final report transvaginal u/s

transvaginal ultrasound:the uterus is again noted to be retroverted measuring 8.4*4.9*5.2cm. the endometrial cavity is empty. the endometrial stripe measure 1.2cm in thinkness which is at the upper limits of normal.no focal uterine mass is evident. a small nabothian cyst is again seen at the cervix. the right ovary measures 4.9*3.7*5.0cm and the left ovary measures 3.4*2.7*2.9cm in the right ovary a 4.2*3.0cm cystic lesion is present. in the left ovary a 1.9*1.8cm cystic lesion is present. on the previous examination, there was a right ovarian cystic lesion measuring 3.4*2.9cm the left ovarian cyst is newly acquired since the previous examination. no free fluid is seen in the pelvis

  Impression: Bilateral adnexal cystic lesion
   i get alot of pelvic pain,painful menstral,painfull intercourse,very painful cramps have alot of bloating and heaviness in my pelvic area  

[Elaine Brown, MD]

Hi!
It is difficult to tell whether this represents an increase in the size of the cyst, or whether it is simply measured from a different angle.  Also, there is no comment about whether it is simple or complex, etc.  Whatever the case, it does seem to be persistent. A simple cyst (even a persistent one) can be followed by ultrasound.  In the case of a possibly enlarging and possibly symptomatic cyst, I think I would take my own patient to laparoscopy.  It could be an endometrioma and there could be some other implants of endometriosis causing some of the other symptoms.  I would have my laser ready!
I would also be certain to caution that the surgery might not alleviate all of the symptoms though.
I hope I have answered your question!
Good luck!
Dr B

[annie37]

thank you Dr. Brown...i guess as best as you could just by reading results.. i go back in dec to redo transvaginal u/s and take it from there thanks again