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Ultrasound reveals left adnexal haemorrhagic cyst, myometrial cyst and fibroids. Leaky urine, missed periods. Pregnant ?

My recent transvaginal us revealed left adnexal haemorrhagic cyst (13 x 10 x 13mm) , small myometrial cyst (7 x 4 x 4mm) and fibroids . My period was due on 2 sept and am on a 28 day regular cycle but missed it this time. pregnancy test were negative. i am having discharges but normal in color and smell but the feeling is like i leaked urine. the dull pain on my left side started three months ago accompanied by unusual heavy menstrual bleeding. then this month no period but the pain was more intense. i was told that the cyst ruptured and will be absorbed by the body. my next period should be due by the end of the month. i ve been reading a lot about this condition and it appears it is normal. is it? . i m due for a check up at the end of a week for another pregnancy test. i dont believe I am pregannt but the waiting is making me anxious.
Asked On : Thu, 27 Sep 2012
Answers:  1 Views:  169
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OBGYN 's  Response
The size of the adnexal cyst you have mentioned is very small to worry about and to cause complications. Myometrial cysts and fibroids if small are nothing to worry about. They are found in all females during reproductive period.
But what im worried is that you have missed your period. Since you have had regular cycles, it should be better taken as an alert especially when you have an adnexal cyst associated. It can be that you have an ectopic pregnancy ( pregnancy at a site other than uterus most commonly in adnexa), so its not wrong if you get yourself workeup to be sure about not having one. I suugest you get your blood tested for beta hcG. Once your beta hcg is negative , there is nothing to worry. And in that case your cyst would resolve. You just need to follow it up with repeat ultrasound after a month if it doesnt increase it neednt be managed as its too small. For pain you can use analgesics like ibuprofen which would also settle inflammation around cyst which might be causing pain.
For now you first get ectopic pregnancy ruled out first and then you neednt worry as your cyst is too small.
Answered: Fri, 28 Sep 2012
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