Increased need to urinate & CT scan results

[AliChapman]

About a month ago I had an abdominal/pelvic CT scan done because I have been experiencing abdominal pain in my upper right area.  The CT scan apparently showed no real reason for my pain but did show a "moderate amount of free fluid surrounding the uterus and ovaries". Last week I had a pelvic ultrasound and I still have free fluid but a mild amount surrounding my ovaries & uterus.  I also have a cyst about 2 cm on my right ovary. My Dr. seems to think that the free fluid could be from ruptured cysts. Other issues that I have been experiencing are constant pelvic cramping and increased frequency to urinate.  I get up at least 3-4 X at night to urinate.  Do you think the free fluid, cramping and constant need to urinate have some in common? And, should I be concerned with this ovarian cyst?
Thank you for any advice!  

[Lennox Hoyte, M.D.]

The free fluid is probably not related to the urination frequency at night. 1 - 2 times at night is normal, 4 is excessive. One possibility is a bladder infection which can be diagnosed with a urine culture. The other possibility for your pain and urinary frequency is active abdominal and/or pelvic muscle trigger points, which can also causer pain with intercourse and urinary frequency. Many women have fould collecting in the pelvis after ovulation. Also a 2 cm cyst is considered normal size and should not be the cause of your painful symptoms. Once your genecologist can rule out cervical, bladder, and pelvic infections, consider an evaluation by a qualified pelvic floor physical therapist.

Dr. Hoyte

[nat234]

I would guess that your pain is from the ovarian cyst. I had one on each of the ovaries and I had alot of pain associated with it. I would either go back to the doctor and ask a few more questions, have them run a few more tests, maybe an internal ultrasound...... or go get a 2nd opinion. Seems to me that your doctor should be doing a bit more testing if your in that much pain.