Brief Answer:
Ultrasound findings of lt ovarian cyst are of concern.

Detailed Answer:
Hi,
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns.

1. Fibroid uterus--During myomectomy often it is difficult to remove all the fibroids. Some tiny fibroids ( fibroid seedlings), may not be detected. These can grow later and appear as fibroids. That is why, although you have had myomectomy, fibroids are seen now.

2. Fluid and polyp/nabothian cyst in the endocervical canal-- There are nabothian glands in the cervix. If there is a block, the fluid from gland cannot be drained and it appears as nabothian cyst. It is harmless. It does not cause any problem. Nabothian cyst appears within the wall of the cervix.
Polyp is excessive growth of lining of uterus/cervix. It appears within the cervical canal. It can be easily differentiated from nabothian follicle during ultrasound examination.


3. Complex left ovarian cystic lesion with papillary projections and increased color flow.-- These findings are a bit of concern. These findings are often seen in cancerous cysts, though occasionally they may be seen in benign cysts. Cancerous cysts usually affect both ovaries. The right ovary seems to be normal in your case.

4. Small amount of fluid in the left adnexa--this fluid could just be some secretion from the surface of ovary.

It is good that you are consulting the doctor on Friday. From reviewing the ultrasound films, your doctor will also request a blood test for CA-125. She may also ask for CT scan.

I hope this is helpful.
If you have any further concerns I will be happy to answer.
Best wishes,
Dr Rama

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Brief Answer:
These ultrasound findings are acceptable.

Detailed Answer:
Hi,
Welcome back.

This Endometrial thickness is normal.
Rt ovary showing polycystic appearance is acceptable.

If you have further concerns, do write to me.

Best wishes,
Dr Rama

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Brief Answer:
PCOD is not diagnosed based on the presence of polycystic ovaries alone.

Detailed Answer:
Hi,
Welcome back.

I appreciate your concerns.

With due respect to the doctor who has done the ultrasound, I wish to clarify one thing. Polycystic ovary syndrome is diagnosed based on the presence of 2 of 3 following factors and not just by ultrasound:

1. ultrasound appearance of polycystic ovaries
2. Clinical ( excess male pattern hair growth, acne)/ biochemical evidence of excessive male hormones.
3.Irregular menstrual cycles.

Just based on ultrasound they cannot comment as polycystic disease appearance syndrome. Moreover, please remember that polycystic ovaries can be a incidental finding. About 1 in 4 women show polycystic ovaries on ultrasound without any other abnormality. Therefore if you also have irregular mensus or Clinical / biochemical evidence of excessive male hormones then you can be diagnosed as having PCOD.

The only thing of concern in your ultrasound is the findings in left ovary. Don't worry about other things.

I hope this is helpful.
If you have further concerns, I will be happy to answer.
Wishing you good health,
Best wishes,
Dr Rama

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