WOMENS-HEALTH Messages for February, 2008: Re: ULTRASOUND: Sonogram revealed lots of white spots on both ovaries

Re: ULTRASOUND: Sonogram revealed lots of white spots on both ovaries

From: docben (anonymous@obgyn.net)
Fri, 29 Feb 2008 10:32:06 -0600 (CST)

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In reply to: Susan: "ULTRASOUND: Sonogram revealed lots of white spots on both ovaries"

Susan, most likely there is no major problem. Neither endometriosis nor ovarian cancer tend to present with the ultrasound findings you describe. Also, being pregnant tends to make any existing endometriosis better, not worse. Most importantly is your IVF. In that process you had a needle aspiration of your ovarian follicles. That will sometimes leave behind changes which can be confusing to the radiologist doing the ultrasound. Soon after an IVF procedure, one of my patients was even thought (incorrectly) to have a common benign tumour called a Dermoid.

The key to answering your question is follow up. Your OB/GYN should be more than capable of guiding you through this.

At Fri, 29 Feb 2008, Susan wrote: >
>Help! I just went for a sono tonight and when the the sonogram
>technician saw lots of white spots on both ovaries she said she'd never
>seen anything like it before. That alarmed me. I'm 38 and am 9 months
>post a rough twin pregnancy that was hard won after two rounds of IVF
>(the first failed and I believe the second left resulted in
>hyperstimulation). I also have a 6 year old through an earlier normal
>conception and pregnancy.
>
>I was diagnosed a few years ago while undergoing an infertility workup
>with endometriosis and am concerned that these white spots may represent
>advancement of the disease.
>
>I am also concerned because last year a first cousin died of ovarian
>cancer and now a second has just been diagnosed with the same. Both
>cases appear to have been/to be aggressive and unstoppable.
>
>My question: what might these white spots be? And, given my history,
>should I seek some kind of specialist rather than work with a generalist
>OB/GYN? If so, what kind of specialist should I be looking for?
>
>I appreciate any responses. Thank you!
>
>--
>Susan
>

--
Dr Ben Gocial
Philadelphia

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In reply to: Susan: "ULTRASOUND: Sonogram revealed lots of white spots on both ovaries"

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