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Help! My OB-GYN results are confusing

Started by Bryan Barrett21 · · 👁 4 views · 22 replies

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Participants Bryan Barrett21Aaron Garcia36wearybison8Harold Cook2amberraven9Lawrence WellscoppergardenerAngela Wrightwearygardener19
Bryan Barrett21 Bryan Barrett21 NewcomerOP
6 messages
joined May 2007
#1 ·
Could someone please help me make sense of this ultrasound finding? It says there's a cystic mass on my left ovary measuring 50x44 mm—it shows mixed echogenicity, but there's no visible neovascularization on the TVCD.
RECOMMENDATION: SURGICAL INTERVENTION
I haven't been pregnant before, and I’ve never dealt with any cyst issues in the past.
It’s a bit startling because just nine months ago, this same cyst was only about 1 cm.
Aaron Garcia36 Aaron Garcia36 Member
37 messages
joined Apr 2008
#2 ·
So, where did that clean slate go?
Bryan Barrett21 Bryan Barrett21 NewcomerOP
6 messages
joined May 2007
#3 ·
Nicole Parker93 said:So, where exactly was this cyst located?

It was on my left ovary.
Aaron Garcia36 Aaron Garcia36 Member
37 messages
joined Apr 2008
#4 ·
So, are we talking about PCOS or something else?
Bryan Barrett21 Bryan Barrett21 NewcomerOP
6 messages
joined May 2007
#5 ·
Nicole Parker93 said:So, is this PCOS or what?

I'm honestly a bit lost here—what does all this actually mean?
The report mentions there isn't any free fluid in the Douglas pouch, but they did find a mass on the left side about the size of a mandarin orange—and apparently, it's quite painful when touched. They're suggesting an LPSC surgical procedure...
Bryan Barrett21 Bryan Barrett21 NewcomerOP
6 messages
joined May 2007
#6 ·
I’m feeling a bit discouraged after my recent checkup—as far as I know, I don't have PCOS. For years now, I've been dealing with incredibly painful periods, and because the pain was so intense, I’ve gone through every test imaginable. I’ve even had CA 125 marker tests and various hormonal panels done, and everything has always come back perfectly normal. Now, I’m just left in the dark. My gynecologist wasn't particularly forthcoming, nor did she offer any real explanations, despite me asking her repeatedly. Her responses were so brief—it felt like her only solution to everything was, "Well, this needs to be removed." Honestly, it felt like she didn't even bother to listen to me; her main priority seemed to be making sure she charged me for that ultrasound $67. So, here I am, turning to this community to see if anyone can help make sense of all this.
wearybison8 wearybison8 Member
34 messages
joined Jun 2008
#7 ·
maybe seek out a second opinion

If I were in your shoes, I’d suggest looking into the Mayo Clinic;
Bryan Barrett21 Bryan Barrett21 NewcomerOP
6 messages
joined May 2007
#8 ·
Yeah, I’m actually booking an appointment with another gynecologist first thing Monday morning... I haven't even mentioned yet that I’ve been in pain for the last ten days. At first, it was just my left ovary, then it shifted to the right, then the uterus—just this constant, dull ache. It honestly feels exactly like the cramps I get right before my period starts. My doctor didn't want to jump to conclusions about inflammation just yet, though she’ll likely have a better idea once the ultrasound and physical exam are done; in the meantime, she sent me off for blood work and a urine test. Aside from this persistent, dull discomfort, I don't have any other symptoms... everything really kicked off right after ovulation. To be honest, I’m starting to panic a little that something might rupture. I’m genuinely shaken up, especially after spending way too much time digging through threads on these forums... it’s reached the point where I’m actually scared to go anywhere—I can't stop wondering, "what if it bursts?" I really should have pushed my doctor to explain things more clearly instead of just spiraling because the results were inconclusive or unexplained.
Harold Cook2 Harold Cook2 Active Member
110 messages
joined Mar 2009
#9 ·
Honestly, I don't even know how much you're supposed to fast before a laparoscopy. It’s really not that big of a deal, though.
amberraven9 amberraven9 Member
12 messages
joined Mar 2009
#10 ·
Yeah, my doctor told me the same thing, but she didn't really bother to break down the details for me...
I'm wondering if they actually perform laparoscopies at the hospital in Chicago?
Lawrence Wells Lawrence Wells Regular
312 messages
joined Jun 2006
#11 ·
Maybe 🙂
amberraven9 amberraven9 Member
12 messages
joined Mar 2009
#12 ·
Michelle Cook83 said:It works. 🙂

Glad to hear it.😁
Any idea if the wait times are long?
Got any recommendations?
coppergardener coppergardener Active Member
137 messages
joined Jun 2006
#13 ·
Wait just a second...
She charged you a co-pay, which implies she’s running a private practice—and if we assume she’s a private practitioner, wouldn't one expect her to have more time to actually focus on her patients than someone stuck running on a treadmill at a massive hospital system? And yet, she didn't bother to have a real conversation with you—not even a simplified explanation suitable for a student? Isn't that odd, especially since you specifically mentioned that certain topics were important to you?
Just find someone else. 🙂
amberraven9 amberraven9 Member
12 messages
joined Mar 2009
#14 ·
coppergardener said:Hold on a second...
She charged you for an ultrasound, which means she's in private practice. Since she’s running her own business, you'd assume she has more time for her patients than someone stuck on a treadmill at a massive hospital system. And she wouldn't even sit down for a real talk with you? Even after you specifically mentioned you had questions? Even if it was just a simplified explanation for a student?
Go find another doctor. 🙂

Yeah, she charged me for the ultrasound, told me the cyst is clear, and said it needs to be removed. I'm not an expert, obviously, but I wanted specific details about the laparoscopy—the actual procedure, which hospital, potential complications with the cyst, and how this affects my chances of getting pregnant. She just wasn't interested in talking.
And yes, I am definitely switching doctors. I've been seeing her for a while and there haven't been any issues before; my labs have always come back perfect, so I didn't really have anything to ask until now. This caught me off guard. It seems the easiest thing to do is just charge $67 for five minutes of work and call it a day.
I'd prefer private practice too.
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#15 ·
Chloe Fisher said:Can someone please help me make sense of this finding? The left ovary shows a cystic formation measuring 50x44 mm with mixed echogenicity and no visible neovascularization (TVCD).
RECOMMENDATIONS: SURGICAL INTERVENTION
I haven't given birth, and I've never had issues with cysts before.
Nine months ago, this cyst was only 1 cm.

Look, nobody can give you a concrete, official diagnosis or tell you exactly what you're dealing with without a pathology report from a tissue biopsy, and getting that requires surgery. Since this thing was already there nine months ago and instead of vanishing, it ballooned in size, there is an absolute reason to have it removed. My educated guess? It’s likely an endometriotic cyst. You should probably get your CA 125 marker checked again. If those levels are elevated, then there's a definitive reason to suspect endometriosis. Even if the results come back normal, don't assume you're in the clear—that marker is notoriously unreliable for women in their reproductive years. The other symptoms you mentioned definitely align with endometriosis.
Just go get the surgery and stop living with the uncertainty and the pain.
Lawrence Wells Lawrence Wells Regular
312 messages
joined Jun 2006
#16 ·
amberraven9 said:Glad to hear that!😁
Any idea how long the waitlist is? And... any recommendations?

I have no clue about the wait times—honestly, I'm in the dark there—but I’d highly recommend Dr. Bačić. He’s an absolute pro.
amberraven9 amberraven9 Member
12 messages
joined Mar 2009
#17 ·
Michelle Cook83 said:I have no clue how long the waitlist is, but I’d suggest Dr. Bačić. He’s top-tier.

Thanks... I'll check on the wait times and see if he's taking new patients.
wearygardener19 wearygardener19 Member
13 messages
joined Jul 2010
#18 ·
Get that surgery scheduled ASAP while they can still do it laparoscopically. That cyst clearly has an appetite for growth, and once it gets any bigger, they won't be able to go the lap way anymore—you’ll be looking at a traditional open incision. Laparoscopy is incomparable; you recover way faster and it's much less invasive.

Given that there's a "mixed echo," we aren't just talking about a simple water cyst here. It likely contains other stuff, most probably fragments of endometrial tissue, which points straight toward endometriosis. From that angle, it's definitely better to get that cyst out before it decides to burst and spills its contents all over your intestines and peritoneum. If that happens, the surgeons will have a massive job cleaning up a mess of adhesions during the procedure. Bottom line: do it sooner rather than later.👍

That phrase "without visible neovascularization" basically tells you everything you need to know. It means no new blood vessels have formed. That is an incredibly good sign, because when cancer starts doing its thing, it builds its own dedicated blood supply to fuel its rapid spread. In your case, those vessels aren't there, which is great news.

There’s no free fluid in Douglas's pouch (either you or the doctor miswrote it—it's Douglas, not Dougals) and that’s also a win. Free fluid is often a red flag associated with malignancy, though it can show up for other reasons too. Regardless, if there had been fluid present, it would be an absolute emergency requiring immediate surgery. Since there isn't, you're in a much better spot.👍

Everything points toward an endometriotic cyst. Essentially, part of your menstrual cycle isn't exiting through the vagina; instead, it travels back up the fallopian tube into the ovary, where it starts filling up the cyst. These things frequently rupture (causing adhesions everywhere), or they just keep growing and growing...

Anyway, don't put this off. Go now while you can still have a procedure where you're back home in a day or two and feeling normal almost immediately. Don't wait until the cyst grows so large that they have to perform traditional surgery, and don't wait until it ruptures and spreads internally, or until it completely wrecks your ovary and fallopian tube. Long story short: just go.😉
amberraven9 amberraven9 Member
12 messages
joined Mar 2009
#19 ·
wearygardener19;22089620 said:i
Thanks for such a thorough breakdown... If only my OB-GYN had explained things this way... Everything makes a lot more sense now.🙏

I'm getting blood work and markers done tomorrow, then heading to another specialist in the afternoon to see where we stand. I checked with some private clinics, and that procedure runs about $1,100, which is just too steep for me right now. As for public hospitals, I have no idea what the wait times are looking like. Since I'm out on the Mediterranean Coast, going to a hospital in San Francisco would be the easiest move for me.
THANKS AGAIN FOR ALL THE EFFORT😍
Angela Wright Angela Wright Regular
731 messages
joined Feb 2007
#20 ·
amberraven9;22097766 said:
wearygardener19 said:i
Thanks for such a thorough breakdown... If only my OBGYN had explained things this clearly, I wouldn't be so lost right now. This makes a lot more sense.🙏

I'm getting bloodwork and markers done tomorrow, then hitting up another specialist in the afternoon, so we'll see what happens next. I checked with some private clinics, and that procedure runs about $1,100, which is honestly way out of my budget right now. As for public hospitals, I have no idea what the wait times look like, but since I'm out in California, heading to a hospital in San Francisco would be the most convenient option for me.
THANKS AGAIN FOR ALL THE EFFORT😍

The wait isn't that bad.

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