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Suggest Treatment For Cyst On The Ovaries

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Posted on Thu, 15 Jun 2017
Question: Hello
I am 36 year old and had c section delivery in 2014 and have polycystic ovaries
Now I got my follicular monitoring two weeks back and my ultrasound report was normal
Today I had ultrasound and it is showing cyst in my both ovaries and also hydrosalpinx in my left side
Is it possible I can get inflammation of tubes or hydrosalpinx in two weeks
Can it be a cyst only
doctor
Answered by Dr. Khushboo Priya (37 minutes later)
Brief Answer:
Possibility of cyst is less likely.

Detailed Answer:
Hi, welcome to healthcaremagic.

I think, if the hydrosalpinx is small in size, it can be missed on ultrasound. So, if you had a small hydrosalpinx 2 weeks earlier, it might have got missed. After 2 weeks, when fluid collection increased in size, it got detected.

Possibility of cyst is less likely because ultrasound is accurate in detecting hydrosalpinx to a great extent. Hydrosalpinx presents as a retort shaped, elongated fluid filled structure beside the uterus.


But to confirm it, you have to undergo a laparoscopy. Also, it can be seen on HSG.

Discuss with your doctor regarding these options.

Take antibiotics like ofloxacin and ornidazole combination for 10 to 14 days because it happens as a sequelae of pelvic inflammatory disease.

Hope I have answered your question. If you have any other query, I will be happy to help.

Regards



Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Khushboo Priya (11 minutes later)
Ok I understand
Also I am attaching my report
But can antibiotic cure this ?
Is it curable at this stage or not
doctor
Answered by Dr. Khushboo Priya (3 minutes later)
Brief Answer:
Antibiotics can't cure this.

Detailed Answer:
Hi, I think antibiotics will prevent or treat any current pelvic infection. It can't cure the damage already done.

Generally , hydrosalpinx means tubes are already damaged or inflamed. It can't be reversed. It is recommended to drain the fluid by salpingostomy or removing the adhesion around the tube on laparoscopy.

The fluid in the hydrosalpinx is embryotoxic. So, it can result in miscarriages. So, it is better to remove the fluid.


Hope it helps. Please attach reports.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Khushboo Priya (27 minutes later)
What can cause this thing ?

I don't have chlalamydia or anything ?


doctor
Answered by Dr. Khushboo Priya (2 hours later)
Brief Answer:
It can be due to chlamydia or gonorrhea.

Detailed Answer:
Hi, I think this is mainly a sequel to the pelvic inflammatory disease caused by chlamydia or gonorrhea infection. It can also be due to genital tuberculosis.

Sometimes, the infection is obscure or the symptoms like pain in lower abdomen or discharge per vagina might not have been too severe to bother you.

The symptoms might have resolved but infection persisted and got spread to the tubes.


Thus, it is not necessary that you test positive for these infections.

Hope it helps.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Khushboo Priya

Infertility Specialist

Practicing since :2010

Answered : 4255 Questions

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Suggest Treatment For Cyst On The Ovaries

Brief Answer: Possibility of cyst is less likely. Detailed Answer: Hi, welcome to healthcaremagic. I think, if the hydrosalpinx is small in size, it can be missed on ultrasound. So, if you had a small hydrosalpinx 2 weeks earlier, it might have got missed. After 2 weeks, when fluid collection increased in size, it got detected. Possibility of cyst is less likely because ultrasound is accurate in detecting hydrosalpinx to a great extent. Hydrosalpinx presents as a retort shaped, elongated fluid filled structure beside the uterus. But to confirm it, you have to undergo a laparoscopy. Also, it can be seen on HSG. Discuss with your doctor regarding these options. Take antibiotics like ofloxacin and ornidazole combination for 10 to 14 days because it happens as a sequelae of pelvic inflammatory disease. Hope I have answered your question. If you have any other query, I will be happy to help. Regards