Patient's question:
My wife and I have been married for many years without having children. In August, we underwent in vitro fertilization and embryo transfer in Urumqi. We are now 50 days pregnant. At 45 days, we had an ultrasound examination locally (in Hami), and the report stated:Findings:
The uterus is enlarged in contour. Two gestational sacs are visible in the uterine cavity.
- Gestational sac 1 measures approximately 301415 mm, with a yolk sac echo and primitive heartbeat visible within, measuring about 86 mm.
- Gestational sac 2 measures approximately 181424 mm, with a yolk sac echo visible within.
A narrow, 3.8 mm wide hyperechoic area is observed in the upper uterine cavity, with good sound transmission.
The left and right ovaries measure 5327 mm and 6631 mm, respectively. The bilateral ovaries show uneven echo patterns, with a 2323 mm anechoic cyst in the right ovary, with clear boundaries, regular shape, and good sound transmission.
Interpretation:
Early pregnancy (two gestational sacs), uterine effusion, slightly enlarged bilateral ovaries with uneven echo patterns, and a right ovarian cyst (please correlate with clinical findings).
Additionally, we had a fasting blood test to check hormone levels, which showed:
- B-HCG (Human Chorionic Gonadotropin): Result >200,000.00 mIU/mL
- PROG (Progesterone): Result >127.21 nmol/L
Doctor's answer:
The symptoms caused by cysts are the same as those caused by benign tumors. The treatment methods include oral medication and surgical intervention. Oral medications such as Xiaojin Pian and Guizhi Fuling Wan can be used. If these treatments are ineffective, surgery must be performed. Currently, there is no specific medical method for treating cysts. For small cysts with no symptoms, no treatment is necessary, but regular follow-up is required to monitor whether the cyst continues to grow. Severe cysts may require surgical consideration.