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Focused Ultrasound Fibroids
Will I need a reproductive organ surgery? If yes, what kind?
im a 37yr old single female who experienced severe abdominal pain. normal monthly period; experienced abdominal cramps about 2x per year only. never been pregnant;
ultrasound test results:
-anteverted uterus 77x47x45mm with irregular contour & inhomogenous myometrial echotexture.
-varisized, round hypoechoic foci in the posterior border of the uterus (23x17mm) in lower uterine segment & (26x22mm) in the fundus.
-echogenic endometrial stripe is 6mm in its full thickness
-large, round, hetero focus inteh right adnexa measuring 54x35mm while the left ovary measures 31x15mm with few round thin-walled anechoic focus within the left ovary representing dominant physiologic follicle.
IMPRESSION:
-uterine fibroids as described
-right adnexal mass probably ovarian in origin
-clinical co-relation suggested for further evaluation.
Your uterus is normal in size, and so is the endometrial stripe. If your periods are normal, no extra heavy bleeding or pain, then the fibroids are probably not a problem at this time.
The left ovary sounds normal. Follicles are small cysts that develop naturally during the cycle - that is where the eggs get released from.
The right ovary sounds to have a large, somewhat abnormal cyst, could look heterogeneous on ultrasound due to blood or other protein type material in it ( a "hemorrhagic cyst")
If you are not having pain associated with the right side of your pelvis, your doctor will probably keep you under observation and do another ultrasound in 2-3 months (after a couple more menstrual cycles) to see if there is any change on the right. These kind of cysts generally resolve on their own but the doctors like to keep an eye on them until they do.
Another thing might be if or when the cyst ruptures there could be some pain - I had a cyst rupture once and the pain was really intense for a few minutes, really scary, but then was only a mild discomfort that went away after a day or so. I had known there was a cyst there, but it still took me by surprise.
As far as the future, can't make any predictions. The fibroids could get larger and become a problem, or the doctor might decide he wants to take out the cyst on the right ovary - it's kind of a wait and see situation. Good luck.
