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Report Shows Myomatous Uterus Complex Nabothian Cyst, Hemorrhagic Right Ovarian Cyst. Experiencing Constant Pain, Nausea, Bloating Since. Advice?
51 yr old healthy history- 5 pregnancies with live births & 3 abortions including ( one illegal saline abortion at 28 weeks gestation ) had uterine aplaysia 3/5/12 due to excessive uncontrollable bleeding- have had pain soon after last pap test feb 2012-normal Had 2-4-7 transvaginal sonogram on 3/8/13 uterus measures 11.4 x 7.9 x 7cm multiple itramural myomas 3.6 cm dominant one posterior fundus - second largest anterior fundus 2.7cm- endometrium homogenoous 6mm - right ovary measuring 3.5 x 2.3 x 1.6 cm contains 1.7 cm cyst with low level internal echoes likely a hemorrhagic cyst. left ovary normal 3 x 1.8 x 1.6 cm - pelvic fee fuid-none impression- 1. myomatous uterus 2. complex nabothian cyst. 3. 1.7cm hemorrhagic right ovarian cyst. Since results of this report experiencing constant pain & feeling of pressure & fullness inceasing -changes in bowel movements, inability to eat whole meals and at times nausea with extreme bloating and visual change - largening-wide-puffy of pelvic area below naval making me feel like internal organs are being pushed upward strangely. Dr sending me to different dr for biopsy and further testing since amount of time since 3/8/13 and symptoms increasing. What should I ask next doctor??? I understand fully these above mentioned results however dr today 10/23/13 states I should be further tested for uterine cancer so I am being referred to different dr. They had never given me the results of this transvaginal sonogram mentioned above until I went in today complaining of present state. can you advise at all??
Wed, 30 Oct 2013
Hi,
Thank you for the detailed history.
It appears that you are having multiple fibroids in the uterus. These are common non cancerous tumors that most likely occur due to high levels of estrogen hormone.
The ovarian cyst is small and such cysts are an incidental finding on sonography. As a clinician I am not worried about the cyst unless it is more than 5cm large. Your cyst is only 1.7 cm. So you must not worry about it as most of them disappear on their own.
The size of the nabothian cyst is not mentioned. They are non cancerous and occur due to blocking of the opening of the gland in cervix. They too do not usually need treatment.
So the only concern are the fibroids that are increasing the size of the uterus. Usually they cause heavy bleeding during periods, pain or press nearby organs like the intestines and bladder and irritate them. This leads to increased frequency of urination or altered bowel movements and bloating.
The fibroids may disappear by themselves or decrease in size after menopause. But since your fibroids are already causing symptoms, you need to treat them.
Now about uterine cancer.
The cause of uterine cancer and fibroids both is believed to be high estrogen. So when any women with fibroids comes to my clinic, I usually do an endometrial biopsy [take a piece of endometrium and have it examined under microscope for abnormalities] so as to be sure that there is no associated cancer. The chance of a woman actually having cancer is very less, but still if it is present, it changes the treatment. So this is an essential step.
So I suggest that you visit a gynecologist and discuss all these issues with her. You will most probably need a surgery for the fibroids after ruling out uterine cancer. I would also suggest an ultrasound of the abdomen to look for other causes of bloating and nausea. Do not worry about the cancer test as this is a part of routine workup of fibroid patients and does not mean that you are at very high risk.
I understand that the answer is a pretty long one but I thought this was needed to satisfy all your queries.
Hope you find it useful. Feel free to ask any further queries that you may have. Thanks for using HCM.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
Thank you for the detailed history.
It appears that you are having multiple fibroids in the uterus. These are common non cancerous tumors that most likely occur due to high levels of estrogen hormone.
The ovarian cyst is small and such cysts are an incidental finding on sonography. As a clinician I am not worried about the cyst unless it is more than 5cm large. Your cyst is only 1.7 cm. So you must not worry about it as most of them disappear on their own.
The size of the nabothian cyst is not mentioned. They are non cancerous and occur due to blocking of the opening of the gland in cervix. They too do not usually need treatment.
So the only concern are the fibroids that are increasing the size of the uterus. Usually they cause heavy bleeding during periods, pain or press nearby organs like the intestines and bladder and irritate them. This leads to increased frequency of urination or altered bowel movements and bloating.
The fibroids may disappear by themselves or decrease in size after menopause. But since your fibroids are already causing symptoms, you need to treat them.
Now about uterine cancer.
The cause of uterine cancer and fibroids both is believed to be high estrogen. So when any women with fibroids comes to my clinic, I usually do an endometrial biopsy [take a piece of endometrium and have it examined under microscope for abnormalities] so as to be sure that there is no associated cancer. The chance of a woman actually having cancer is very less, but still if it is present, it changes the treatment. So this is an essential step.
So I suggest that you visit a gynecologist and discuss all these issues with her. You will most probably need a surgery for the fibroids after ruling out uterine cancer. I would also suggest an ultrasound of the abdomen to look for other causes of bloating and nausea. Do not worry about the cancer test as this is a part of routine workup of fibroid patients and does not mean that you are at very high risk.
I understand that the answer is a pretty long one but I thought this was needed to satisfy all your queries.
Hope you find it useful. Feel free to ask any further queries that you may have. Thanks for using HCM.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
I find this answer helpful
Hi,
Thank you for choosing Healthcaremagic. After analyzing your scan report there is no evidence of any malignancy or anything serious to worry. As your both ovaries or normal, and endometrial thickness is also normal , only abnormality is your uterine size which is big. All your symptoms seems to be PID -pelvic inflammatory disease.
Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
Thank you for choosing Healthcaremagic. After analyzing your scan report there is no evidence of any malignancy or anything serious to worry. As your both ovaries or normal, and endometrial thickness is also normal , only abnormality is your uterine size which is big. All your symptoms seems to be PID -pelvic inflammatory disease.
Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
I find this answer helpful
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