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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Transvaginal Scan Showed Solid Exophytic Heterogenous Mass And Nabotian Cyst. Meaning? Worried About Fertility?

I am 31 y/o and I had a UTZ -Transvaginal. The findings showed that i have a solid exophytic heterogenous mass 4.8x4.7x3.8cm (LxAPxT) found closely at the left lateral aspect of the uterine corpus. A nabotian cyst is also noted measuring .34 x .24 cm. Both ovaries are normal in size.
Impressions are: 1. Enlarged uterus with an anterior intramural myoma and an exophytic myoma in the left uterine coprpus. 2. Nabothian cyst. 3. Ultrasonically normal endometrium and ovaries. 4. Negative adnexae.

I am worried about my health and my fertility. i want to have children someday. Please help me by explaining what's happening and my options. I really want to have children. Thank you..
Sat, 29 Jun 2013
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General & Family Physician 's  Response
HI and thank you so much for this query.
I am so sorry to hear about the findings of this ultrasound and all the inconvenience this has caused to you.

Myoma(fibroid) is a very common finding in women of child bearing age. Averagely, 25% of all women develop at least one at some point in their life. It is normally left alone unless it starts too cause problems like excess bleeding pains, obstruction, too big etc. Rarely does it causes infertility and if any difficulties getting pregnant result from its location, then surgery usually corrects this.

Your chances of having children at not altered very much by the presence of a fibroid alone. Many women get pregnant with fibroids, carry the pregnancy to maturity and put to birth without and difficulties. Nabothian cyst is not too much of a concern talking about pregnancy too. Most nabothian cysts cause no signs nor symptoms and need no specific treatment.

You will definitely be able to have children one day unless something more comes up. Based on theses findings, if any specific treatment i indicated, the chances of having babies are intact.

I hope this answers your questions and relieves you of your worries.
If you desire more information, please let us know.
I wish you well.
Dr. Ditah, MD.
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Transvaginal Scan Showed Solid Exophytic Heterogenous Mass And Nabotian Cyst. Meaning? Worried About Fertility?

HI and thank you so much for this query. I am so sorry to hear about the findings of this ultrasound and all the inconvenience this has caused to you. Myoma(fibroid) is a very common finding in women of child bearing age. Averagely, 25% of all women develop at least one at some point in their life. It is normally left alone unless it starts too cause problems like excess bleeding pains, obstruction, too big etc. Rarely does it causes infertility and if any difficulties getting pregnant result from its location, then surgery usually corrects this. Your chances of having children at not altered very much by the presence of a fibroid alone. Many women get pregnant with fibroids, carry the pregnancy to maturity and put to birth without and difficulties. Nabothian cyst is not too much of a concern talking about pregnancy too. Most nabothian cysts cause no signs nor symptoms and need no specific treatment. You will definitely be able to have children one day unless something more comes up. Based on theses findings, if any specific treatment i indicated, the chances of having babies are intact. I hope this answers your questions and relieves you of your worries. If you desire more information, please let us know. I wish you well. Dr. Ditah, MD.