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Urogynecology  (Expert Forum)
 | 
Incontinence/bleeding during sex/mass on or near ovary
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

Incontinence/bleeding during sex/mass on or near ovary

by rck, Apr 04, 2007 12:00AM
I saw my gynecologist in November and mentioned that I had a little bleeding during intercourse occasionally.  She said my cervix looked okay, my Pap was fine, and to call back if it happened again for an ultrasound.  It did happen again, so I called last week and scheduled an ultrasound for April 24.  Then, a couple days ago, I experienced urinary incontinence.  I didn't even know it was happening; I thought my tampon was leaking until I got to the bathroom and realized what had happened.  I went in to the doctor yesterday (saw a different gynecologist - mine was out).  He did a pelvic exam and told me my womb was tilted and that I had a mass on (or near?) my ovaries.  I tried to ask what that could be; he wasn't very helpful but said it could be an ovarian cyst or a "growth" on my uterus.  I asked if I could please do my ultrasound sooner, as I am now very nervous about this "growth," but he said that wasn't necessary.  Does that sound right?  I haven't really had any abdominal or lower back pain, although I've had a vague pressure in my abdomen for a month or two (I thought I might have a UTI, but they tested for that and I don't.)  Is waiting three more weeks for the ultrasound really okay?  What could this be?

by Lennox Hoyte, M.D., Apr 18, 2007 12:00AM
If you had a mass in the pelvis, I would think that an ultrasound is the right test to figure out how large, and what tissue it is coming from, and what (if anything) needs to be done about it . If you didnt have a mass, then an ultrasound would not be needed. Your physician should clarify this for you.  Usually, if a gynecologist can feel a mass on exam, that can be a fibroid (benign growth of uterine muscle), or an ovarian cyst (usually these are benign in women of reproductive age). However, most gyns who think there is a mass will obtain an ultrasound to characterize it.

A 'tilted' uterus has no clinical meaning. Most uteruses are tilted, some forward, some backwards, others to one side or other. That does not mean anything interms of your ability to become pregnant, deliver a baby, or experience/not experience pain or other symptoms.

A single episode of incontinence, can happen ofr a variety of reasons I would encourage you to see a urogynecologist or urologist if the problem persists...
Member Comments (2)

by SimplyStar, Apr 13, 2007 12:00AM
come to the Ovarian cancer forum, not because you have cancer, but many women there have gone through just what you discribe, they deal with ovarian and uterian cysts there also, 99% of all cysts are benign , but must be watched just in case.
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