What causes irregular menstruation, burning in pelvic region and lower back pain?
possibly endometriotic cyst or an ovarian tumour...to be ruled out
Thanks for the query to hcm,
The fact that you have been experiencing pain especially in the right ovarian region persistently since last 3 months and that have been extending to lower back during your menses indicate towards a possibility of development of endometriotic features.
However a 2.3 cm ovarian cyst on the right side with complexity and internal separations and low internal echoes does need to be differentiated between an endometriotic cyst or an ovarian tumour.
Hence, it is advised that you should opt for tumour markers namely CA125, CEA, AFP, BETA HCG and CA19.9 ( specific for ovarian tumour). If the values are high then there is all likelihood that we are dealing with a ovarian tumour and the next step would be CT SCAN to confirm the findings and differentiate clearly from a endometriotic cyst or corpus luteum cyst.
If the tumour markers are normal , then a diagnostic laparoscopy can be performed and this ovarian cyst can be removed and per op if endometriosis detected then fulguration can be done in the same sitting.
So i suggest the next step would be to get tumour markers done and a repeat scan after 3 weeks to look for any increase in size of the complex cyst.
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