Painful palpable small adnexal mass

[Annie_777]

Hi,

I've been having pelvic pain for 3+ wks now.  I cam feel a hard mass in my lower left abdomen right where the ovary/fallopian tube is.  It's the size of a finger nail - pressing on it hurts like hell - the pain radiates to buttock, thigh, and up to lower back (left side only).  And it's clearly unrelated to bowl movement - I have normal bowl movement everyday, and the mass is there same size same location before/after stool passage.

Pelvic exam shows uterine tenderness but no bacteria or yeast.  Ultrasound which was taken right after my periods shows only a small cyst.  Pap smear is ASCUS/HPV+.  Frequent urination.

My question is that: Will simple cyst in ovary be palpable and felt as a hard and painful mass to patient?  If not, how can a mass like this be missed from a pelvic ultrasound?

The doctor thinks this will resolve on its own.  Yet day after day, I'm in this constant pain - and I can feel it every day same size same place, same radiating pain when pressed on.  I am starting to lose faith in my doctor's words now - it doesn't look like this will self-resolve at all. :(

[LynneMargot]

I recommend that you get a second opinion. Be sure to see a doctor that is board certified.  It may be a swollen lymph node or another issue.  Sometimes these problems do not show up well on an ultrasound, and you may need a CAT scan or PET scan.  You should not have to be anxious and in pain. I urge you to seek a second opinion.  Good luck with this health issue. Please post when you know what it is for the benefit of those of us who are interested in your situation.

[Annie_777]

My lab results got released online and this is completely different than what the doc told me - the wet mount smear shows many WBC, epithelial cells, and bacteria.  Does this indicate infection? I'm not prescribed any antibiotics for it.

Also, TVS endometrium measure 8mm 2 days after my menstral period completed.  I've read that it should measure 1-4mm right after period.  I've read that thickened measurements should prompt further test for endometrial hyperplasia? Also when I had imaging study in China a few years ago, I was diagnosed with adenomyosis and adenomyoma, but that is not noted by the radiologist.  He did call out a 9mm fibroid which was not there 2 years ago.  I don't know which doctor I should trust more. How fast should fibroid grow anyway? I guess in the back of my mind, I'm worried about endometrial malignant tumor since I've been getting extreme fatigue and frequent infection/inflammation. My family doctor cannot figure out why.

[buckies]

Hi there, I can only answer from experience.  As I do have 2 cysts on my ovary, I can say that I can feel a small mass and intense pain at time due to the cyst.  The pain is exactly as you explained. Pain is especially bad during ovulation. Taking some OTC meds may help.  A heating pad might also help.  Try a nice warm bath.  If you are having a hard time coping with the pain, see your doctor.  You can also get a second opinion if you aren't happy with current doctor's findings.

Feel better soon.