Question: Hi. I have a question regarding a recent US done endovaginally. I am 39, with 2 children. I have history of elevated testosterone in 2009. I have hirsutism now with cystic acne and thinning hair on my head. Also seems I am losing my chest. Decreased appetite. Pain in left ovary for over a year with slowly increasing symptoms. Pain started in low back that became more constant about 6-8 months ago. Now I have daily pain in left hip that feels like a burning / aching sensation for past 4 - 5 months. I have abnormal LFT's. I have hepatomegaly. Kidney stone. Was told testosterone was normal recently, but that to me doesn't make sense with the hirsutism. Low pelvic pain when standing. US found fluid in endocervical canal, nabothian cysts in cervix, amenorrhea for 3 months, 6mm stripe endometrial tissue, mild heterogeneity in myometrium. No adnexal mass or collection is seen. There was a hypoechoic area with some through-transmission, likely abdominal follicle with debris or hemorrhage measuring 1.3x1.3x1.3 cm. Impression: 1. Some fluid within the endocervical canal. 2. nabothian cysts in the cervix. 3. Follicle with debris in the left ovary. Otherwise, no significant abnormality of the ovaries identified. 4. No adnexal mass or collection. Previous surgery - D & C and ablation done 2 years ago for uterine hyperplasia without atypia. Have had regular (every 5 - 6 weeks) cycles with increasing menses - last was first week of XXXXXXX 2014. Last pregnancy was 1997. Last intercourse was Feb 2005. FH - hashimoto's, hypothyroidism, graves, rectal cancer, heart disease, diabetes, hypertension, glomerulonephritis, prostate cancer, kidney failure, lung cancer, RAD, elevated cholesterol, etc.

I just need to make sure there is no chance it can be cancer. I have not had a menses in 3 months, which is concerning because I have always had one. And since I had the uterine hyperplasia and am overweight, I meet 2 of 4 possible risk factors for cancer. The pain in my ovary has been present for over a year. That is where the pain started. It then moved to my low back and now to my hip also. It may be possible that the hip and back are unrelated to ovary as I was asked by an orthopedic if I have ever been told I have Rheumatoid Arthritis, which I have not been yet. But not cycling in addition to pain in ovary for over a year, which seems a long time to have a cyst, as well as clear fluid discharge and hx of uterine hyperplasia seemed concerning to me. Thank you for your time. Also, FHx of Colon Cancer.