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What Does This Transvaginal Ultrasound Report Indicate?

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Posted on Fri, 10 Jun 2016
Question: My wife is having pain in her ovaries. We did a transvaginal ultrasound, the report is attached. There is a cyst as detected by ultrasound.
I wanted to get your opinion on this.
What could be the best cure and what could have been the possible causes.
Thanks.
doctor
Answered by Dr. Aarti Abraham (8 minutes later)
Brief Answer:
As below

Detailed Answer:
Hello
THanks for trusting us with your health concern.
I have gone through the report attached.
Can you give me a few more details so that I can guide you in the best possible manner.
Are your wife's periods regular ?
When was her last menstrual period ?
ON what cycle day was this scan done ?
Apart from pain , is she having any other symptoms ?
IS there any past history or family history of ovarian cysts ?
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (6 hours later)
Periods are irregular, 2 days menstruation every week since last 2 years.
Last menstrual period was on 29th March.
The scan was done on the 2nd day of the cycle.
Apart from pain, nausea, urge to vomit, cramps in ovaries.
No past history of cysts in family.
doctor
Answered by Dr. Aarti Abraham (41 minutes later)
Brief Answer:
Likely to be a functional cyst.

Detailed Answer:
Thank you for the update.
See, there are various causes of ovarian cysts.
In this case, the commonest reason is functional cyst - due to hormonal imbalance.
The follicle which grows and ruptures each month ( ovulation ) is disturbed due to hormonal imbalance, leading to a cyst within the ovary.
Most such functional cysts resolve on their own within a few months.
SO a repeat scan should be done after 2 - 3 months.
The next possible reason is endometriosis.
Does she have painful periods, irregular spotting or pain during intercourse ?
IF yes, endometriosis is likely.
In that condition, further treatment such as hormones or surgery maybe needed.
SO if the cyst is simply due to hormonal imbalance, it will dissolve on its own within 2 -3 months.
If it persists or increases in size, other reasons such as endometriosis or infection can be considered, and further investigations can be done.
Taking oral contraceptive pills for 2 months will increase chances of the cyst disappearing on its own.
Take care.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (32 hours later)
Yes she is having painful periods, irregular spotting and pain during intercourse since last 2 years. She is also vitamin D deficient right now.
What should we do now doctor?
doctor
Answered by Dr. Aarti Abraham (6 hours later)
Brief Answer:
As below

Detailed Answer:
Well, in that case, it is likely that this is an endometriotic cyst.
Endometriosis is a condition where periods become painful, there is irregular spotting and bleeding, and pain during intercourse.
AN endometriotic cyst might not resolve on its own, and as I said you may need hormones or surgery to treat it.
Right now, please take 2 - 3 months of oral contraceptive pills, and then get a repeat ultrasound scan, to see if the cyst has disappeared or not.
If it persists, further investigations and treatment can then be considered.
Take care.
Feel free to contact me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Does This Transvaginal Ultrasound Report Indicate?

Brief Answer: As below Detailed Answer: Hello THanks for trusting us with your health concern. I have gone through the report attached. Can you give me a few more details so that I can guide you in the best possible manner. Are your wife's periods regular ? When was her last menstrual period ? ON what cycle day was this scan done ? Apart from pain , is she having any other symptoms ? IS there any past history or family history of ovarian cysts ? Looking forward to hearing from you. Take care.