Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
148 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

i had a period of abnormal bleeding for about 4

Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4373 Questions

default
Posted on Sun, 3 Feb 2019 in Vaginal and Uterus Health
Question: i had a period of abnormal bleeding for about 4 months over the summer, including bleeding after intercourse, but have not had a period since september. I saw my gp and she did a few blood test. CA-125 21.9 FSH-38.20 WBC3.6 x10(3)/mcL - Lower Than Normal. I had an ultrasound with the following findings
Uterus: The uterus is normal in size measuring 9.7 x 5.0 x 6.2 cm. Endometrial echo complex is heterogeneous with small cystic changes, measuring up to 1.4 cm. No focal myometrial masses identified to suggest leiomyomas.

Right ovary/adnexa: Within the right ovary are multiple adjacent avascular anechoic spaces with echogenic septations surrounded by normal ovarian stroma which are not discretely measured on today's study, which was performed outside of the main radiology department. Study performed without the benefit of a real-time exam or sonographic clips. The right ovary measures 3.9 x 2.0 x 2.5 cm for a volume of 9.9 cc. Flow is documented within the right ovary with color and spectral doppler, noting low resistance arterial and venous waveforms. No extraovarian adnexal mass seen.

Left ovary/adnexa: The left ovary is normal in size and sonographic appearance. The left ovary measures 3.0 x 2.3 x 1.7 cm for a volume of 5.8 cc. Flow is documented within the left ovary with color and spectral doppler, noting low resistance arterial and venous waveforms. No extraovarian adnexal mass seen.

Bladder: Visualized portions grossly unremarkable.

Peritoneum: No fluid in the cul-de-sac.

Impression:

1. Multiple adjacent cystic spaces within the right ovary may represent follicles versus a complex cystic mass. This is incompletely assessed on the images provided which was performed off-site without the benefit of a real-time exam or sonographic clips. Given patient's pain and the potential complexity of the right ovary, recommend repeat imaging in 6 weeks, ideally performed in the main radiology department during normal working hours.

2. Heterogeneous endometrial echo complex with small cystic changes favored to be related to secretory phase. This can be reassessed at the time of follow-up exam; however, is upper limits of normal in thickness for a patient without a history of abnormal vaginal bleeding.

i have a feeling of bloating and heaviness in my lower abdomen including what feels almost like a large hard gas bubble that I can visibly see and feel near my right ovary but without actually passing gas, I feel a heaviness in my groin almost like when I have a really bad period but I have not had a period in more then 4 months. I also have arthritis and have had a worsening of my low back pain to now include the si region, I don't know if its related but it got worse about the same time as the abnormal bleeding over the summer.
doctor
Answered by Dr. Prof. Kunal Saha 5 hours later
Brief Answer:
PCOD

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and understand your concern. I have checked the mentioned ultrasound report. It indicates polycystic ovarian disease/syndrome or PCOS. It needs to be treated with low dose hormonal pills. You need to visit a gynecologist who would be able to write the requisite medicines for you.

You need not be concerned. The condition can be treated effectively with medicines.

Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on