Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
157 Doctors are Online

Pain during sex, have cervix inflammation, ultrasound showed anechoic area in ovary, have chocolate cyst

User rating for this question
Very Good
Answered by
Practicing since : 1999
Answered : 158 Questions
Question
Yesterday I consulted a doctor at a Womens Hospital in Shanghai because I felt pain in my vagina when having sex with my boyfriend for a few minutes. The diagnosis was cervix inflammation. To get rid of it I now have to go to the hospital every day for three days and get a cleaning and medical treatment. Beside this they made another more worrisome diagnosis by ultra sonic check. The text on the report says: Left ovary about the size of 34mmx28mm, See inside an anechoic area About the size of
19mmx15mm, owe to avoid finishing, see dotted hypoechoic, posterior echo enhance. This is a semi-machine translation from the Chinese text, my English is not good enough to describe further. For reference I add the Chineses text as well: 左卵巢大小约34mmx28mm, 内见一个无回声区,大小约19mmx15mm,避欠光整,内见点状低回声,后方回声增强
Posted Sun, 10 Jun 2012 in Women's Health
Follow-up: Pain during sex, have cervix inflammation, ultrasound showed anechoic area in ovary, have chocolate cyst 15 minutes later
The doctor used the term chocolate cyst.
 
 
Answered by Dr. Meenakshi Titoria Sahu 2 hours later
Hi,
Thanks for the query.
Chocolate cyst is seen in endometriosis. From your findings it is difficult to make diagnosis. In my opinion you should have repeat scan after your periods. In the mid of cycle ovaries are often enlarged due to ovulation i.e. egg formation which is normal and does not need medication.

Regarding cervical inflammation, you should have a course of antibiotics and anti-inflammatory under supervision of local doctor. If your repeat scan shows same finding then you need treatment in the line of endometriosis.

Best wishes
Above answer was peer-reviewed by
 
Follow-up: Pain during sex, have cervix inflammation, ultrasound showed anechoic area in ovary, have chocolate cyst 23 hours later
Hello Doctor,

thank you for the reply, the correct translation is: The size of left ovary is about 34mmx28mm, with an anechoic area of about 19mmx15mm inside. The wall is not very smooth, with hypoechoic spots and an hyperechoic area behind.

The Chinese doctor advised an operation for removal asap, I'm really scared. I am not sure whether the hospital only wants to make quick money and doesn't do the diagnosis right.

How should the check look like if done correctly?
Thank you
 
 
Answered by Dr. Meenakshi Titoria Sahu 2 hours later
Hi,

In my opinion you should take a short course of antibiotic. In case if the changes are due to infection, it will be cured.

Secondly, you should get an ultrasound of ovaries immediately after menstrual period. The true size of the ovaries come to picture. If the findings are same, then laparoscopy is the answer to confirm the diagnosis. It is not an emergency so need not be done asap.

This is probably the best next step to take.

Best wishes
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor