I need a second opinion on my ultrasound result.
Transvaginal ultrasound reveals cyst on ovary or hydrosalpinx? Ultrasound was done on day 9 of menstrual cycle. I stopped taking birth control 5 months ago. I am currently not taking any medication. Perhaps you have another opinion or have other findings. Thank you.
Welcome to icliniq.com.
I have gone through your brief clinical history and the images you have provided. (attachment removed to protect patient identity).
Though I would like you to answer a few more questions so as to provide you better diagnosis and suggest appropriate management. Are your menses regular? Is the flow normal, heavy or low? Do you have children? Normal delivery or cesarean sections? Any abortion, miscarriage or D and C done? Any history of urogenital infection or chronic discharge per vaginum?
Now coming onto your query and analysis of the images you have sent.
First image shows anterverted uterus with a 3.9 mm calcific focus in endometrial region. This calcification is most likely due to earlier infective or inflammatory pathology. Nothing to worry about.
Second image shows minimal amount of clear fluid in the endometrial canal with thin endometrium for 9th day of cycle.
Third, Fourth and fifth images show an oblong soft tissue structure adjacent to the left ovary. This could either be part of the bowel or fallopian tube (I can differentiate it on a dynamic scan or an ultrasound video rather than a still image).
The left ovary looks normal with few follicles seen within it. No obvious cyst is seen in the image provided. Also, the left tube is not dilated and therefore no hydrosalpinx is seen.
The last sixth image shows part of normal bowel loop in the right adnexa. No right ovary or dilated tube is seen in the image provided.
I hope this helps.
Infective - inflammatory.Investigations to be done:
Hormonal assays serum FSH (follicle stimulating hormone), LH (lutenizing hormone), prolactin and androgen levels.
complete blood count,
Ruined routine and microscopy.
SOS PAP smear
Follow up with reports.
Thank you doctor,
The report I received from the initial radiologist suggest possible left complicated cyst versus hydrosalpinx. However, you do not suggest hydrosalpinx? What is the cause of this clear fluid in the endometrial canal? Is it safe to get pregnant? Will this fluid leak into uterus and cause issues during pregnancy?
I have a history of chlamydia and possibly had this for 10-11 months before antibiotic treatment. I no longer have this infection as it has been treated.
I have included a few more photos I had forgotten to attach.
Answer to your questions:
Yes, my menses are regular every 27-30 days. I have very low flow, sometimes only one day and spotting usually a few days before period. I will also have spotting after intercourse sometimes one week before period. I have no children and trying to conceive for four months. I have not done any abortion or D and C. I had chronic UTI's in the past and bacterial vaginosis.
Welcome back to icliniq.com.
So what I suspected was right that you have a history of chronic genital infection which in your case is chlamydia. Fortunately, you seem to have taken a complete course of treatment for the same. However, these chronic infections are notorious to cause tubal block.
I am into medicine since 21 years and have been doing gynecology ultrasound scans for almost a decade now. The finding of mild endometrial fluid is mostly innocuous and not uncommon and most of the cases resolve on their own or after a short course of antibiotics and anti-inflammatory medicines.
In the three images provided (attachment removed to protect patient identity), the soft tissue measured in the left adnexa appears to be normal tissue. The black structure below the left ovary is mostly internal iliac vessel which supplies blood to the left ovary. The ovary appears normal in the image provided with few follicles within.
As you are keen on conception, we need to check for your fertility status for which a battery of blood tests are required viz, FSH, LH, estradiol, inhibin, prolactin, insulin and testosterone.
Since you have a history of chlamydia, chronic UTIs (urinary tract infection) and bacterial vaginosis we would like to check the patency of tubes. For this purpose, a test called HSG (hysterosalpinography) or sono-hysterosalpingography is advised.
Chronic genitourinary infection.Investigations to be done:
Blood tests FSH, LH, estradiol, inhibin, prolactin, insulin and testosterone.
HSG (hysterosalpingography) or sono-hysterosalpingography.
transvaginal ultrasound follicle and endometrial monitoring study.
Was this answer helpful?|
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
The right fallopian tube is damaged, hence the ovum released by the right ovary cannot be utilized for natural conception ... Thank you doctor, Here doctor said that her right ... Read fullWhen do heterogeneous ovarian cysts occur, before or after ovulation?
.. all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst). In a sonography, if it looks clear without any shadow in the cyst, then it ... Read fullI am having trouble getting pregnant. What can I do other than IVF?
The fallopian tube is a bridge between the uterus and ovaries ... This tube is never seen on scan or examination ... An IUI after this test... Read full
Ask your health query to a doctor online?Ask a General Practitioner Now