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What Does These Abdomino Pelvic Ultrasonography Diagnosis Indicate?

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Posted on Sat, 5 Apr 2014
Question: Hello Sir, Recently my wife had undergone a abdomino pelvic ultrasonography diagnosis, and in report everything is normal except, the left side ovary which has cyst measuring 29 * 17 mm please find the attached diagnosis reports for ur reference and suggest us, what to do next whether, she should go for surgery or once again go through the required tests for confirmation. please suggest, my wife is dippressed all the time and she is worried alot thinking of the surgery and few physician suggested to remove the whole the uterus part. Thanks XXXXXXX
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Answered by Dr. Dr. Soumen Patra (44 minutes later)
Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. Followings are my suggestion: First of all, left ovarian cyst is VERY SMALL (29 x 17 mm) and SIMPLE type. It may be FUNCTIONAL cyst which has 3 types - Follicular cyst (MOST common), Corpus luteum cyst (appears after ovulation) and Thecal cyst. Most of ovarian cysts are BENIGN (around 95%) in nature. Second thing, management OR next plan of action depends on symptoms and disturbance of regular period cycle. 1) If her period is IRREGULAR or DELAYED, then some additional investigations should be done. These include hormone test like LH/ FSH, Progesterone assay, Thyroid profile, blood prolactin and sugar test (PPBS), DHEAS etc. Proper treatment can be made according to test result. Combined hormonal pill and supportive medication are usually given in such case. 2) If she feels abdominal pain quite often, then some painkiller can be given along with antacid for short term purpose. She can take a warm bath or apply heating pad or hot water bottle to the lower abdomen near the ovaries. It can relax tense muscles and help to relieve cramping, lessen discomfort & stimulate circulation and healing in the ovaries. 3) At this stage, she DOESN'T NEED any kind of SURGERY for small simple cyst. So, you WOULDN'T be worried about this. Surgery in the term of removal of the ovarian cyst is indicated when a) there is persistent COMPLEX cyst, b) Cyst causes persistent symptoms, c) Simple cyst is MORE THAN 7 to 10 cm in size, d) Women are near menopause. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish her good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Soumen Patra

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Practicing since :2011

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What Does These Abdomino Pelvic Ultrasonography Diagnosis Indicate?

Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. Followings are my suggestion: First of all, left ovarian cyst is VERY SMALL (29 x 17 mm) and SIMPLE type. It may be FUNCTIONAL cyst which has 3 types - Follicular cyst (MOST common), Corpus luteum cyst (appears after ovulation) and Thecal cyst. Most of ovarian cysts are BENIGN (around 95%) in nature. Second thing, management OR next plan of action depends on symptoms and disturbance of regular period cycle. 1) If her period is IRREGULAR or DELAYED, then some additional investigations should be done. These include hormone test like LH/ FSH, Progesterone assay, Thyroid profile, blood prolactin and sugar test (PPBS), DHEAS etc. Proper treatment can be made according to test result. Combined hormonal pill and supportive medication are usually given in such case. 2) If she feels abdominal pain quite often, then some painkiller can be given along with antacid for short term purpose. She can take a warm bath or apply heating pad or hot water bottle to the lower abdomen near the ovaries. It can relax tense muscles and help to relieve cramping, lessen discomfort & stimulate circulation and healing in the ovaries. 3) At this stage, she DOESN'T NEED any kind of SURGERY for small simple cyst. So, you WOULDN'T be worried about this. Surgery in the term of removal of the ovarian cyst is indicated when a) there is persistent COMPLEX cyst, b) Cyst causes persistent symptoms, c) Simple cyst is MORE THAN 7 to 10 cm in size, d) Women are near menopause. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish her good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326