Can uterine fibroids and a cyst in the right adnexal region be the same?

Patient's question:

Sometimes I have lower back pain, and I haven't been able to sleep at night for several months.
Examination results: MRI findings: The uterine contour is clear, the shape is normal, the capsule is bright. A slightly hypoechoic mass measuring 1610mm is visible on the anterior wall, with a clear outline and uneven internal echoes. The rest of the muscular layer shows uniform echoes. The endometrial thickness is 8mm on the left side of the uterine cavity, and the cervical length is 28mm. A 34828mm fluid-filled area is seen in the right adnexal region, with a clear outline, thin and smooth walls, and good internal transmission. The left adnexa show no abnormalities. CDFL: No abnormal blood flow signals are demonstrated.
Past treatment history and effectiveness: I have taken medication for cysts for two consecutive months.
What help do you need: Hello, can you diagnose this? What should I do next?

Doctor's answer:

Your condition is exactly the manifestation of small uterine fibroids accompanied by adnexal cysts, which is very common. As for the size of the adnexal cysts, I don't know how accurately you can describe it; otherwise, such cysts would be very large and would definitely require early surgery. There are many treatment methods for uterine fibroids, but since the symptoms of the patients differ, the treatment methods adopted also vary. Therefore, it is necessary for the patient to be diagnosed as soon as possible so that the treatment can be tailored to the specific condition.

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