chan

    Sonographic report: transvaginal ultrasound
    The uterus is retroverted and normal in size measuring 5.6×4.5×3.6cms. 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.

    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 cushion 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.

  42. 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.

    1. Buddy M.D. Post author

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

      1. matellda

        My ultrasound scan showed a cystic mass in left adnexa measuring 4.8cms*4.0cms, internal echoes and thin septae are also visualized. What is the most likely diagnosis?

  43. 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 advised 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 tiredness 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 capsules. There are no history of any type of cancer in my family. Doctor gives me antibiotic and diclofenac and paracetamol and iron tablets. I am afraid of cancer. Please help me. Thank you very much sir.

    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.

  44. 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.

    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 laparoscopy. 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 likely to regress with the treatment.

  45. 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.

  46. 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.

    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.

  47. 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 heterogeneous soft tissue area of size -34*15mm just adjacent to right ovary. Doctor gives me antibiotic. Please help me. Is this critical?

    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.

      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.

          1. ada

            The current medicines :

            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.

          2. Buddy M.D. Post author

            It is not a good idea to conceive before treating your PID (pelvic inflammatory 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.

          3. ada

            Hi, well doctor,

            In last few weeks, I visited sir ganga ram hospitals in Delhi and doctors asked for ultrasound of UGC pelvis. Then asked for MRI. After looking at MRI reports, docs said that it’s not big issue and can be treated without medicine.

            Then I said that my lots of body parts have pains, so how it will solve, then she gave some medicine for this.

            Still unable to find medicine in shops. Can you please tell me names of medicines written in this image. This is part of my prescription.


            and what’s is the purpose of those medicine. Trillion of thanks in advance. Waiting for reply.

          4. Buddy M.D. Post author

            The first one appears to be an antibiotic, the last one mentioned there is a calcium supplement.

            It would be better if you take the prescription to a chemist. He will be able to decode it better.

          5. ada

            Thank you for reply doc.

            So, what you think from medicine, what kind of problem I have ?

            If you wish I can upload the ultrasound and MRI reports for you to have a look and explain me in better way.

            Because my doc didn’t explained me in better way.

            May I upload these reports please? Thank you so much.

            May God bless you for answering mine and others queries.

  48. 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.

  49. 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.

    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.

  50. 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 cm. Is it a serious problem? Please tell me in detail what treatment I should take either it is surgical or medical.

    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.

  51. 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.

  52. 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 cm and appears bulky. A 3.1 x 3.0 cm hypoechoic area is seen in right ovary suggestive of a cyst. No obvious adnexal mass lesion seen.
    I’m little worried, please suggest me what to do. Thanks.

    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.

  53. Indu

    I am 6.5 weeks pregnant with last beta HCG level (2 days ago) of 2020. HCG growth has been around 145 percent over 72 hours approx. Further, levels have increased from 176 to 2020 in ten days. At six weeks, I bled clots for four days with the second day bleeding being highest. I assumed I was having a miscarriage. Last night, I had slight upper back pain and persistent lower abdominal pain concentrated to the right. Since the hcg level increased rather than decrease, I was asked to undertake a TV scan.

    The report reads the following:
    Uterus Is anteverted, measures 6.6 x 4.0 x 4.2 cm and shows homogeneous myometrial echoes. No focal lesions. Endometrium is normal and measures 5.9 mm thickness. No intrauterine gestational sac seen.

    Right ovary 3.6 x 2.0 cm
    Left ovary 3.5 x 2.5 cm

    A nearly oval echogenic area with central Lucent is seen in the right adnexa medial to the right ovary measuring 1.7 x 1.4 cm. There is no free fluid or obvious pelvic adenopathy. Possibility of ectopic pregnancy cannot be ruled out.

    Given that this sounds like an ectopic pregnancy, what are the treatment options available? How long after can we try for a pregnancy again? Will this create any issues in the future?

    1. Buddy M.D. Post author

      Most ectopic pregnancies proceed towards abortion on their own as a natural sequel. If it doesn’t, an injection, methotrexate, is given by a doctor. The injection may have to be repeated in cases where single doses don’t work.

      It is not exactly known why ectopics occur. However, woman who get more of pelvic infections or STDs have more chances for having ectopics.

      The healthier you are, lesser are chances of ectopics.

      Go for the next conception after at least three normal menstrual cycles. Also, get yourself screened for any STD or uterine infections before planning your baby.

  54. aferanti zeico

    Have been having this pain in my left side tummy. So I went for scan. Result shows-
    non bulky and non gravid anteverted uterus with smooth outline and uniform myometrial echopattern AP diameter 38mm.
    Thin endometrial plate noted. Seen in the left adnexium is a cystic mass measuring 30mmx32mm. suggestive of left ovarian cyst. Right adnexae is free. Free fluid noted in the pouch of Douglas, suggestive of PID. Bladder wall is thick in normal and echopattern. Sir age is 33 years. What should be done, is this preventing me getting pregnant.

    1. Buddy M.D. Post author

      It is very likely that the lesion is preventing you from getting pregnant.

      It is advisable not to conceive before treating the condition. The condition may interfere with pregnancy and may even lead to abortion.

      You first need to take appropriate antibiotics to treat the infection in your reproductive organs.

      See a gyne, who can treat you adequately.

      You may need to take some hormonal treatment to treat the ovarian cyst.

      Plan your conception after the infection gets treated and you get at least three cycles of normal menses.

  55. matellda

    Hey, I am 25 years old and unmarried. My ultrasound scan showed left adnexal cystic mass measuring 4.8cms*4.0cms, internal echoes and thin septae visualized. What is the most likely diagnosis?

      1. Moniya

        Hello Doctor,
        I’m 28 years old. I have been married for last one and half years. I don’t have any children yet. My menstrual process is OK.
        My USG Result is:
        ADNEXAE: A small cyst (3.5 cm x 2.1) is seen in left ovary. Right ovary appears normal.
        I have already consulted with a doctor. He told me not to worry. It is normal for women but he also advice me to do another USG after 2 months whether the cyst disappears or not. Can you help me by giving some more explanation about it? Is it causes any loss in pregnancy? I’m concerned.

        1. Buddy M.D. Post author

          It’s common for women to develop cysts in your age group. These are mainly functional ovarian cysts. They appear in the ovary and regress on their own with time. Usually, no treatment is needed.

          If a cyst grows in size or gets infected, medical intervention is required.

          You may stay relaxed. Go for an U/S as per your doctor’s advice, just to rule out if the cyst is growing in size.

          1. Moniya

            Dear Doctor,
            Thank you for your reply. Can you please tell me that the cyst may cause any loss in pregnancy? Or will it make pregnancy barrier for me?

  56. Sujata

    Sir, I am 20 years old and I am not married.
    Sir my sonographic findings:
    U. bladder: Well filled and smooth out line. No mass or calculi are noted.
    Uterus: Normal in size anteverted with uniform in tissue appearance. No mass is seen. Cavity is empty.
    Tubo-ovary: A small cyst is noted at Rt. ovary(about 3.5/3 cm) consistent with physiological cyst.
    Impression: Small Rt. ovary and cyst(physiological cyst)
    Sir, now what I have to do. Sir will it affect my pregnancy and conceive in my married life. I am not married now. Will I be able to give birth to any baby? Sir please tell me.

    1. Buddy M.D. Post author

      You need to visit a gyne with these reports and get treated. This is likely to be a small functional cyst. You may need to take medicines for some time.

      There is nothing to worry. If treated fully, it will not interfere with your marital life.

      This is not cancer.

    1. Buddy M.D. Post author

      Right adnexa refers to the structures lying on the right side of the uterus.

      A cyst is a lesion filled with fluid and bounded by a membrane.

      You have a cyst on the right side of your uterus. This is not normal and needs to be investigated.

      Where has the cyst originated from, is it from the tube or the right ovary? The cyst may even be from some distant organ.

      Read above in detail about adnexal cyst.

  57. anonymos

    CT shows left cystic solid adnexal mass (ellipsoid) measuring 4.5 cm x 2.5 cm x 5.5 cm, please advise. Constant pain and nausea. Hysterectomy done (heavy bleeding), left ovary remains.

    1. Buddy M.D. Post author

      The cystic mass may be from the left side remaining tube or the ovary. This needs to be investigated.

      It is more likely to be from the tube. Your symptoms are due to this cystic mass.

      See a gyne for evaluation.

      1. anonymos

        Thank you for the quick response.

        Already seeing a gyne. He referred me for the CT. My follow up appointment is on 30 November 2014. Pain is constant, what should I do? Can you tell me anything about the size because he says it is very small. I had a complex cyst on left ovary in April 2014 shown on ultrasound measuring 1.7x 1.6x 1.3 so the CT done on 30 July 2014 showed the adnexal mass measuring 4.5 x 2.5 x 5.5 cm, please advise. Can severe heartburn also be a symptom?

        1. Buddy M.D. Post author

          Heartburn is also likely to be related.

          Pain indicates some infection/ inflammation in the cystic mass. You need medications for this. Your doctor must have given you some medications.

  58. Maria

    I am a 53 year old post menopausal woman. In March of 2014, I had some bleeding and went to gyne to get this checked out. My last period had been 15 months earlier and prior to that I had not had regular periods since age 50. Ultra sound was performed and I had a small simple cyst on my right ovary. My left ovary was fine. My physician felt that I may have had a menstrual cycle since the bleeding was like a period and I also had breast swelling and tenderness.

    I had a follow up ultrasound on 7/25/14. Below are the results compared to prior scan:

    Uterus – myometrium fibroid 1.0 x 0.9 x0.8 cm – anterior stable.
    Endometrium – thickness 2.0 mm linear echogenic, normal.
    Overall uterine size (cm) 6.9 x 3.7 x 3.0 cm, orientation anteverted.
    Right adnexa ovary – normal.
    Left adnexa ovary – complex cyst 14 x 12 x 8mm – filled with internal echoes, thick- walled.

    1. Complex left ovarian cyst.
    2. Interval resolution of right ovarian cyst.
    3. Stable uterine fibroid.

    Should I be concerned with the complex left ovarian cyst. What type of follow up would you recommend. I am worried as my mother passed away from ovarian cancer at age 63.

    1. Buddy M.D. Post author

      What treatment has your gyne recommended for the fibroid in the uterus?

      Usually, such growths are removed surgically and a biopsy taken.

      It is better to go for serum CA 125 testing, which is a simple blood test, checks the presence of tumor marker for ovarian cancer.

  59. Mulge Ratneshwar

    My mother is suffering from ovarian cyst. The USG shows well defined rounded cystic fluid containing lesion in right adnexa of size 6.6cmx5.3cm size. Our doctor advised us MRI and surgery to remove it.

    She is of 60 years old and she is very healthy. The CA125 test is also negative. She has pain in abdomen 2 times in a day. She has no other diseases.
    So sir, please suggest me to what I do. I am scared to do surgery.

    1. Buddy M.D. Post author

      At this age, the best option would be going for a surgical removal.

      Non surgical treatments comprise taking hormones, which are unsafe to be taken at this age.

      If you leave the lesion as such, it may complicate or get infected/ twisted.

      The surgical is very simple and involves minimum risks.

  60. Sanjiv

    Hello Doctor, my girlfriend is 22 years old. She did an ultra-sound and everything came normal, except for one. Which says, “Two approx 26 x 19 and 19 x 16 mm sized hypoechoic SOL seen in posterior lower body and posterior lip of vervix-fibroids.” She was taking hormonal medicines prescribed by the doctor for about two days. Her last period was on the 13th of this month and on the 19th she bled a lot (That was when I took her to the doctor). Everything seemed OK, until today, she is having her periods again. And she is in pain. Twice in the same month. What should I do? Please respond. Thank you.

    1. Buddy M.D. Post author

      She needs to see a gyne at the earliest.

      If the bleeding is from fibroids, they have to be removed surgically.

      1. Anonymous

        We did visit the gyne, he gave her some hormonal medicines and said that the medicines will stop the bleeding. I am not convinced with his answer. Should I consult another gyne?

        1. Buddy M.D. Post author

          There is no harm in trying medical treatment first. There are chances that she responds to the hormonal treatment and the growths causing the bleed regress on their own.

  61. jasmine

    I am 26 years of age and I recently complained of abdominal pains, vomiting and many other discomforts. I was treated but did not feel any better so was asked to do an ultrasound of my pelvic. The results of the ultrasound are-
    1. homogeneous, empty uterus which seems to be floating in a peritoneal fluid. Suspect pus or contents of ruptured cyst.
    2. well defined endometrium, thickened and hypoechogenic
    3.both ovaries are normal in size with good echo texture and echo pattern
    4. normal adnexae, no mass lesion noted
    5. mild fluid noted in the pouch of Douglas
    The doctor ruled it as pelvic inflammatory disease. Per what I have read on the internet, this may course infertility.
    I will like to know if my ultrasound results is so serious that it will course me infertility even though I am on medication?

    1. Buddy M.D. Post author

      PID may lead to infertility if left untreated. If you go for treatment, there is no such risk.

      1. jasmine

        Thank you for replying but I want to know if there is a cause for me to be worried per the results of my ultrasound?

        1. Buddy M.D. Post author

          The infection still appears to be there. You may talk to your doctor prolonging the duration of antibiotic treatment.

  62. Sheila Webb

    My CT scan showed an Adnexal Mass. Is a 37 X 47 mm Adnexal mass very big? Concerned due to my sister had ovarian cancer.

    1. Buddy M.D. Post author

      It’s not necessary that the cyst would be malignant, however, you need to get this mass investigated further.

      What are your symptoms?

  63. Marlene

    I am 66 y/o & for last several months have had recurring flank pain on left side & back, sometimes on Rt side. Finally decided to see MD last time this happened. As I had Rt lower abdominal pain on Left side in addition to flank pain (same side). I have also frequently felt very tired & fatigued.

    I have a history of 2 normal pregnancies before age 30, & also 3 ectopic pregnancies (all requiring surgery – both tubes removed). I also had an abdominal hysterectomy at age 42 (due to large fibroids) but retained both ovaries.

    Blood work done was negative.

    Impression from CT scan of abdomen & pelvis is as follows: 1. 3.7 cm Rt adnexal cystic lesion with internal dystrophic calcification. Differential considerations include dermoid cyst, hemorrhagic cyst, endometrioma with less likely considerations including cystadenoma. 2. No evidence of nephrolithiasis.

    I am now scheduled to see a gynecologist but am worried as to what this means at my age. Is this anything to be concerned about? I’ve read that most adnexal masses are benign even postmenopausal, but I’m concerned as to what this means for me.

    Thank-you so much for the time & effort you spend in answering questions. You are truly a very generous person!

    1. Buddy M.D. Post author

      The adnexal mass cannot be left as such. Though this is unlikely to be any malignancy, your gyne needs to investigate it further to know its nature.

      You may need to go for a laparoscopic examination.

          1. Marlene

            I saw the gyne doc yesterday (Mon). He did a vaginal US at my appointment & described this as a 4.1 cm septated complex cyst. He pointed out fluid on top half, with septation in the middle, & calcification with other solid looking material in bottom half. He said this is possibly a teratoma or dermoid & probably not a malignancy, but no way to be sure without removing it. He was not able to visualize the Lt ovary.

            I’m now scheduled for laparoscopic removal of cyst & both ovaries in one week (11/3). He said 2nd ovary should be removed to eliminate risk of future ovarian ca. I’ve recently been reading about postmenopausal benefits of keeping an ovary to reduce risk of heart disease, etc. I’m wondering if removal of 2nd ovary is the best course of action for me if no malignancy is found in the one with the cyst.

            I’d really appreciate your opinion (again) as this has all transpired very quickly.

            Thanks so much!

          2. Buddy M.D. Post author

            Laparoscopic removal of the cyst is essential. However, it’s worth talking to your doctor about preserving the second ovary, if malignancy is not detected.

  64. Amanda

    I had a transvaginal ultrasound done 10/14/2014. It showed I have a 4.4cm functional cyst on my right ovary. I was due to start my period 10/19/2014 but it hasn’t started yet. I’ve had these types of cysts before, but they never made me miss my period altogether. Can functional cysts cause you to miss your period?

    1. Buddy M.D. Post author

      Yes they can. If it’s a one time missing of periods, you may wait for 2 to 3 cycles. May be you get the next menses and things stabilize.

      If not, you’ll need to take medicines for this. External hormonal pills are given to stabilize menstrual periods.

      Do you have any other symptom, like pain abdomen etc.?

      1. Amanda

        Not right now, but I did when they diagnosed me with it. Now I feel nothing but wanting to throw up and tired all the time. I was wrong about the dates, my LMP was September 21 and me and my husband did the deed on October 4th. When they did the ultrasound, I was ovulating and that was on October 5th and now I was suppose to start my period in October 19th and I never did.

        1. Buddy M.D. Post author

          This indicates hormonal imbalances in your body. You may require external hormonal pills.

          Talk to your doctor about it.

          It is necessary to stabilize the hormonal levels.

  65. Rima

    This is the medical report of my mother (age 67).

    Can you please provide your guidance at ( and what next steps should be? Could this be cancerous ?

    There has been cholecystectomy. The liver Parenchyma is echogenic measures 132mm. There is no evidence of dilated ducts. The CBD measure 5.5mm in diameter. The pancreas is normal. The spleen measure 84.5mm in bipolar diameter.

    There is small ascites but no lymphadenopathy.

    Both kidneys are normal, the Right measures 95.1mm and the left 101mm in bipolar diameter. No calcification or Hydronephrotic changes seen. The corticomedullary distinction is intact.

    The bladder is normal in outline.
    The pre void bladder volume is 310 ml
    The post void bladder volume nil.

    There is collection present in the POD.
    The uterus measures 54.2mm in length and the cervix 22.8mm. The endometrium measures 5.5mm. There is thickening of the cervical canal measuring 13.9mm.
    There is a 72.2mm * 120mm diameter mass present in the region of right adnexa. The left ovary is normal measure 35mm in diameter.

    Large mass in the region of right adnexa
    Fatty Liver Grade 1
    Small ascites
    Collection in the POD
    Thickening of the cervical canal

    1. Buddy M.D. Post author

      It’s difficult to comment on her condition without any physical exam.

      All that can be said is that you need to go for a biopsy at the earliest. Only then, some diagnosis can be made.

  66. Deepali Jain

    Uterus is normal in size and anteverted . I had a ultra sound two anechoic cysts are seen in the left adnexal region (35mm and 21mm).
    Right ovary measures 25*19mm.
    Symptom- mid cycle spotting PV for 3 days for last 2 months.
    I will be thankful if you please tell me the cure for the above and is this anything serious. Also the treatment you recommend me for the above.

  67. Tasleem

    Hi doctor,
    right ovary measure (33*33) mm and contains a single follicular cyst measuring (8*8)mm.
    left ovary measure (24815)mm, with no follicles seen.
    the uterus is normal and normal in size,(72*32*37)mm.
    the endometrium is normal thickness.
    no myometrial masses seen,
    the cervix appear normal
    there is no fluid collection in the posterior cul-de-sac,
    the urinary bladder appears normal and is distended with echo-free urine
    normal kidney seen.

    the above report is done on 29/10/2014

    Would like to know is there any problem in my ovary. I have 2 miscarriage in my past. I want to try for further pregnancy.

    Awaiting for your earliest reply.

      1. Tasleem

        I am 33 years old, weighing 47 kgs and my husband’s age is 34.

        I don’t have any pain in my abdomen. I get my menses regular in month, but it’s only for 1 or 2 days.

  68. Tasleem

    There was some error in my previous report. Sending updated copy.

    Hi doctor,
    right ovary measure (33*33) mm and contains a single follicular cyst measuring (8*8)mm.
    left ovary measure (24*15)mm, with no follicles seen.
    the uterus is normal and normal in size,(72*32*37)mm.
    the endometrium is normal thickness.
    no myometrial masses seen,
    the cervix appear normal
    there is no fluid collection in the posterior cul-de-sac,
    the urinary bladder appears normal and is distended with echo-free urine
    normal kidney seen.

    the above report is done on 29/10/2014

    Would like to know is there any problem in my ovary. I have 2 miscarriage in my past. I want to try for further pregnancy.

    Awaiting for your earliest reply.

  69. Tasleem

    But my doctor didn’t tell me anything. He says reports are normal.

    But I showed this same report to another doctor. They say, there is some problem in my ovary. The size of follicular cyst should not be (8*8)mm. Please advice.

    1. Buddy M.D. Post author

      The reports are normal.

      It is common to have follicular cysts in the ovaries. Such cysts do not interfere with conception. They regress on their own in 2 to 3 cycles.

      You need to stay relax. Plan your conception. After 3 to 4 months, you may get a repeat U/S done to check the status of the cyst.

      Intervention is required only if it grows in size or gets infected.

      1. Tasleem

        Thank so much doctor for your reply.

        I have 1 more query about rubella infection. Let me give full detail about the report.

        Torch screen – reported dated 1/9/2014

        Toxo IgG (ECLIA ELISA) – 75
        Toxo IgM (ECLIA ELISA) – 0.3
        Rubella IgM – 0.3
        Rubella IgG – 493
        CMV IgM – 0.4
        CMV IgG – 42.9

        I have done the same test again on 14/10/2014, the details are below:

        Toxo IgG (ECLIA ELISA) – 73
        Rubella IgG – 479
        CMV IgG – 60

        I have gone through internet to get some detail about rubella, but I couldn’t understand.
        Will this infection again affect my pregnancy or miscarriage or baby will be infected. Is there any medicine for rubella?

        Please advise.

        1. Buddy M.D. Post author

          Rubella is a viral infection that may lead to miscarriages in the first trimester.

          There is a vaccine available against it. Talk to your doctor about getting yourself vaccinated against rubella before conceiving again.

  70. Nor

    Hi! I am 67 and my USG report comes with the following findings.

    Uterus is enlarged measuring 9.6 x 7.3 cm with large echogenic lesion in the uterine cavity with multicyctic areas.
    My CA125 value is 58. Your comments on this please.

    1. Buddy M.D. Post author

      There is some growth in your uterine cavity. This is definitely abnormal.

      Since your CA 125 levels are high, malignancy needs to be ruled out.

      You need to go for further investigations. Your doctor may like to take a biopsy from the growth.

    2. Nor


      I have gone through MRI and it shows different sized mass 8.5 x 7.5 x 7.5 cm of Heterogeneous intensity nature showing cystic and solid enhancing components. It shows irregular margins and pushing the uterus rightward with indistinct fat planes. Report likely favor ovarian carcinoma
      Doctor wants to remove it asap as she think is the only option. Do you suggests any further tests?

      1. Buddy M.D. Post author

        It’s advisable to go with your doctor. The only test possible is investigating the mass after removal!

  71. Rose

    Doctor, I am a lady of 28. About to get married Jan 2nd. I went for my usual scan check up. A transvaginal scan was conducted. This is the result
    A normal sized empty uterus measuring 55×50×35mm in length;width;and thickness is seen
    The endometrial plate measures 9 mm
    There is fluid in pouch of douglas (depth 12mm)
    Both ovaries are seen with growing follicles
    There is a complex cystic mass measuring 25×35mm seen on the right adnexa suggestive of
    2)ectopic gestation
    I don’t feel any pain of any type. Also no abnormal discharge. What’s my fate doctor. Will this stop me from getting pregnant? Am super worried.

  72. Linda

    Like I stated before, I have no symptoms. I only went for the scan because it’s what I do once in a while just to be sure that my ovaries and womb is in good condition. Let me also add that my doctor put me on an injection today called rocephin. Problem is he isn’t convincing to me that antibiotics will fix the problem. I trust your judgment more. Please advice.

    1. Buddy M.D. Post author

      He is suspecting an infection in your pelvic region, as you have fluid in your pouch of douglas and an abnormal mass, which may be a swelling. This happens mostly in infective states.

      Rocephin is an antibiotic.

      If you do not respond to antibiotics, he may have to investigate further. However, a trial of antibiotics is justified, as this is the commonest cause of these findings.

  73. Anu

    Dear Sir,

    I got married in Jan this year and my mensuration cycle is normal with a cycle of 28 days. Have not yet conceived. In month of Nov, I got ultrasound done of my abdomen and the report said the following :
    Uterus is Anteverted (size 6.8×3.6×4.2 cm) Shape and Echo Texture is normal. Uterine Cavity is normal. Endometrial thickness 7mm. No evidence of Uterine Mass Lesion seen.

    Adenexae : There is cystic lesion measuring 5.2×3.8 cms in the RT Adenxal Area >>>> Ovarian Cyst RT
    LT Ovary is normal in size. No evidence of Adenexal mass seen. Follicle of 27mm seen. POD is clear.

    I am worried if I can ever get pregnant or not? I had no symptoms but is the formation of cyst of this size dangerous and life threatening? What should be the way ahead? Planning to go to a Gynecologist, but wanted to have your opinion on the same so that can ascertain if the line of treatment of Gyne is correct.

  74. anonymous

    I’m a 38 year old female. I had to have a complete hysterectomy 14 years ago due to polycystic ovaries, endometriosis, adinomiosis, and fibroids of the uterus. Anyhow, recently, I have been having very sharp, stabbing pain in the groin/hip area. An ultrasound showed a small cystic mass in that area, measuring only 1 cm and anechoic, no blood flow. As I said, in quite a bit of pain, can this little thing be causing it and what could it mean.

    1. Buddy M.D. Post author

      You need to go go a check up. It’s difficult to say anything without examination.

      What’s your age? Malignancy needs to be ruled out.

  75. Shakti

    My ct report says complex left adnexal cyst?? Size is 47×37×33 mm .Hemorrhagic ovarian cyst size 1.5×5.6 mm
    Small linear hyperdence lesion in left lumber region likely to be displaced surgical clip.
    Is surgery required.
    I am suffering with severe pain in left side. My back also aches

  76. P.Jayalakshmi

    Sir, I am 37 years old married woman. My right adnexa shows a cystic lesion of size 78* 50 mms . No evidence of internal echoes/,septations. No free fluid in pouch of Douglas . Need any surgery or not ?

    1. Buddy M.D. Post author

      Are you getting normal periods? How many kids?

      Usually, small lesions as yours are managed by giving pills for around 3 to 6 months.

  77. my is rebecca i an 28years

    i was having a sharp stomach pain frm the pelvic to d viginal and bowel problem, so my doctor ask me to go fr a pelvic and abdomen scan , so d result shows ..uterus-nongravid anvented measuring 55mm×52mm×40mmAP with thick10mm central endometrial echo observed, Adnexa is mixed echo, i am 28 years old pls doctor wat should i do and i ve been trying to conceive for d past 3 years

    1. Buddy M.D. Post author

      Do you have normal menses? Any discharge from the vagina? Have you ever been on pills?

  78. Sunaina

    Sir, I have adnexal mass in size of 50x50mm. I feel pain most time. I took medicine and during medication my pain was gone, but after one month my pain begin once again and I am worried about it. Please suggest me what I should to do. Is it harmful.

    1. Buddy M.D. Post author

      Your age, which side is the cyst located, are you getting normal menses, number of kids you have?

  79. jia

    Hi. I am 33 years old.
    I have left adnexal cyst measuring upto 5.8×5.0x3.4cm without any septations, debris and nodules. I am, getting married in next month. Please tell me that this would this cyst cause a problem for me to get pregnant?

    1. Buddy M.D. Post author

      It may.

      Are you having regular menses. You’ll need to get this treated before planning pregnancy.

  80. SP


    I am in my third year of recovery from Triple negative breast cancer. I had 6 months of chemotherapy. I have not had a period after the chemo with the exception of a couple of times in the past few years. I have been having abdominal cramps and back pain without correlation to a period cycle. Back pain keeps me up at night. I have had several ultrasounds and the results vary every single time. There seem to be a high frequency of cysts that appear, the last ultrasound noted hydrospalnix. The most recent ultrasound reflects Ovaries are unremarkable. In the right adnexa an ovoid structure measures 1.7 x
    0.8 x 1.1 cm, unchanged. The right and left ovaries measure 1.2 x 1 0.6 x 1.4 x
    1.1 x 1.2 x 1.6cm, respectively. No definite adnexal masses. No free fluid.
    In addition, the report also states “an area of heterogeneity in the lower uterus that could be a fibroid”
    Please can you help me understand if the above findings are normal? I am concerned about metastasis. Thank you.

    1. Buddy M.D. Post author

      It’s unlikely to be malignancy there. However, your doctor would like to rule it out.

      Your body hormones are disturbed and all this is likely to be linked with disturbed female hormones.

  81. JP

    I am 32 years old. I went to ER for pain in my lower abs. Doctor did order a CT abdomen/pelvis wo contrast and says 2.5 cm cystic structure seen within the right adnexa likely related to the right ovary. There is also a comparison from 2008 that says the same thing. However I never knew about that from 2008. I am assuming the doctors aint worry about that if they did not mentioned that to me at all until I asked for my labs results. Please advice.

    Thank you.

    1. Buddy M.D. Post author

      Earlier, the mass didn’t give you pain, so you didn’t notice it. Now, it has become painful.

      Your menstrual history, no. of kids?

        1. Buddy M.D. Post author

          This may be due to some pelvic infection or else a hormonal problem.

          Your doctor may first try antibiotics to heal this.

  82. mani

    my mom was suffered by stomach cancer. stomach was removed 11 months back, later she took 6 cycles of chemo. Now ultrasound report says, “Predominantly solid appearing lobulated mass lesion left adnexa with minimal free fluid in abdominal. right ovary measures – 2.7*2.2
    left adnexa 7.9*4.9 cms.”
    now her age is 47. but didnt get any pain.

    Can you please help me to understand this.

  83. Stephanie Pulda

    I had laparoscopic surgery 16 days ago after a CT Scan and ultrasound showed 2 masses in my left ovary; one mass had burst. They removed my left ovary and left Fallopian tube.

    Five days after surgery, I began to experience severe abdominal pain and a low grade fever. A CT scan showed severe colitis. I was admitted to the hospital for a week and was given IV antibiotics. A colonoscopy was done. We were told the colonoscopy didn’t show anything of concern and that I must have just had an infection of some sort. Since I was still experiencing a lot of pain in my lower abdomen the hospital did another ultrasound. It showed a “left adnexal structure, with multiple cysts present.” Four days later, my doctor’s office did another ultrasound and said it looked the same as the prior ultrasound, with a “left adnexal mass that the sonographer said looks like an ovary, but we know you had that removed, so it’s not an ovary.” The doctor said for now he’s going to have me come in once a week and monitor me/my symptoms and then do another ultrasound in a few months.

    I am in a lot of pain, am very confused, scared, and extremely concerned. I just had my left ovary and Fallopian tube removed because of masses in my ovary. I shouldn’t have anything on the left side – I would think. What could this “left adnexal mass” be? What could be causing it, and what should be done?

    1. Buddy M.D. Post author

      If it’s not an inflammatory mass, formed in sequel to the surgical procedure, that should regress on its own as you take your antibiotics, it’s very likely to be some left over mass from the ovary or the tube. Repeat ultrasounds would reveal the diagnosis.

  84. Varsha Bhonde

    Hello Doctor,
    I am 40 Years women, got married 1.5 years back. I was on steroids for 10 months (Wisolone 60-10 mg for 9-10 months and Azaron for 4-5 months) for my eye treatment. During the treatment we care about not conceiving without any medication. My treatment completely stopped in April 2016.
    Now we are planning for baby since last 3-4 months. We consulted Doctor, she suggested me some tests all reports are normal. But I found one problem in Sonographic Interpretation i.e. Left hemorrhagic ovarian cyst. The details are given below

    Ultrasonography of abdomen and pelvis

    Imaging Finding
    LIVER: 12.6cm & appears normal in size. Echo-pattern of Liver normal. No solid or cystic mass is identified in liver. Portal vein is of normal caliber.
    BILE DUCT: Common hepatic duct & common bile are of normal caliber.
    GALL BLADDER: Distended, normal.
    PANCREAS: Visualized part of head and body of pancreas appears normal.
    SPLEEN: Spleen is normal in size (7cm) and shows normal echogenecity, no localized or cystic mass is identified in spleen
    KIDNEYS: Right Kidney: 9.1×4.3 cm; Left Kidney: 9.4×4.7 cm
    Both kidneys shows normal position, size, cortical medullary echo-texture and corticomedullary differentiation. There is no evidence of dilation of collecting system of either of the kidney. Ureters are not dilated
    There is no evidence of free fluid in abdomen and pelvis.
    Urinary Bladder- Distended, normal.
    Uterus measures 3.3x5x7.8cm and appears normal in size, shape and echo-pattern. ET-3 mm thin midline.
    LEFT OVARY: A well defined heterogeneous mass lesion of size 3.5×4.5cm is noted in the left adnexa. Left ovary could not be visualized separately for this lesion.
    RIGHT OVARY: Right Ovary appears normal in size, shape and echo-pattern and vascularity.
    POD – Clear, Adnexa clear.

    Sonographic Interpretation : Left hemorrhagic ovarian cyst

  85. Manmohan

    My Daughter is 13 y Old.
    In past 3 months she had period ( 7Days) at intervals of 15 days. and then no period for last 45 days.
    Ultrasound findins are as follows
    ? Mild echogenic mass with multiple small cystic changes are seen in right
    adnexal region abutting and compressing normal right ovarian tissue ? right
    ovarian/ adnexal mass.
    ? Left ovary appears enlarged in size with multiple small follicles arranged
    peripherally and central echogenic stroma ? Polycystic ovarian disease.

    Can you please explain me what this report means, further diagnostic test &possible treatment. Is this Echogenic Mass in right adnexal could be cancerous or can develope into cancer


    1. Buddy M.D. Post author

      Likely to be a hormonal problem, not cancer. Needs treatment at the earliest. If obese, try reducing weight. This helps in treatment.

  86. Radha

    Dear Sir / Madam
    I am 36 years and weight of 37 kg, having 13 years son,

    Past 4 years i am having abnormal pain during menses and taking pain killer injunction while pain. Now i consulted Dr and took scan, it shows that Right adnexa shows moderately defined hypoechoic lesion with internal echoes measuring 4.6×4 CM . No internal vascularity noted. Right overy not seen separately from lesion. also blood test of CA125 (carbohydrate antigen) (ECLIA) is done and the results is 199.10 U/ml ( limit is <35).

    Kindly clarify whether is abnormal, and what is the medical treatment to cure permanently.

  87. Satyajit Mazumdar

    My wife underwent Total Laparoscopic Hysterectomy in Nov 2016. Her Uterus, Both ovaries, tubes, cervix are removed. She suffered from Grade 4 Endometriosis. Recently she undergone a USG where everything is fine except a small adnexal cyst measuring 24 mm × 14 mm in the left side. Is it normal ???

  88. Radha

    Dear Sir / Madam
    I am 36 years and weight of 37 kg, having 13 years son,

    Past 4 years i am having abnormal pain during menses and taking pain killer injunction while pain. Now i consulted Dr and took scan, it shows that Right adnexa shows moderately defined hypoechoic lesion with internal echoes measuring 4.6×4 CM . No internal vascularity noted. Right overy not seen separately from lesion. also blood test of CA125 (carbohydrate antigen) (ECLIA) is done and the results is 199.10 U/ml ( limit is <35).

    Kindly clarify whether is abnormal, and what is the medical treatment to cure permanently.

    1. Buddy M.D. Post author

      CA 125 levels are very high, suggesting that you have problem that needs further investigation for diagnosis. A biopsy may be suggested.

      Kindly put your value in our lab test tool here and see conditions where levels are high.

  89. Jason Galeos

    My mom 65 y.o has ovoid Hypodense Focus measuring 2.9 x 2.8 , at the right adnexal region , she had have an open heart surgery , may I ask if there is something to worry about..?

      1. Jason Galeos

        No , she is not feeling any discomfort of some sort , it was detected through Abdominal CT scan – OB-Gyn requested for a trans-vaginal Ultra sound – I am so scared that they may find out anything other than what they saw on CT – never had any history of cancer or anything that is why it is a shock to me that CT showed something – what does ovoid Hypodense means if I may ask ?…No , she is not feeling any discomfort of some sort…

        1. Buddy M.D. Post author

          It’s difficult to comment what this is, without further investigations. Your doctor would like to take a biopsy and do blood work to detect tumor markers as well.

          Do keep us informed about the reports.

          1. jason

            Transvaginal has been done , this are the findings – thanks once more for the response

            Right ovary : Located lateral to the uterus , converted to a ovoid , cystic structure with dense echogenic dots and lines within causing posterior shadowing measuring 3.1×2.8×2.3 cm , to consider dermoid cyst , no color flow noted

            Impression :

            Normal Sized Retroverted Uterus
            Thin Endometrium
            To consider dermoid Cyst , right ovary
            Atrophic left ovary

          2. Buddy M.D. Post author

            Reports are very positive. Nothing to worry. In all likelihood, this shadow may be a shrunken ovary. This is common at this age, since the organ looses its functionality.

            Your doctor may like to rule out Dermoid cyst, which is again a non malignant mass. This mass, however, may demand removal.

  90. jason

    follow up question though , is there a chance , given my mom’s age (65 ) that the dermoid cyst will grow ? or what if she decided not to remove the cyst ? is it okay ?

    1. Buddy M.D. Post author

      It’s unlikely of it to grow at this age.

      Removal is not mandatory. As assessment will be done by your doctor regarding chances of the cyst to complicate.

      If the cyst has chances of getting infected or twisted or its walls are weak and may rupture sometime…it may need removal.

      1. Jason Galeos

        Thank you so much for the response – we just literally came from the Doctors office and same advice was given by the Gyn – I truly appreciate the time and knowledge you are sharing with all of us – always take care and I will be an avid reader of your website – thanks once more –


    Hi Doctor, i was feeling lower abdominal pain and a week before my Scan I went for cervical Cancer Screening and my Doctor prescribed for me Cipro, Metro and Doxy for treating Tricomoniasis, But still feeling the abdominal pain. i went back and did scan so the doctor prescribed for me Cefixim and Sechinadal, The scan reports there is a small Simple well define right ovarian Cystic Mass with thick hypoechoic walls seen with clear internal contents of size 2.31*2.32cm
    the Uterus appears normal in size, shape and Echo-patterns. no masses seen. Length of 9.05cm and Width of 3.55cm
    there is a normal hypoechoic endometrium with trilaminar appearence seen, Endometrium……1.02cm
    Acute Lower Reproductive Tract Infection
    Simple Right Adnexal Cystic Mass(physiological in nature) ….WHAT IS THE MEANING OF THIS MASS

      1. BEATRACE

        No, my periods are regularly okay but i feel serious lower abdominal pain during my ovulation window for three constant days. and after this window i am normal. (Problems, REFER TO: above medical scan report)
        I am 24 years old with one child aged 3 years.

    1. Buddy M.D. Post author

      Pain is likely to be due to the mass. Such masses may get formed due to hormonal imbalances .You need to be treated for this.

  92. Kailey

    I am a 39 year old female. Partial hysterectomy 9 years ago .
    7 months now I have had off and on pelvic pain. My doctors were treating what they thought was chronic bladder pain and UTIs. Last two appointments showed no UTi but my pain had subsided so I stopped treatments.

    Now 7/5/18 I woke up with extreme pelvic pain and now abdomen pain as well. Constipation, extreme pain trying to urinate or during BM
    Doctor order d a CT scan to look for kidney stones.
    Ct scan showed 5cm adnexal mass left ovary.
    I’m being referred on to a specialist but this pain is unbarable.
    Should I be concerned this is cancer? My history of the hysterectomy has me questioning it being something simple.

      1. Kailey

        I had 3 children. I honestly don’t recall. I had a lot of pain but felt like the hysterectomy was not needed. Afterwards he told us he only found an enlarged uterus.

        1. Buddy M.D. Post author

          Your symptoms are very likely to be linked with this adnexal mass. It’s very unlikely to be cancerous. However, treatment required. Your doctor may put you on hormonal pills.

          If the cyst is too big, it may have to be removed surgically.

  93. Pratiksha

    Hi, I am 38 years old. I was suffering from mucinous cystadenoma of 7cm in month of November and the gynaec had given me Novelon tablet and it got dissolved. Now last week I started getting sudden pain in my right side of abdomen. I did an ultrasound and report says simple cyst in right ovary measuring 6.2 X 3.4 CM. Is there anything to worry about.

  94. Naveen Seth

    MY CT Scan Report- Right adnexa show large solid cystic lesion measuring approx. 15*11.5*9.5 cm with thick enhancing internal septation. Mass lesion causing displacement of uterus left sided. Mass lesion causing right sided hydroureteronephrosis.

    I am 70 yrs old female from India. On 17th July when I did the ultrasound & CT because I feel normal pain in abdomen and having loose motions after 2-3 days but now not having any pain but sometimes fee for some minutes normal pain. is it call ovarian cyst? or abdomen cyst and I don’t want to operate in this age because I can’t walk properly because of having Knees and back pain also my both legs bones gives sound when I try to take big stap. My weight is only 45 kg so Please suggest me what to do, Waiting for your response.


    1. Buddy M.D. Post author

      This is not an ovarian cyst. From info you’ve provided, this appears to be hydroureteronephrosis, that is, swollen kidney. May be because of some kidney stone.

      This stone may also be giving you intermittent pains.

      And about your bones…what makes them so weak. Have you got your calcium levels checked up? Have you got bone densitometry done?

      1. Naveen Seth

        Thanks for your reply. Oh so it is not an ovarian cyst, hydroureteronephrosis it is. So why our doctors told us it is an ovary cyst which is not as you said. We already consulted with 5-6 doctors in Jaipur, Rajasthan, India they said the operation to remove ovary cyst as well as the uterus. Please suggest what to do now, any medicine or any doctor in India which you suggest who understand exact problem.

        My knees bones are weak and some gape is there as ortho dr. said so I take medicine and get relief for some time but not permanent, it’s like when I took medicines, got relief but right now only taking durapain (Painkiller).

        I can send all the ultrasound photocopy to you so please give me your email id and help me to fight with this. I will really appreciate you please tell me the right way.


  95. Debalima Chakraborty

    I am 38 years old female.
    I got my USG – whole abdomen report today.

    Uterus is ante vented and normal in size(86 mmX43mmX35mm).Endometrium (collapsed wall) is in midline. Endometrial thickness is = 6.3mm.
    Myometrium appears smooth and homogeneous without any detectable /sizable focal lesion
    Cervix looks clear.
    Pouch of Douglas is free.

    Right Adnexa
    A large cystic SOL measuring 103mmX117mm with septum inside is noted. Right ovary (36mmX20 mm) is seen separately.
    Left Ovary
    It is normal in size (30mmX15mm),shape,position,margin and echo-texture.

    I am worried – please suggest me what to do. I already have my doctors appointment tomorrow.

  96. Kring Gonzales

    The uterus is anteverted and is normal in size. It measures 5.0 x 3.6 x 2.5 cm. Endometrial stripe is we l delineated and is of normal thickness (ES= 9 mm). The myometrium shows a homogeneous echo pattern. No uterine mass nor any uterine abnormality seen. The left ovary is normal in size and echo pattern. There is a complex focus in the right adnexa, lying above and adjacent to the uterus. This complex mass measures approx. 3.9 x 3.5 cm. No calcifications were seen. No other adnexal mass or fluid co lection in the pelvis. Abdominal aorta is unremarkable with no evidence of aneurysm or significant plaque formation.

    Normal liver, biliary tree, ga lbladder, pancreas, spleen, kidneys, urinary bladder, uterus, left ovary and abdominal aorta. Complex mass in the right adnexa (endometrioma?)

    I’m 24 years old..I have menstrual irregularities and lower back pain..I also felt heart burn some times and not having poops everyday..Please advise undergone WAB ultrasound and that’s the result above please advise asap..thank you

    1. Buddy M.D. Post author

      This abnormal mass on your right adnexa needs to be evaluated further for diagnosis. An ultrasound guided biopsy may be required for this.

      Accordingly, you’ll be treated. Endometriomas are completely treatable by medicines, in most cases.

  97. Salini MP

    Sir, I am 34 year old woman with two children. I have a cyst in the left ovary in my first Pregnancy. Later I have regularly checking Last 7 years. In the last year cyst measuring 5.2 x 4.4cms with thin septations. No solid component/Internal echoes. Is it dangerous .I have totally nervous, please tell me

  98. Shelly

    I had surgery for dermoid cyst removal in 2016. In march 2018 I again had surgery for ectopic pregnancy. From last 20 days I am having pain in my lower abdomen, so I consulted to doctor and she told me I am again having adnexal mass collection which may be due to ectopic pregnancy. She advised me for surgery but I don’t want surgery again. my one fallopian tube already removed and I don’t want to loose another. I don’t have severe pain, is there any other option available to remove this mass collection.
    One more thing during intercourse my husband never released his liquid inside my body, is there any chance of such type of pregnancy??.

    1. Buddy M.D. Post author

      It can’t be said whether this mass is a pregnancy or not, unless they take a biopsy out of it, else they take your hormonal levels.

      Did they confirm pregnancy?

  99. Divya

    Hello doctor,
    I am 29yrs unmarried. I got pain in right side of abdomen sometimes lower abdomen. So I took usg abdomen and pelvis. In my left kidney microlith measuring 3.3mm seen in mid pole.
    Both ovaries show multiple peripherally placed follicles with central echogenic stroma.

    Cyst measuring 3.6* 3.3 cm with fine internal echoes seen in right adnexa.
    Right ovary measures 2.7*2.3*2.2 CMS volume 7cc
    Left ovary measures 3.0*2.1*2.0 CMS volume 7cc

    I have normal mentural flow. My mother 45yrs died of breast cancer 5 yrs back.

    I used to check my usg breast 6months once yhe report is normal.
    Right adnexal cyst bothers me more …..

    What could be the cause? It there any thing serious? Any treatment needed? Please tell doctor .

  100. Divya

    No doctor. They haven’t done any biopsy. Do I? I have sharp pain in the upper abdomen below left side of ribs. I took usg for this pain only. I am obese 80kg and known case of thyroid taking 1mcg of eltroxin daily. I am also taking arpizol 10mg and rexipra 10mg daily for depression.

  101. Shilpa

    Hello doctor,

    I am in the 8th week of preganancy through IVF. We transferred 2 embryos, and one implanted and we can see the sac and hear the heartbeat. To check if the second embryo dissolved I got the scan, and this is the report saying.

    Cervix 4cms , single live embryo noted with CRL 2.1 cms. No evidence of perigestational collections.

    Both ovaries appears normal. On the surface of LO there a mixed echogenic structure measuring 11mm.
    ? Thickened tube? Unruptured ectopic gestation left.Adviced clinical correlation.

    POD : Minimal fluid noted.

    So the doctors are saying, we can’t say anything now, we will do another scan in 2 weeks to get the clearance on ectopic pregnancy. But I am afraid if we wait for 2 more weeks and if it is Ectopic it would be the bigger problem. They said if I have any cramping, spotting or bleeding I need to go to emergency if not wait for the scan in 2 weeks. As of now no symptoms, but I just want to make sure if it is ectopic or not sooner than later. Can you please advice what I should do, and what I should ask the doctors to rule out ectopic.

    1. Buddy M.D. Post author

      Better to go as per your dactor’s advice.

      One fertilized egg has been securely implanted. So, they may avoid messing up unnecessarily. There are chances that the the ectopic one resolves on its own with time. Just stay relaxed.

      However, if you get any discomfort or symptoms, as your doctor said, intervention may be needed.

      1. Shilpa

        Thank you doctor for your respinse, I guess I will wait and see then. Upon my request they are seeing me in next week instead of waiting for 2 weeks. But as per the ultrasound details if it it is not ectopic what it might be? And will it cause any other problems during my pregnancy?

  102. Anonymous

    Pelvic Report :The anteflexed uterus measures 64x32x40 mm in diameters, The endometrium measures 10.01 mm in AP diameters, The myometerium appears homogeneous in echotexture, Right ovarian volume = 5.48cc, left ovarian =6.2cc, Both ovaries appears normal,In the right adnexa a 52x 18 mm tubular structure is seen appearing separate from the right ovary, Appearance is consistent with presence of a hydrosalpinx

    1. Buddy M.D. Post author

      Your right tube seems to be filled with fluid. it’s likely to be blocked.

      Little fluid may get absorbed by medicines. If not, surgery would be the only option.

  103. Anonymous

    Pelvic Report :The anteflexed uterus measures 64x32x40 mm in diameters, The endometrium measures 10.01 mm in AP diameters, The myometerium appears homogeneous in echotexture, Right ovarian volume = 5.48cc, left ovarian =6.2cc, Both ovaries appears normal,In the right adnexa a 52x 18 mm tubular structure is seen appearing separate from the right ovary, Appearance is consistent with presence of a hydrosalpinx”

    ” Your right tube seems to be filled with fluid. it’s likely to be blocked.

    Little fluid may get absorbed by medicines. If not, surgery would be the only option.”

    what can you do that’s non surgical to know for sure 100% if its block or not? If medications can help cure instead? And what can cause it to have blockage (fluid ) ? And what and how fluid get there?

    1. Buddy M.D. Post author

      The usually cause of such conditions is infection. May be, you harbored some infection in your pelvis in the past, that was not completely cured or not diagnosed in the first place.

      Chronic inflammation in the area resulted in collection of fluid and development of fibrous bands inside the tube. This is body’s attempt to confine the infection to one place.


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