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Re: ultrasound results; please advise

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 21 Sep 2000 19:52:11 -0500 (CDT)


Ascites is not normal but I'm taking the word of this particular tech. that it is indeed ascites. The sonographic apprearance means a lot. If the cyst(s) were simple and normal in appearance, I'd question the "diagnosis" of ascites.

HSM

At Wed, 20 Sep 2000, sws wrote: >
>Thank you for answering. However, is ascites a normal finding? And what
>about how awful I feel? The doctor said hormones were out because of my
>migraines.
>
>At Wed, 20 Sep 2000, Lynn D. Montgomery, MD wrote:
>>
>>At Wed, 20 Sep 2000, swt wrote:
>>>
>>>Transvaginal ultrasound on day 22 revealed ascites, accumulated fluid,
>>>two regular cysts, one growing larger since abdominal ultrasound, and my
>>>one ovary is less than a fourth of the size of the other ovary (the
>>>technician said it was atrophied). The larger cyst has been hanging
>>>around for a couple of months now. Still have symptoms of bloating,
>>>distension, indigestion, pressure, increasing weakness (this is bad),
>>>and some nauseau and vomiting. Doctor says this is a normal ultrasound
>>>and that cysts need to be a lot larger than 3.4 cm to be a cause of
>>>concern especially since the C125 and C126 tests last month were
>>>negative. I don't feel good most of the time. I am older but not in
>>>showing any clinical signs of menapause but did take fertility drugs.
>>>Something doesn't seem right to me. I don't know whether he was trying
>>>to make me feel better or not. I just know that trust is most key for
>>>my feeling better. Please, what is your take on the ultrasound. Can I
>>>wait a week or two before being checked out again?
>>>
>>>--
>>>swt
>>>
>>swt,
>>If the "larger" cyst is the one that measures 3.4 centimeters, it may be
>>prudent to watch further. This isn't a size that is very concerning in
>>a reproductive age female. One option would be to attempt to suppress
>>the cyst with hormones (birth control pills) and see if it goes away. If
>>it doesn't then it need to be addressed. The other option is to observe
>>it over a 3 month period of time. If it doesn't go away or continues to
>>get larger, then it needs to be addressed...
>>Lynn
>>
>>--
>>Lynn D. Montgomery, MD
>>Director, Maternal-Fetal Medicine
>>Rocky Mountain Perinatal Center
>>Missoula, Montana
>>
>>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>>
>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
>--
>swt
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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