Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Implication of cysts in PELVIC ULTRASOUND for conceiving.

Resolved Question:

I recently paid for a private ultrasound pelvic exam as I am trying to conceive and have wanted to check that all was okay with my reproductive system. I am 34 years old patientold. I was given a report and some cysts have been identified- but the company are unable to give any medical advice. I am wanting someone to look at the report and explain the implications and any follow up advice with regards to my health and fertility. I can send scan pictures if needed. Many thanks.

Category: Infertility Specialist

Ask Your Own Question

Category: Infertility Specialist
 30 Doctors Online

Hello,
Thanks for your query at DoctorSpring.com
Can you please upload the images ( pictures ) so that I can go through them.
And a few more details please.
Since how long have you been trying to conceive ?
Do you have regular cycles ?
Have you been pregnant earlier ?
Looking forward to hearing from you.
Take care.


Patient replied :

Hi,
Thanks for getting back to me.
I have not been pregnant before and I have been trying to conceive for over a year. My cycles are pretty regular and are normally 28-29 days. I have attached the scan images for your review.
Many thanks. Kerry.


Hello
Thank you for the update.
I have gone through the images.
The cysts could be haemorrhagic or simple follicular cysts.
If you are having regular cycles, generally they are not a deterrent for fertility.
However, after one year, more intensive workup is needed.
Let me outline a plan for you.
First take birth control pills for 2 months, they would generally cause the cysts to regress.
If this does not work, and the cysts persist / increase in size, you would need a laparoscopy to deal with them surgically.
Next get the following workup done -
Semen analysis of your partner / husband.
FSH, LH, TSH, OGTT, Prolactin , AMH - for yourself.
3 cycles of follicular monitoring ( tracking growth of the egg follicle via serial ultrasound scanning ) to check if you are ovulating ( obviously this comes after the cysts have been dealt with ).
Then please revert to me, if follicular monitoring shows no ovulation, or the laparoscopy shows blocked tubes, you might need to consider assisted reproduction.
Take daily folic acid supplements, and maintain a healthy body weight.
All the best
Please feel free to discuss further.


Patient replied :

Hi,
Thank you for your advice,
I will speak with my GP and request some more of the pill.
I had already had my husbands sperm tested and the results were normal. I also had my AMH checked and it was 33.51 which I understood to be satisfactory?
I visited my GP a couple of months ago and blood was taken to test the following- Oestradiol (E2), FSH (F), FSH/LH, and Testosterone. I will told that all my bloods were normal.
So do I just need tests for TSH, OGTT and Prolactin?
Many thanks.
Kerry.





HI Kerry
33.5 is too high.
It supports a diagnosis of PCOD - polycystic ovarian disease.
IT is consistent with the cysts seen on the ovaries too.
Yes, please get those tests done.
What is your height and weigh t?


Patient replied :

Hi,
If I do have PCOD, is it still worth going back on the pill to try and reduce the cysts or will I need other treatment?
I will make an appointment with my GP to get the other tests done as soon as possible.
I am just over 5 foot 9 inches tall and weigh 11 stone 7 pounds. I am currently trying to lose a stone in weight.
Many thanks.
Kerry.


Yes you need to work on the weight loss.
It is worthwhile to get on the pill to reduce the cysts, because you will not ovulate as long as these cysts are present.
Take care.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news