Treated For Ectopic Pregnancy. Lower Abdominal Pain. TVS Ultrasound Showed Hemorrhagic Cyst. Prognosis?
please advise i am patient's husband and very distressed for past six months.
Ovarian cysts are very common in woman's childbearing years. These are benign in more than 95% and not harmful except in rare cases.
Haemorhagic cyst is folicular cyst which develops when blood accumulates in simple follicular cyst. Cyst development is related to slight possibility of ectopic pregnancy. Generally, cysts in younger women tend to resolve themselves with monthly ovulation. Considering this report this is benign, noncomplicated cyst.
It can be asymptomatic, but usual symptoms are irregular periods, lower pelvic pain and pain during intercourse and vaginal bleeding.
3cm cyst is moderately large cyst and it can be a reason for her intermittent pain. It can grow even to 8-10cm. It would cause severe pain if become torsioned or ruptured.
Doctors recommend that cyst should be removed if larger than 5cm, press surrounding organs,show abnormal and fast grow or cause persistent pain.
Usually,in the beginning doctors prescribe birth control pills to control hemorrhagic cysts. If the pain persists after this, ultrasounds should be repeated after 2 months and if it shows size progression, doctor may suggest cyst removal which done laparoscopicaly today and it is pretty simple procedure.
All in all, this cyst is probably the cause of her symptoms,but there are some other possible causes such as endometriosis, pelvic infection(std, tuboovaran abscess etc.) or diverticulitis and other bowel issues. But I suggest to go step by step and first evaluate her reproductive system, do MRI if necessary or diagnostic laparoscopy. Nothing bad can happen in short time.Ask your doctor about hormonal therapy and some stronger pain killers. I am sure she will feel better.
Hope I have answered your query. If you have any further questions I will be happy to help"
Also there might be pelvic abscessus or residue after ectopic pregnancy and if she experience pain periodically this is a sign of possible endometriosis.
ALl these things I am mentioning cannot be verified by blood test, ultrasounds or vaginal examination. Some more sophisticated methods such MRI, CT or diagnostic laparoscopy are necessary for detailed visualization. I suggest to do it if you dont believe this is IBD, and I dont believe it either.
It can be related to colon, but it is more likely diverticulits or colon endometriosis. This is all I can tell you without knowing her findings and without further tests noone cant tell you the right diagnosis.
MRI and CT are less invasive than laparoscopy. I dont know how hard is in your country to get these tests. But usually CT should be the first and the easiest option,there is some irradiation,but isnt harmful if CT isnt oftenly performed. MRI is more sophisticated and there is no irradiation but it is more expensive too.
CT can visualize her digestive and reproductive organs and fluid collections.
If it shows no abnormality then there is nothing to worry.
But I dont think her condition is something serious. SUch difficulties are experienced by many women and usually treated by hormonal therapy and painkillers and antibiotics if suspected infection.