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NUMEROUS FOLLICULAR CYSTS
I'm 28 years old. I have 3 kids, 2 years ago I had my tubes blocked (essure procedure). 10 months after my tubes were blocked I started having left lower pelvic pain. At that time I had a UTI and was treated for it. my doctor thought that the infection was causing me pain. The pain never went away, after 3 months my obgyn send me for a pelvic ultrasound and everything was normal. I tooked birth control pills for 4 months and that didn't help with the pain. After coming back to see my obgyn he did another pelvic exam and told me the tendernes I was feeling was coming more from my colon area. I was refered to a colon specialist, a colonoscopy was done and everything was ok. a ct scan revealed cysts on both of my ovaries. my obgyn decied to do a diagnostic laparoscopy, he wasnt worried about the cysts that showed up on the ct scan but the only thing he did was drained multiple cysts on my left ovaries. my laparoscopy was done November 11, 2008. on January 15 i started having sudden pelvic pain on my left side again. a doctor in the ER send me for a pelvic ultrasound and it revealed:
Uterus measures 8.7x5.3x3.6 centimeters with an endometrial stripe of 7 millimeters. right ovary measures 2.6x3.9x3.6. Left ovary measures 3.7x2.3.3.2 centimeters. there are numerous follicular cysts in both ovares. there is a small amount of fluid in the cul-de-sac. Incidental finding is apparent echogenic area in the region of the endometrium thought to be secondary to birth control. I'm still having pain in the left lower side of my pelvis, my question is should i see my obgyn again or should i just wait and see if this cyst are going to go away on their own. thanks
Uterus measures 8.7x5.3x3.6 centimeters with an endometrial stripe of 7 millimeters. right ovary measures 2.6x3.9x3.6. Left ovary measures 3.7x2.3.3.2 centimeters. there are numerous follicular cysts in both ovares. there is a small amount of fluid in the cul-de-sac. Incidental finding is apparent echogenic area in the region of the endometrium thought to be secondary to birth control. I'm still having pain in the left lower side of my pelvis, my question is should i see my obgyn again or should i just wait and see if this cyst are going to go away on their own. thanks
MEDICAL PROFESSIONAL
Hi!
Follicular cysts are normal. They are eggs. Eggs develop in follicles and the follicles grow to about 2 cm in size before they rupture due to ovulation. So while the follicles may go away, new ones are going to form, and they are almost certainly NOT the cause of your pain.
Two things strike me, one is the coincidence of the pain beginning with the Essure procedure. I wonder whether your essure device is in the proper spot, or has slipped, and is causing pain and showing up on your ultrasound ( the incidental finding). The way to find out would be hysteroscopy--which is a camera that is inserted into the uterus from the cervix. (NOT the same as a laparoscopy).
The other possibility is IBS (irritable bowel syndrome). If my patient had your symptoms, I would be inclined to treat her for IBS for 2-4 weeks to see if things improved before going on to hysteroscopy. If not, do the scope, if so there's your answer.
Hope this is helpful!
Dr B
Follicular cysts are normal. They are eggs. Eggs develop in follicles and the follicles grow to about 2 cm in size before they rupture due to ovulation. So while the follicles may go away, new ones are going to form, and they are almost certainly NOT the cause of your pain.
Two things strike me, one is the coincidence of the pain beginning with the Essure procedure. I wonder whether your essure device is in the proper spot, or has slipped, and is causing pain and showing up on your ultrasound ( the incidental finding). The way to find out would be hysteroscopy--which is a camera that is inserted into the uterus from the cervix. (NOT the same as a laparoscopy).
The other possibility is IBS (irritable bowel syndrome). If my patient had your symptoms, I would be inclined to treat her for IBS for 2-4 weeks to see if things improved before going on to hysteroscopy. If not, do the scope, if so there's your answer.
Hope this is helpful!
Dr B
Can IBS be diagnosed with a colonoscopy or CT scan. I had those done and everything came back ok. I also took fiber supplements for 2 months before my laparoscopy and that didn't help with the pain. Are you familiar with the Essure Procedure? I live in a small town and here not everybody is up to date with the procedure. How far in my uterus are the coils suppose to be? Last time I had a pelvic ultrasound the technician asked me if I had an IUD. I told her I had the essure procedure done (she didn't have a clue), but she mentioned that it was in my uterus. I'm concerned about what can this do to me if is not in the right place?
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