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What Does This Transvaginal Ultrasound Showing Ovarian Cysts Indicate?
Question: I had a transvaginal ultrasound that found bilateral ovarian cysts. rt appeared normal with a simple cyst measuring 2.3x3.2.x.09cm mean of 2.1. 19mm cyst
My left ovary states "visualized. size 4.0x4.0x2.6cm mean 3.5 vol 21.8cm3 the cyst was 37x25x33mm with low level internal echos. There was a small amour of free fluid seen in right adnexa in the cup de sac. 37mm cyst.
Obvioulsy I'm nervous. I've had fluid filled cysts before. I was cycle day 6 so that was probably just the normal type. The lefty though, makes me squirm. What does that all mean?
I should have stated that for the past 2 years I have had irregular cycles and cramping for 3/4 of my cycle. No heavy bleeding but cycles varied from 14 days to 48, occasionally I'd get lucky with a few subsequent 26-28 day cycles in there. For the past 5 weeks I've been very dizzy, nauseaus/vomiting, and constantly crampy with full heavy uterus, feels like it is falling out of me. I have cramps down my legs iand in to my back occasionally. No fever. I just want it tostop. We are trying to conceive and it legitimately felt like I was pregnant, but all tests have been negative and I"m on day 49 of my cycle right now.
My left ovary states "visualized. size 4.0x4.0x2.6cm mean 3.5 vol 21.8cm3 the cyst was 37x25x33mm with low level internal echos. There was a small amour of free fluid seen in right adnexa in the cup de sac. 37mm cyst.
Obvioulsy I'm nervous. I've had fluid filled cysts before. I was cycle day 6 so that was probably just the normal type. The lefty though, makes me squirm. What does that all mean?
I should have stated that for the past 2 years I have had irregular cycles and cramping for 3/4 of my cycle. No heavy bleeding but cycles varied from 14 days to 48, occasionally I'd get lucky with a few subsequent 26-28 day cycles in there. For the past 5 weeks I've been very dizzy, nauseaus/vomiting, and constantly crampy with full heavy uterus, feels like it is falling out of me. I have cramps down my legs iand in to my back occasionally. No fever. I just want it tostop. We are trying to conceive and it legitimately felt like I was pregnant, but all tests have been negative and I"m on day 49 of my cycle right now.
Brief Answer:
Oral pills for 3 months
Detailed Answer:
Hello dear, thanks for trusting health care magic.
I understand your anxiety related to the issue.
This seems like a simple follicular cyst and is found in almost 7-10% of patients in reproductive age.
It will disappear itself and you just need a review scan after 3 months.
But since you are having irregular periods and cramping you will need to take oral contraceptive pills for 3 months as a treatment.
I know that since you are trying for conception, this might not sound pleasant to you but even if you will try actively for conception, this cyst will cause poor results.
So just relax and don't panic or get hasty for conception.
As far as cramping is concerned, take tablet hyoscine as and when required and you will feel better.
In case you have any questions about it, I will be glad to answer.
Regards
Dr Manisha.
Oral pills for 3 months
Detailed Answer:
Hello dear, thanks for trusting health care magic.
I understand your anxiety related to the issue.
This seems like a simple follicular cyst and is found in almost 7-10% of patients in reproductive age.
It will disappear itself and you just need a review scan after 3 months.
But since you are having irregular periods and cramping you will need to take oral contraceptive pills for 3 months as a treatment.
I know that since you are trying for conception, this might not sound pleasant to you but even if you will try actively for conception, this cyst will cause poor results.
So just relax and don't panic or get hasty for conception.
As far as cramping is concerned, take tablet hyoscine as and when required and you will feel better.
In case you have any questions about it, I will be glad to answer.
Regards
Dr Manisha.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
So the solid (left) cyst is simple (but doc told me it was solid and was concerned about it), just like the right one (doc said rt one should spontaneously resolve)?
I don't understand why the right states that it is "simple" but the left is solid if they are both simple as you replied ...and why they are causing pregnancy symptoms, which I have never had with just a simple cyst, which I have had on and off for years. Can you explain how that works?
I cannot take hormones due to very bad reactions that I have to them (had a series of TIA's years back due to hormonal birth control)-even now I get hormonally induced sever basilar migraines.
I have elevated LH levels too if that says anything.
I don't understand why the right states that it is "simple" but the left is solid if they are both simple as you replied ...and why they are causing pregnancy symptoms, which I have never had with just a simple cyst, which I have had on and off for years. Can you explain how that works?
I cannot take hormones due to very bad reactions that I have to them (had a series of TIA's years back due to hormonal birth control)-even now I get hormonally induced sever basilar migraines.
I have elevated LH levels too if that says anything.
Brief Answer:
GnRH agonist advised
Detailed Answer:
See there are more chances of these being simple cysts only as they are of recent development and hence most likely a simple cyst with slight hemorrhage on left side but not on right side.
It is not a solid cyst but a cyst with internal echos.
Internal echos in a recent cyst has nothing much for worrying but in case it gets long standing then there will be a chance of endometriosis in it.
In case you have had TIAs in past then it will be better if you take GnRH agonist for 3 months after discussion with your gynecologist.
On stopping it after 3 months
- cyst will regress
- endometriosis will be gone (in case present)
- better chances of conception in subsequent cycles.
- PCOD will be less harmful.
All the best.
GnRH agonist advised
Detailed Answer:
See there are more chances of these being simple cysts only as they are of recent development and hence most likely a simple cyst with slight hemorrhage on left side but not on right side.
It is not a solid cyst but a cyst with internal echos.
Internal echos in a recent cyst has nothing much for worrying but in case it gets long standing then there will be a chance of endometriosis in it.
In case you have had TIAs in past then it will be better if you take GnRH agonist for 3 months after discussion with your gynecologist.
On stopping it after 3 months
- cyst will regress
- endometriosis will be gone (in case present)
- better chances of conception in subsequent cycles.
- PCOD will be less harmful.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. I didn't understand how they both could be the same thing but not look/act the same... your description makes sense if it has had slight hemorrhage. It has definitely been there since March of this year when we did the ultrasound, so that's 5 months at this point.
I look forward to resolving this. I detest the way it is making me feel.
The endometrial lining was 5.6mm thick, so no concern about endometriosis and they didn't see PCOD on the ultrasound. Just one cyst on each side, one being simple, the other, being whatever it is.
I hope once this is cleared up I can get pregnant.
Thank you for your help.
I look forward to resolving this. I detest the way it is making me feel.
The endometrial lining was 5.6mm thick, so no concern about endometriosis and they didn't see PCOD on the ultrasound. Just one cyst on each side, one being simple, the other, being whatever it is.
I hope once this is cleared up I can get pregnant.
Thank you for your help.
Brief Answer:
it will resolve soon
Detailed Answer:
You are most welcome dear.
Yes this will most likely resolve soon and all will be fine.
May God bless you with a healthy child soon
I basically practice infertility so in case you have any questions about it in future you can contact me directly on http://bit.ly/drmanishajain
it will resolve soon
Detailed Answer:
You are most welcome dear.
Yes this will most likely resolve soon and all will be fine.
May God bless you with a healthy child soon
I basically practice infertility so in case you have any questions about it in future you can contact me directly on http://bit.ly/drmanishajain
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I really appreciate that. More than you know. I actually just got back from a followup apt with my general practitioner. She decided to run a thyroid panel on me since my symptoms could possibly be from that too, which would also be indicative of my infertility. More than anything, I just want to put this to rest and move on...this is no way to feel and I hope it resolves soon. I think there is an element of additional frustration due to my age and already elevated LH levels...although, more testing on that needs to be done too at the appropriate time in my cycle (when I get an actual cycle again!).
Levels on CD6
TSH 1.220
Lh , Serum Lh: 24.7 mIU/mL
FSH , Serum Fsh: 30.0 mIU/mL
Estradiol, Serum Estradiol: 26.7 pg/mL
Thank you for your time and patience with me. It is very appreciated.
Levels on CD6
TSH 1.220
Lh , Serum Lh: 24.7 mIU/mL
FSH , Serum Fsh: 30.0 mIU/mL
Estradiol, Serum Estradiol: 26.7 pg/mL
Thank you for your time and patience with me. It is very appreciated.
Brief Answer:
Tests advised.
Detailed Answer:
In addition to the thyroid panel you need to get AMH and CA 125 levels done.
This is a costly test but will give a lot of information regarding your fertility potential and will guide us for the further management.
Your LH and FSH levels are high and thus an indication for early intervention to achieve a successful pregnancy.
All the best.
Tests advised.
Detailed Answer:
In addition to the thyroid panel you need to get AMH and CA 125 levels done.
This is a costly test but will give a lot of information regarding your fertility potential and will guide us for the further management.
Your LH and FSH levels are high and thus an indication for early intervention to achieve a successful pregnancy.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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