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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ovarian Cyst And Pelvic Pain

Hi doctr I have a problem
I have pain in my pelvic area I am virgin n after having ultrasound the reports show tht right ovarian cyst with debris n minimal free fluid is seen cul de sac plz explain me I'm little confused tht wht are reports saying
Thu, 27 Aug 2015
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General & Family Physician,  's  Response
Hi,
I understand your concern.

You have ovarian cyst along with free fluid in cul de sac. Cul de sac is a dead end of the amniotic cavity pouch front & behind uterus. So any inflammation/ infection/ ovulation causing free fluid in pelvic cavity tends to collect in the Cul De Sac.
Mostly minimal fluid in cul De Sac indicates ovulation ( during routine menstrual cycle) BUt you in addition have some debris & pain along with it.. that indicates [possibility of rupture of an ovarian cyst/ infection in pelvis.)
* Usually in rupture of ovarian cyst pain management along with antibiotics to avoid infection is tried first...
* But in case pain is associated with fever( Sign of pelvic inflammation )- makes an expert consultation along with investigations to find / exclude possible cause of pelvic inflammation & specific treatment.
* About the ovarian cyst you still have in ovary..
- Expectant treatment is first line of management, as many times the cyst resolves on it's own.
-Ovarian cyst which is large / complex cyst/ cysts not resolving after 3 menstrual cycles may need surgery.
Of course, in your case expectant care & preservation of ovaries would be preferred in case of surgery.
thanks.
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Suggest Treatment For Ovarian Cyst And Pelvic Pain

Hi, I understand your concern. You have ovarian cyst along with free fluid in cul de sac. Cul de sac is a dead end of the amniotic cavity pouch front & behind uterus. So any inflammation/ infection/ ovulation causing free fluid in pelvic cavity tends to collect in the Cul De Sac. Mostly minimal fluid in cul De Sac indicates ovulation ( during routine menstrual cycle) BUt you in addition have some debris & pain along with it.. that indicates [possibility of rupture of an ovarian cyst/ infection in pelvis.) * Usually in rupture of ovarian cyst pain management along with antibiotics to avoid infection is tried first... * But in case pain is associated with fever( Sign of pelvic inflammation )- makes an expert consultation along with investigations to find / exclude possible cause of pelvic inflammation & specific treatment. * About the ovarian cyst you still have in ovary.. - Expectant treatment is first line of management, as many times the cyst resolves on it s own. -Ovarian cyst which is large / complex cyst/ cysts not resolving after 3 menstrual cycles may need surgery. Of course, in your case expectant care & preservation of ovaries would be preferred in case of surgery. thanks.