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Ovarian Cancer (Expert Forum)
bilateral adnexal cysts
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center
Boston - MA
bilateral adnexal cysts
by momof03, Aug 21, 2006 12:00AM
I just received results from a pelvic CT w/contrast. It states:
Bilateral adnexal cysts are present. The uterus is mildly enlarged. No free air or fluid, and bowel & bladder are unremarkable.
All bloodwork was fine (including prolactin--left breast producing small amount of milk w/out pregnancy---, thryroid, T-4, Testosterone, TSH) were fine with the exception of vitamin b12 deficiency (given injection at the office on Saturday), and elevated glucose w/trace of ketones. Also diagnosed with sleep apnea after an overnight study. The doctor (endocrinologist) put me on a trial of Avandia for a few months, and faxed the CT report to my OB/Gyn for an ultrasound. He was thiking possible PCOS, but my testosterone & others came back normal.
My question is....what could cause Bilateral Cyts AND an enlarged uterus at the same time? Are there certain questions I need to be aware of to ask my OB when I am there? I have complained to him for 3 years that my ovaries hurt and that I wake up every night with severe night sweats (could be from the sleep apnea), but he always just put me on birth control but would never run any tests. Then I went on my own & scheduled an appt. with an endocrinolgist (I was certain my hormones were off), and he orders a CT right off the bat and it comes back with those results. Any help, info, insight would be greatly appreciated :) :)
Bilateral adnexal cysts are present. The uterus is mildly enlarged. No free air or fluid, and bowel & bladder are unremarkable.
All bloodwork was fine (including prolactin--left breast producing small amount of milk w/out pregnancy---, thryroid, T-4, Testosterone, TSH) were fine with the exception of vitamin b12 deficiency (given injection at the office on Saturday), and elevated glucose w/trace of ketones. Also diagnosed with sleep apnea after an overnight study. The doctor (endocrinologist) put me on a trial of Avandia for a few months, and faxed the CT report to my OB/Gyn for an ultrasound. He was thiking possible PCOS, but my testosterone & others came back normal.
My question is....what could cause Bilateral Cyts AND an enlarged uterus at the same time? Are there certain questions I need to be aware of to ask my OB when I am there? I have complained to him for 3 years that my ovaries hurt and that I wake up every night with severe night sweats (could be from the sleep apnea), but he always just put me on birth control but would never run any tests. Then I went on my own & scheduled an appt. with an endocrinolgist (I was certain my hormones were off), and he orders a CT right off the bat and it comes back with those results. Any help, info, insight would be greatly appreciated :) :)
Doctor's Answer
by Annekathryn Goodman, M.D., Aug 22, 2006 12:00AM
, Aug 22, 2006 12:00AM
Hi There, you have had a good work up! Usually ovarian cysts and enlarged uteri are unrelated. Big Uteri can be from having a few children, fibroids, or because of a malignant growth inside it. Ovarian cysts can be from many things - please see my previous posts on this topic. If your ovarian cysts are bigger than 5 cm, that would be a reason to have them removed. If you are having alot of pain, ask your Ob Gyn about taking a peek with laparoscopy.
best wishes!
best wishes!
