need help. my TVS result normal sizes retroverted uterus with thickened endometrial stripe. Left ovarian cyst as described. Endometrioma considered.right anechoic ovarian cyst prob physiologic.any treatment for this.medication or management for my case.badly worried.
A retroverted uterus is the name given to a uterus that is tilted backwards inside of the pelvis. Normally, women are born with a uterus that is located in a straight up and down position inside of the pelvis, or with a uterus that tips slightly forwards, towards the stomach. However, some women have a uterus that tilts backwards, pointing towards the spine. Commonly referred to as a tipped uterus, this condition affects more than 20% of women worldwide. Generally associated with no health complications, a retroverted uterus can occasionally cause painful symptoms or signal an underlying health disorder.
What was the thickness of your endometrial stripe? Are you on the pill? That could cause thickened lining or it could be from hormones.
Anechoic simply means that the ultrasound had "no echoes" it has to do with the "pulse" in the cyst or mass as heard by u/s.
All women of child bearing age who are not on pills have certain cystic structures in their ovaries, which continuously come and go. Such structures are essential for the development and subsequent release of the egg. They are referred to as "physiological" as they constitute a part of the general function of the ovaries.
A maturing egg is carried to the surface of the ovary during the earlier half of a normal 28 days cycle. It is carried there by a cystic structure known as "follicle". This follicle carries out the dual task of not only getting the egg transported but also of manufacturing estrogen. The hormone that stimulates uterine lining growth is known as estrogen. The start of intrauterine helps the implantation of the fertilized egg and the growth of the embryo. During ovulation, the follicle is the size of an olive. The egg is released when the follicle gets ruptured. The fluid of the follicle which, till then, had been clear, is replaced with blood which accompanies the rupturing process. Progesterone begins to be secreted after this and a substance, which is yellow colored, is formed during this time.
If the woman doesn`t get pregnant at this time, the yellow substance becomes somewhat scarred and the cystic structure thus formed is called "corpus luteum". The structures are generally small in size, but this process, at times, tends to carry on longer than necessary. The physiologic structures get filled with follicular fluid or blood and get enlarged to the size of say, a tiny plum. Such cysts may or may not turn out to be painful. But the primary side-effect that accompanies these cysts is that the menstrual cycle becomes irregular. It is quite a possibility that the cysts will leak or that they will twist the ovary resulting in the patient experiencing pain or severe tenderness. And, if an ultrasound shows that there is an enlarged cyst, there will have to be a surgery carried out.
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