ovarian dermoid with calcifications

[cak76]

I have just read my sonogram report and would like some clarification.  The report states that a bicorunate uterus is confirmed (I already knew this) and that the left ovary is morphologically normal and measures 2 x 1.4 x 2 com.  The right ovary measures 2.4 x 2 x 2 cm and exhibits 2 focal calcifications with acoustic shadowing.  These may be old dystrophic calcifications associated with prior hemorrhagic cysts.  The less likely possibility of a dermoid tumor cannot be definately exculded.
I do have a history of ovarian cysts and endometrious and have had surgery 3 times for the removal of both.  My OB/GYN stated that I should wait and see him again in 4 weeks.  I do have pain during and after intercourse and a dull ache and cramping during regular activities.  I am 29 years old and have 2 children (3 years old and 2 months old).  What is your take on this?  What do focal calcifications mean?  Are calcifications harmful if not removed?  Why would the Dr. want me to wait 4 weeks if they will need to be removed anyway?

Any responses would be greatly appreciated, I am concerned

[cak76]

Do all calcifications have to be removed?  From what I have read the indication is yes.  Why would my Doc want me to wait?

[fabmom4]

Sit tight.  Tascha (Gatsby) should be passing by at some point, and she might be able to give you some info re: dermoids and calcification.  I know she had two large dermoids removed a while ago.

Sorry I couldn't help you more :(

[nanik]

could it be the waiting is because your youngest is just two months old? maybe the doc wants to see a bit more healing after the birth to see exactly how things look? --- I too have/had a unique anatomy. I had two separate uteruses and two separate cervixes -- that is until my hysterectomy last May- I am 51, my "babies" are 21 and 14, each from their own uterus and both c-sections. I know with me , with any and all my gyn issues the doctors always took a slow/ conservative approach as surgery with me was a bit more complicated than the "average" gal.

[cak76]

Anyone else have any thoughts?

[Teresa210]

It sounds to me, as they couldn't rule out, although unlikely, dermoids or even if for certain it was calcification from your prior problems/surgeries so they want to wait to see if it gives you more trouble, goes away or continues to grow and maybe get more clarification of what it might be.  I think, like you, I would be nervous waiting through the next four weeks not knowing what is going on, but at the same time, I would feel blessed that your doctor is not just jumping in and cutting when he doesn't feel reason to be alarmed just yet.  I had a dermoid removed in 1994.  They don't go away by themselves and continue to grow, but maybe the calcifications just stay the same and won't cause problems if left alone.  I don't know about the later, just thinking that is what it sounds like.