Ultrasounds Results - "Small Ovarian Cyst with Suspicious Vascular Flow"

Hi.  I am a 29 year old with a history of ovarian cysts.  After my last period I had some pelvic pain for about a week so I called my OBGYN and did a transvaginal ultrasound.  The ultrasound was taken on day 15 of my cycle.  It says that the uterus and myometrium are unremarkable and there is no fluid or bowl in the cul-de-sac.  The right ovary is 4x3x3 cm and it has a simple cyst measuring 17x20x24 mm w/out suspicious vascular flow.  The left ovary measures 3x2x2 cm containing a single cyst measing 9x6x8 mm with suspicious vascular flow.  It also notes a prominent pelvic sidewall vessel seen underneath the left ovary.  My doc said that I will need to repeat the test after my period. I was very upset and he said that we need to watch it but due to my age and the size of the cyst malignancy is not suspected.  Due to my stress level the doc said that I could go for a CA-125 test which came back at 22.6.  This is within the normal range.  Could you please tell me if these results sound like they are pointing towards OVCA?  Am I doing the right thing by waiting for another transvaginal ultrasound?  Do you have any idea of the significance of the pelvic sidewall vessel?

Thanks.

[Annekathryn Goodman, M.D.]

Hi There,

I know that sounds like a spooky sounding ultrasound report but I agree with your doctor. That all sounds like normal 29 year old stuff to me. Those ovaries are actively cycling - cysts come and go related to ovulation. Some cysts have good blood vessel supply (the ones that are maturing) , some (the ones that are dissolving) have less blood flow.

I agree with the plan to repeat the US after another cycle.
best wishes