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Pelvic ultrasound showing ruptured ovarian cyst. Pregnancy test negative. History of miscarriages. No periods. False pregnancy?

I went to the doctor and a ruptured ovarian cyst was found on my right ovary by a pelvic ultrasound . Also, a small sac was found in my uterus but my urine and blood pregancy test came back negative. The doctor said I was not pregnant but the ultrasound tech said it looked I was very early in pregnancy. I have had 4 previous miscarriages and no live births. My husband and I have been trying to get pregnant. I also have not had a period in 74 days. Could I be pregnant or is the sac just fluid from the ruptured cyst?
Asked On : Mon, 17 Dec 2012
Answers:  1 Views:  83
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OBGYN 's  Response
Mar 2013
I appreciate your query.
Actually there could be one of the following possibilities
1. You have not mentioned normal cycle length. If you are overdue with your periods, then you could have had an early pregnancy, which already miscarried ( since you have history of 4 prior miscarriages ) - the corpus luteum ( structure in ovary which supports the pregnancy ) could have ruptured .
2. Ectopic pregnancy - pregnancy outside the uterus - in tubes or ovaries, presents with this picture. Sometimes, pseudo sac is seen in this condition.
3. Rarely, heterotopic pregnancy ( pregnancy both inside the uterus and another sac outside )

The only way to differentiate all these conditions is by an expert, complete ultrasound, detailed examination, blood pregnancy ( HCG ) tests and as a last resort, diagnostic laparoscopy, if the fluid is significant from the ruptured cyst.

If your pregnancy tests are negative, as you mentioned, then other possibilities are - simple cyst of ovary which ruptured, endometriotic cyst which ruptured or any other adnexal structure seen ( ruptured par ovarian cyst, appendix etc )

PLease go for expert opinion at the earliest to diagnose your condition. Repeat the ultrasound and blood tests. Fluid from ruptured cyst cannot present as a sac inside the uterus
Take care.
Answered: Tue, 18 Dec 2012
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