Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. 1) According to your CT scan report, I can assume that endometrium tissue injury is caused by recent D & C procedure (two times). However, if you don't have any complication or presenting symptom at present, then you don't have to worry much as endometrium tissue will heal up by own within 4 to 8 weeks following D & C or other procedure. In case of irregular bleeding or abnormal discharge, one histopathological (under microscope) examination of endometrial tissue will be worthwhile to rule out the underlying cause or pathology (if any). 2) Bilateral cystic changes or cystic lesion on left ovary (around 2 cm) mostly represents ovarian cyst. Size of the cyst is very small and usually benign in nature. If you don't have any problem with regular period cycle, then it is better to leave alone without any treatment. Otherwise, you can consult with your gynecologist for proper management. Hope, it helps for your information. Let me know, if you need any clarification. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up query. Followings are my comments: 1) Hypoechoic ovaries indicate containing of solid substance. However, it does not mean carcinoma or malignancy always. CT scan alone is not a preferred imaging technique for differentiating nature of the ovarian cyst. Following workout will be helpful to make a concrete diagnosis: a) Trans Vaginal Ultrasound scan with Color Flow Doppler Imaging technique. b) Histopathological examination (Biopsy) of concerned ovarian tissue. c) Blood test for CA 125 and MRI scan (if abnormal report is obtained with above tests). As your CT scan reveals bilateral ovarian cystic lesion without other associated findings, then they are mostly benign in nature. Endometriosis is not so relevant in this context. Kindly, consult with your gynecologist to proceed above tests to rule out exact cause and clear confusion. 2) Lower abdominal pain or backache may be associated with repeated D & C and injury to endometrium. Sciatica is also a relevant cause for the same. You can use muscle relaxant get over back, take hot compression and calcium supplement until you get an appointment to your doctor. Don't be worried much. Hope, I have guided you properly. If you don't have any other query, you can close the discussion. Good luck. All the best. Regards, Dr Soumen

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Brief Answer: MOSTLY BENIGN IN MY POINT OF VIEW. Detailed Answer: Hello, Thanks for response. In my point of view, ovarian cystic lesions are mostly benign in nature as there is no other associated findings on CT scan. Here, chance of malignancy is quite low at your age group. However, it would be worthwhile to proceed one pelvic examination and do above tests to confirm the diagnosis. Small size benign ovarian cyst usually doesn't need any treatment if your period becomes regular after initiation. Otherwise, hormonal medication and supportive therapy are required for proper treatment of the case. Hope, it helps for your understanding. Be well and take care. Regards, Dr Soumen

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Brief Answer: SCIATICA OR INFLAMMATION OF PELVIC ORGAN. Detailed Answer: Hello, Thanks for follow up query. According to your information, I can assume that underlying reason could be the inflammation of pelvic organs or sciatica (as your ultrasound scan normal) which can lead to this type of pain and radiate groin to lower back portion. TREATMENT: You can take NSAIDs (Non-Steroid Anti-Inflammatory Drugs) like combined Aceclofenac with Paracetamol and H2 blocker like Ranitidine (antacid). Pregabalin and Cyanocobalamin (Vitamin B12) are the adjunct drug treatment. It will alleviate your pelvic pain to some extent. Please, procure a prescription from your doctor. Hot compression, physiotherapy and applying muscle relaxant gel are the other option to treat your condition. You should take healthy diet with avoidance of high protein, maintain genital hygiene and take calcium supplement. If your pelvic pain remains same as previous following above therapy, I suggest to undergo one DIAGNOSTIC LAPAROSCOPY to rule out inflammatory changes. Hope, I have guided you properly. Kindly, close the discussion ad rate the answer. Regards, Dr Soumen

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Brief Answer: POSSIBLY NO CANCER. DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for query. 1) Near C-section scan, feeling of knot is not relevant to your current problem. It is mostly scar tissue and superficial in origin. 2) Pain of Sciatica pain radiate from back portion to lower abdomen. Your clinical picture is mostly suggestive of neurological pain instead of pelvic pathology. Just start above treatment under the guidance of your doctor to get effective result. 3) I don't think your pelvic pain is from cancerous origin. In your age, it is quite unlike. Also, CT scan doesn't reveal the other abnormal findings. So, don't be much worried about this. Hope, it helps for you to understand properly. Kindly, close the discussion. Regards, Dr Soumen

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Brief Answer: DON'T BE WORRIED MUCH. FOLLOW THE TREATMENT. Detailed Answer: Hello, Thanks for your response. 1) Yes, scar tissue make you feel like knots on that area in a straight line. It is not relevant with your current problem if the scar is not recent. 2) CT scan shows bilateral cystic changes with predominant 2 cm cyst on the left ovary. This type of clinical picture is very common during reproductive age group. They are mostly benign in nature. However, CT scan alone is not much helpful to rule out the nature of the cyst. In such case, you have to undergo additional tests which are mentioned in my 2nd text. Kindly, consult with your doctor when you get an appointment. Don't be worried unnecessarily. Hope, I have guided you properly. Kindly, close the discussion and rate the answer. All the best and good luck. Be well and take care. Regards, Dr Soumen

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