Results about cyst, What does it mean?

[mika123]

I recently went to the emergency room because of intense abdominal pain and vaginal bleeding after having sexual intercourse.The ER doctor said that is was a cyst that ruptured and ordered an pelvic ultrasound. What i would like to know is the meaning of the ultrasound results, which goes as followed:
The right ovary measues 4.0 x 3.5 x 3.2 cm, there is a  complex non-vascular hpoechoic lesion within the right ovary,there is echogenic debris within this lesion. The left ovary measure 2.7 x 2.4 x 1.4 cm, there is a follicular cyst, there is significant fluid within the cul-de-sac with scattered echogenic debris.
The impression was a dominant hypoechoic nonvascular complex cystic lesion within right ovary associated with fairly extensive echogenic fluid with the cul-de-sac suggest pt. had a recent rupture of   right ovarian cyst with hemorrhage into the cul-de-sac.
My doctor who received the results only said to tell the OBGYN that i have a complex ovarian cyst,and that i should be seen as soon as possible. Should i be worried? What does all this mean? and what is echogenic debris?

[sc12343]

A related discussion, fainting was started.

[mika123]

Just posting what the doctor said about my cyst. He basically just said it was a cyst that ruptured and that we will do a follup ultrasound to make sure it has gone away.

[dana anne]

a complex cyst which I had been dealing with the entire month of August was said to have disappeared at my Laparoscopy.  Anyway a complex cyst is a cyst that has septations in it or a wall separating the cyst itself.  They have liquid and solid components in them or all solid components as opposed to simple cysts which come and go every month with ovulation.  The complex cysts are more concerning than the simple ones but only like 1 to 2 percent chance it is malignant before menopause. Echogenic debris is like old blood or other stuff in the cyst like hair, skin and teest.  I know, that is weird.  They usually don't go away on their own as the simple cysts do. They can obviously as mine did but i believe most of the time they remain or grow.  I would follow up like you are supposed to and maybe even do a watch and wait to see if it resolves itself if that is what your Doc thinks is a good idea.  I think nonvascular means there is no blood supply running thru it.

[warmbreeze]

Hi Mika, I don't have an answer for you because I'm in the same boat. You may have seen my post below asking for feedback on my radiologist report. It has some similarities to yours, but is different. I've seen my Ob/Gyn already but she wouldn't say much and it's a waiting game for me until thre results of my pap comes in. I have an appt with her on Sept 15th. I also called a Gyn Oncologist and they asked me to fax my Radiologist report to them and they would review and advise whether they think I should see an Oncologist.

I will post my results. I haven't gotten any responses to my post, I'm assuming most are busy with the Holiday weekend or they simply don't have an answer or opinion.

I have what feels like menstrual cramps at all times on and off during the month and also alot of pain on my left side (the Ovary in question is on my right) I don't know why the pain is on the wrong side. Good luck with yours and I hope you post an update.