Patient's question:
The last time I had my period was on the 31st of last month, and it's already the 2nd of this month, but I haven't had it yet. Also, the discharge over the past two days has contained streaks of blood, but it doesn't seem to be my period. What could be the reason?Follow-up question: A few days ago, I had some right abdominal pain and had an ultrasound done. The results showed a cystic mass in the left adnexa. However, when I had an ultrasound in September, the results said that both adnexa were normal.
The doctor said to wait for three days after my period before checking again. I'm not married and haven't had any sexual activity. What's going on?
Doctor's answer:
Hello, occasionally having a menstrual cycle that is 9 days early or late is normal. As for blood streaks in the discharge, it is recommended to have a vaginal discharge examination at the hospital.Ovarian cysts can be physiological (meaning they naturally disappear with the menstrual cycle) or pathological (formed due to disease). Physiological cysts do not require surgery, while pathological cysts often need surgery for diagnosis and appropriate treatment. For women of childbearing age, the next steps depend on the nature of the cyst.
Ultrasound results are very helpful for diagnosis. If the ultrasound indicates an anechoic cyst without septa, you can wait for 3 months and then repeat the ultrasound. If the cyst still exists after 3 months, surgical treatment should be considered. For other types of cysts, they are mostly pathological and should be surgically diagnosed.