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What Does This MRI Report Indicate?
Question: I need to speak to an OBGYN regarding my ovarian volume
mine is 23 cc which peripheral follicles.
Should I be worried..
I have attached my MRI report. Are my ovaries too large?
I am not overweight or have any PCOS characteristics?
mine is 23 cc which peripheral follicles.
Should I be worried..
I have attached my MRI report. Are my ovaries too large?
I am not overweight or have any PCOS characteristics?
Brief Answer:
I need more information
Detailed Answer:
1. Why did you have an MRI of the pelvis?
2. Do you have regular cycles?
3. Are you trying to get pregnant or have you ever been pregnant before?
Dr. Tim
I need more information
Detailed Answer:
1. Why did you have an MRI of the pelvis?
2. Do you have regular cycles?
3. Are you trying to get pregnant or have you ever been pregnant before?
Dr. Tim
Above answer was peer-reviewed by :
Dr. Remy Koshy
Hello,
I am experiencing lower abdominal distention, lack of appeptite (comes and goes), bladder pressure (comes and goes) and additional Ibs symptoms.
The distention began about a year ago.
At this time I lost my period for a year from over exercising. During the year the distention got larger but no other bothersome symptoms. I regained my period about 5 months ago but the distention persisted with the additional symptoms. I also get a lot of ovarian pin
I have had 2 tvus (one noting multiple follicles but other wise normal), a colonoscopy (normal), ca125 (normal-18), an abdominal and pelvic ct scan(normal) and an MRI which I attached.
I was concerned about ovarian problems due to my past history and symptoms.
Therefore, I was wondering if the ovarian enlargement and follicles were due to my past history of losing my period.
I am now having normal cycles that are relatively pain free and around the same time each month.
I am thin, exercise daily and do not have excessive hair growth or male patterned baldness.
I was recommended to try birth control- thinking that this may decrease the ovarian volume and resolve my symptoms.
However im reay scared there is something else going on that is being missed
Also, I am definitely not pregnant and I am not trying to get pregnant.
I am experiencing lower abdominal distention, lack of appeptite (comes and goes), bladder pressure (comes and goes) and additional Ibs symptoms.
The distention began about a year ago.
At this time I lost my period for a year from over exercising. During the year the distention got larger but no other bothersome symptoms. I regained my period about 5 months ago but the distention persisted with the additional symptoms. I also get a lot of ovarian pin
I have had 2 tvus (one noting multiple follicles but other wise normal), a colonoscopy (normal), ca125 (normal-18), an abdominal and pelvic ct scan(normal) and an MRI which I attached.
I was concerned about ovarian problems due to my past history and symptoms.
Therefore, I was wondering if the ovarian enlargement and follicles were due to my past history of losing my period.
I am now having normal cycles that are relatively pain free and around the same time each month.
I am thin, exercise daily and do not have excessive hair growth or male patterned baldness.
I was recommended to try birth control- thinking that this may decrease the ovarian volume and resolve my symptoms.
However im reay scared there is something else going on that is being missed
Also, I am definitely not pregnant and I am not trying to get pregnant.
Brief Answer:
Your ovarian volume is not a concern at all
Detailed Answer:
Thank you for the follow up information and your honesty about all of this. Women who are underweight or overweight often do not ovulate. Both of these populations of women might fit the picture of polycystic ovaries. Every month you recruit eggs and mid-cycle, one of them becomes dominant and the others die off. In women who do not ovulate, they recruit eggs that never go away and thus their ovaries appear polycystic.
With all of the pelvic pain and bloating, it is suprising how much imaging has been performed, to be honest. It is suprising that you never had a surgery called a laparoscopy to rule out endometriosis. This is possible as a cause for pain and bloating, but it is not necessary to do surgery to sort this out because often the treatment is the same regardless.
When I review the MRI report, it is overall normal. There is really no concern regarding the ovarian volume and it is even more irrelevant given how much better you are doing now with regular cycles.
Yes, the ovarian volume might be related to prior non-ovulatory cycles, but this really is not something that we pay much attention to. Often we do surgeries where we look into the pelvis. Sometimes the ovaries look larger and sometimes they look smaller.
In your case, it seems as though birth control pills would be a really good idea in terms of preventing new cyst recruitment and lessening symptoms related to your cycles or symptoms related to NOT cycling.
Does this make sense?
Dr. Tim
Your ovarian volume is not a concern at all
Detailed Answer:
Thank you for the follow up information and your honesty about all of this. Women who are underweight or overweight often do not ovulate. Both of these populations of women might fit the picture of polycystic ovaries. Every month you recruit eggs and mid-cycle, one of them becomes dominant and the others die off. In women who do not ovulate, they recruit eggs that never go away and thus their ovaries appear polycystic.
With all of the pelvic pain and bloating, it is suprising how much imaging has been performed, to be honest. It is suprising that you never had a surgery called a laparoscopy to rule out endometriosis. This is possible as a cause for pain and bloating, but it is not necessary to do surgery to sort this out because often the treatment is the same regardless.
When I review the MRI report, it is overall normal. There is really no concern regarding the ovarian volume and it is even more irrelevant given how much better you are doing now with regular cycles.
Yes, the ovarian volume might be related to prior non-ovulatory cycles, but this really is not something that we pay much attention to. Often we do surgeries where we look into the pelvis. Sometimes the ovaries look larger and sometimes they look smaller.
In your case, it seems as though birth control pills would be a really good idea in terms of preventing new cyst recruitment and lessening symptoms related to your cycles or symptoms related to NOT cycling.
Does this make sense?
Dr. Tim
Above answer was peer-reviewed by :
Dr. Remy Koshy
Dear Dr. XXXXXXX
Thank you for your response.
Yes.. I've had a lot of work done.. It's been a hard past couple months.
I guess why im most concerned with is ovarian cancer. I know my imagining is negative but my symptoms are exactly that of ovarian cancer.
I'm just scared this is being missed.
Should I be concerned or would have this shown up by now?
Also could the bloating im experiencing be due to the enlarged ovaries?
If so, how long would it take for the ovaries do decreAse in size on birth control?
Thank you again for your help
Thank you for your response.
Yes.. I've had a lot of work done.. It's been a hard past couple months.
I guess why im most concerned with is ovarian cancer. I know my imagining is negative but my symptoms are exactly that of ovarian cancer.
I'm just scared this is being missed.
Should I be concerned or would have this shown up by now?
Also could the bloating im experiencing be due to the enlarged ovaries?
If so, how long would it take for the ovaries do decreAse in size on birth control?
Thank you again for your help
Brief Answer:
You do not have ovarian cancer
Detailed Answer:
The average age for diagnosis of ovarian cancer is about 61. In 17 years of practice, I have seen ovarian cancer once in someone your age and it was in the setting of a very significant family history.
Yes, your symptoms might be concerning if you were in your 60's but you are very young and you have had normal imaging and a normal CA-125. Ovarian cancer is the LEAST likely explanation for your symptoms.
Bloating can be associated with normal cycles and can be associated with cycles where you do not ovulate. Ovarian volume is NOT a factor in considering anything. It is irrelevant and I do not want you to get stuck on this fact. They are just reporting this because that is what they do when they report the result - it means nothing.
The enlarged ovaries could be related to irregular cycling and this could be related to the sense of bloating. You would likely benefit from regular birth control pills to cycle the ovaries and uterus. If it makes you feel better, then certainly ask that they repeat the ultrasound after three months of regular birth control use.
You do not have ovarian cancer. This has been proven.
Dr. Tim
You do not have ovarian cancer
Detailed Answer:
The average age for diagnosis of ovarian cancer is about 61. In 17 years of practice, I have seen ovarian cancer once in someone your age and it was in the setting of a very significant family history.
Yes, your symptoms might be concerning if you were in your 60's but you are very young and you have had normal imaging and a normal CA-125. Ovarian cancer is the LEAST likely explanation for your symptoms.
Bloating can be associated with normal cycles and can be associated with cycles where you do not ovulate. Ovarian volume is NOT a factor in considering anything. It is irrelevant and I do not want you to get stuck on this fact. They are just reporting this because that is what they do when they report the result - it means nothing.
The enlarged ovaries could be related to irregular cycling and this could be related to the sense of bloating. You would likely benefit from regular birth control pills to cycle the ovaries and uterus. If it makes you feel better, then certainly ask that they repeat the ultrasound after three months of regular birth control use.
You do not have ovarian cancer. This has been proven.
Dr. Tim
Above answer was peer-reviewed by :
Dr. Kampana
Dear Dr. XXXXXXX
Thank you again for your response. This is very reassuring. It's been a difficult past couple months. I moved away from my family physician in Wisconsin to go to school out of state. So where I am now, I don't have a regular doctor that will take the time to talk to me in their office.
The bloating has been persistent lower abdominal distention that is very visible. I can't out any pressure on my stomach or else I get very sick. Such as when I where jeans or do sit ups.
I understand I am young for this, but to clarify, are your saying my testing rules out ovarian cancer despite my age?
Would there be any other treatments you would recommend to your patient who had my symptoms?
Thank you again for your response. This is very reassuring. It's been a difficult past couple months. I moved away from my family physician in Wisconsin to go to school out of state. So where I am now, I don't have a regular doctor that will take the time to talk to me in their office.
The bloating has been persistent lower abdominal distention that is very visible. I can't out any pressure on my stomach or else I get very sick. Such as when I where jeans or do sit ups.
I understand I am young for this, but to clarify, are your saying my testing rules out ovarian cancer despite my age?
Would there be any other treatments you would recommend to your patient who had my symptoms?
Brief Answer:
Please clarify...
Detailed Answer:
Who was your doctor in Wisconsin and in what city?
Please clarify...
Detailed Answer:
Who was your doctor in Wisconsin and in what city?
Above answer was peer-reviewed by :
Dr. Remy Koshy
Dr. XXXXXXX XXXXXXX in Manitowow / Two Rivers.
He is with XXXXXXX healthcare.
I've seen him my whole life and has been a huge help in my life.
He is with XXXXXXX healthcare.
I've seen him my whole life and has been a huge help in my life.
Brief Answer:
The chance of cancer is very close to zero
Detailed Answer:
I only ask because I am an OB/GYN in the Dodgeville area. But, based on your concerns, here are the reasons that the chance of ovarian cancer is so low:
1. Your young age
2. A normal CA-125 level
3. Multiple imaging studies showing NO evidence of ovarian cancer
Perhaps you would benefit from a consult with an OB/GYN for future care in this matter. I hope that this answer helps.
Dr. Tim
The chance of cancer is very close to zero
Detailed Answer:
I only ask because I am an OB/GYN in the Dodgeville area. But, based on your concerns, here are the reasons that the chance of ovarian cancer is so low:
1. Your young age
2. A normal CA-125 level
3. Multiple imaging studies showing NO evidence of ovarian cancer
Perhaps you would benefit from a consult with an OB/GYN for future care in this matter. I hope that this answer helps.
Dr. Tim
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Oh yes! I for married in Arena which is about a half an hour away from dodgeville I think.
Could you please clarify what you mean by a small chance of ovarian cancer?
I'm confused because you said I do not have it.
Thank you again for your time.
Could you please clarify what you mean by a small chance of ovarian cancer?
I'm confused because you said I do not have it.
Thank you again for your time.
Brief Answer:
Small chance means as close to 0% as you can get
Detailed Answer:
Nothing in life is 100%. Has anyone your age gotten ovarian cancer - the answer is yes. But this is EXTREMELY rare. I could never say that the chance was zero as that would be a lie. Based on the reasons that I listed, you do not have ovarian cancer.
Dr. Tim
Small chance means as close to 0% as you can get
Detailed Answer:
Nothing in life is 100%. Has anyone your age gotten ovarian cancer - the answer is yes. But this is EXTREMELY rare. I could never say that the chance was zero as that would be a lie. Based on the reasons that I listed, you do not have ovarian cancer.
Dr. Tim
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. Remy Koshy
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