Patient's question:
Doctor, I am 29 years old this year, and I have been divorced for over ten years. Now my children are all five years old. Recently, I have been feeling some pain in my lower abdomen. I went to the hospital to ask a doctor, and the doctor said it might be an ovarian cyst and suggested that I have a thorough examination. What are the steps?Doctor's answer:
1. Tubal ovarian cyst: It is an inflammatory cystic mass, often associated with infertility or a history of pelvic infection. It forms cystic masses in both adnexal regions, with clear or unclear boundaries and limited mobility.2. Uterine fibroids: Subserous fibroids or cystic degeneration of fibroids can be easily confused with solid ovarian tumors or cysts. Fibroids are often multiple, connected to the uterus, and may be accompanied by menstrual abnormalities such as menorrhagia. During careful examination, the tumor moves rapidly with the uterine body and cervix.
3. Pregnant uterus: In early pregnancy, during triple assessment, the uterine body and cervix may appear disconnected, making it easy to mistake the soft uterine body for an ovarian tumor. However, early pregnant women have a history of amenorrhea. If the medical history is thoroughly reviewed, an HCG test or B-mode ultrasound can help differentiate it.