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Irregular menstruation. Pregnancy test positive. Cystic hyperechoic structure in the ovary. What does it mean?

Hi im 25 years of age having irregular menstrual cycle.sometimes evey 2nonths or 3 of now i dont have my menstrual cycle for 2 months and 3 days.i took a pregnancy test kit and it read as positive result.but wen i had my transvaginal ultrasound it says that there is no signs of pregnancy.maybe im pregnant but still its too endometrial lining is thick.and there is a cystic hyperechoic structure in my left ovary.wthat does this means?am i pregnant??
Asked On : Sat, 20 Apr 2013
Answers:  2 Views:  39
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Diseases and Conditions
OBGYN 's  Response
Thanks for posting your query.
If you are missing your period & pregnancy test is positive it means you are pregnant.
It can be true that it is too early to be detected ultrasonographically.
However to rule out ectopic pregnancy get serum beta HCG test done that should be doubled in 48 hrs.
I hope your query has been answered.
Answered: Wed, 26 Jun 2013
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General & Family Physician Dr. Polash Sannigrahi's  Response
Jun 2015
Hello dear,

Thanks for your query.

1. Presence of Cystic hyperechoic structure in the ovary indicates the presence of a cyst (fluid filled cavity) in the ovary, most probably a Dermoid cyst, which seems to be the main cause for your symptoms of irregular menstruation.

2. The pregnancy test may give a false positive result there is an increase in the level of HCG hormone.

3. The confirmatory test for detection of pregnancy is the trans-vaginal ultrasound scan. It can detect the presence of gestational sac as early as 29 to 35 days of gestation.
And as you are having amenorrhea since 2 mths, the ultrasound report can be accepted.

Based on the above mentioned facts, it can be assumed that you are not pregnant & the symptoms of irregular menstrual cycle can be due to the ovarian cyst (most probably a Dermoid cyst) which is producing the hormones resulting in false positive pregnancy test.

So, kindly consult a Gynecologist & get a proper clinical examination done.
Further management might involve Hormonal therapy or surgical removal of the cyst.

Wishing you a good health.
Take care.
Answered: Wed, 26 Jun 2013
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