Retroverted uterus, nabothian uterus cyst, and septated cystic structure on ovary

[FaeryBryn]

I've been having serious cramping for the last 5-6 months, along with a lot of clotting during the first 4 days of my period. Since I don't have insurance, I went to the ER on 10/28/13, and they did a transvaginal ultrasound. I got a copy of the report today, and it reads as follows:

"Findings:
The uterus is retroverted and measures 7.7 cm in length by 4.2 cm in AP diameter by 5.2 cm in transverse diameter. No masses of the uterus is visualized. Endometrial stripe is normal in appearance and measures 13 mm in thickness and is mildly thickened. Nabothian cysts of the cervix is seen.

There is a 2.2 cm septated cystic structure identified of the left ovary which may be secondary to a complex cyst. The right ovary measures 3.5 cm in diameter. The left ovary measures 3.6 cm in diameter. No evidence of ovarian torsion.

No free fluid in the cul-de-sac.

Impression:
1. Septated cystic lesion of the left ovary measuring 2.2 cm which may be secondary to a complex cyst. Repeat ultrasound in 4 to 6 weeks recommended to reassess. Correlation with pregnancy test is recommended to exclude the possibility of developing ectopic pregnancy (I had a tubal ligation approx 10 1/2 years ago).

2. Mildly thickened endometrial stripe identified. This may be related to stage of patient's menstrual cycle."

Needless to say, I'm a bit concerned about this. I've heard that neither of these types of cysts are something to worry about, that the septated ones are...I just don't know. I'm definitely tired of the cramping, especially since I've rarely had any since I started menstruating almost 20 years ago. I also don't have insurance right now, so that makes this all the more irritating.

Does anyone have some light to shed or some wisdom to share? Thanks in advance!

[HVAC]

It is really hard to say with the Ovaries being internal. Doctors basically make educated guesses from their experience. I am sorry you have to worry about this.

Alex

[FaeryBryn]

Thanks for the response, Alex. The PA at the hospital didn't say a whole lot about it when I was there, and she didn't even tell me about the nebothian cyst, or which ovary the septated cystic lesion was on. She started with the cysts, then moved on to my ankle (which I was also there for, as it'd been hurting for 4 weeks without an injury or improvement). It was like she didn't want me to worry, but did want me to follow up. Had I not gone and gotten a copy of the results, I may not have gone back in for the follow up. I may be getting on my work insurance plan soon, so that'll be a plus. I'm trying not to compare with others, but having somewhat of an idea of what's going on will keep me from stressing too much. Thanks again :)

[HVAC]

No free fluid in the cul de sac is good news. I guess you have to wait and see what another ultrasound shows .I do not know if you can afford another ultrasound. If you can't I would monitor my symptoms. I am not sure if this is the kind of cyst which resolves itself not being a doctor. I guess it all depends on what they told you at the ER. Every case is different. You can't compare yourself to cases on the internet it just does not work out that way.

I hear that you are nervous. That is normal. It is a shame you do not have insurance. I was with out it for two years. It makes life tough. I was scared those two years that I could get breast cancer because I could not get Mammograms. The fear just stuck in my head. It turned out not to happen.

Alex