Menopause Expert Forum
Can't find ovaries
About This Forum:

Questions in the Menopause forum are answered by medical professionals and experts. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Can't find ovaries

Why can't a vaginal ultrasound find my ovaries?  I am a 42 yr old w/history of endometriosis, hysterectomy, removal of follicular ovarian cyst (base ball sized) 6/06, colonoscopy last month=diverticulitus, recent vaginal ultrasound could not find either ovary.  I have lower R side pain that feels similar to cyst pain.  Continual Pain increases with ovulation.  Motrin curbs pain, but it is always present.
Related Discussions
242601_tn?1217000247
The ovaries are located to the side of the uterus and at age 42, are smaller than the tip of your thumb. If you have had endometriosis, that could have eroded some of the ovary making it smaller, and the removal of a cyst could have also removed part of the normal tissue, which could make it smaller still.

The ultrasound sees tissue by comparing the amount of water in the tissue to nearby organs. The more cystic or fluid containing something is, the more it shows up on ultrasound because the sound wave goes through the liquid and bounces back from the surrounding tissue giving it a variable shade of grey, depending on how dense that tissue is.

It is likely that your ovaries cannot be seen both because they are small and because they are attached by scar tissue to a nearby organ such as the intestines. (especially since you have also had diverticulitis).

To help diagnose the source of your pain,  you can discuss with your doctor the possibility of getting an MRI to find the ovaries and see if they seem normal. You can also discuss a barium enema to see if it looks like endometriosis is on the intestines and contributing to your pain. That might not be seen by colonoscopy since the endometriosis is on the outside of the intestine, not the inside. Your doctor might also want to do a laparoscopy if the pain continues, though it might be difficult to find your ovaries even then due to scarring.  The fact that the ovaries cannot be seen is in some ways good - it implies there isn't a cyst on the ovary which likely could be seen. If you have an ultrasound done at the time of ovulation (get a home kit and follow) the follicle cyst of ovulation might make it easier to find.
Machelle M. Seibel, MD
2 Comments
Blank
136956_tn?1363091289
they always had trouble finding mine and it just so happened that I had kissing ovaries. They were stuck behind my uterus and attached to my bowel.  I was diagnosed with stage IV endo
Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank