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Ultrasound shows complex ovarian cyst, fibroids. What does this mean?

i had an ultrasound and transvaginal ultrasound performed on cycle day 23 and my endometiral thickness is 20 mm. No free fluid is seen within the pelvis. My right ovary measures 5.5 x 4.8 x 4.6 cm. There is a complesx 4.3 x 4.1 x 4 cm cyst within the right ovary with lace-like internal echoes. No internal flow within the septations. Ther is a venous flow obtained within the right ovary. My left ovary measures 2.8 x 1.4 x 2 cm with few tiny follicles. There is arterial flow seen to the left ovary. My doctor says 20 mm is normal being that I am about the begin my period. Something to me just doesn't seem right. I also have two fibroids. One measuring 2.8 x 3.2 x 1.8 cm and the other measuring 2.6 x 2 x 1.9 cm. My uterus measures 9.1 x 6.4 x 6.1 cm. What does this mean?
Asked On : Mon, 14 Oct 2013
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General & Family Physician 's  Response
Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
The normal size of uterus is 7.6x4.5 x3.0 cm , in your case size is large but may be due to two fibroid , but again this size is normal as varies from person to person.
The thickness of endometrum is 9 mm ( minimum ) for implantation of fertilized ovum , but in your case it is 20 mm , may be due to approaching period date as you doctor told.
The size of ovaries 4x 3 x2 cm normal , in your case left is small in size, while right is large in size.
The main cause of concern is a cyst ( collection of fluid in sac ) , but important thing is no internal flow of fluid . May be a hard mass , diagnosis can be confirmed by M R I , Ultrasound as well excisional biopsy . Consult a gynecologist/ surgeon and get their opinion.
Good luck. Dr. HET
Answered: Mon, 14 Oct 2013
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