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Re: ULTRASOUND: both ovaries missing

From: Heather (anonymous@obgyn.net)
Fri, 30 Jan 2009 16:34:52 -0600 (CST)


I have a very similar question. I am a 30 year old woman, no children, very regular menstrual cycles. As a 9 week old baby, I had surgery to remove an ovarian cyst. My parents swear to me that back then, the doctors told them that my left ovary was fine and my right ovary had the cyst. The doctors removed the cyst, but were not sure the "extent of damage" to the right ovary. However, they were told the right ovary had not been notremoved.

Last week, my OB-GYN sent me for an ultrasound because I had some brown spotting between menstrual cycles. At the ultrasound, the tech could not find my right ovary at all - making me think that the ovary was removed during that surgery 30 years ago! Or that the never developed or something like that. They also found a small cyst on my left ovary, which the doctor said appeared to be a "hemorhhagic" cyst. So I have to go back for another ultrasound to monitor the cyst in two months.

My questions are - what happened to my right ovary? Could it be that it didn't show up on the ultrasound? Or is it more likely that it was removed? Or could it not have developed properly if it was "damaged" during the surgery? Or could it have shriveled up and died in my abdomen? Also, I know that hemorrhagic cysts are usually not a problem, but should I be worried the cyst could be something else?

At Fri, 23 Jan 2009, William F. von Almen, II, MD, FACOG wrote: >
>Wallie
>
>It may have been bowel gas, or you may be hypoestrogenic, so not as many
>follicles in ovaries which makes it harder for the tech to see the
>ovaries...Dr. von Almen
>
>At Thu, 22 Jan 2009, Wallie wrote:
>>
>>Sorry! :)
>>Age 39 - no hysterectomy.
>>Family hx of ovarian CA in mother/great grandmother (reason for
>>transvaginal ultrasound).
>>Thank you so much for your answers.
>>W
>>
>>At Wed, 21 Jan 2009, William F. von Almen, II, MD, FACOG wrote:
>>>
>>>Wallie
>>>
>>>You need to give more info. How old? Hysterectomy? It is not unusual in
>>>the perimenopause/menopause to not see ovaries that have become
>>>quiescent. Lots of bowel gas can obscure ovaries as well...Dr. von
>>>Almen
>>>
>>>At Tue, 20 Jan 2009, Wallie wrote:
>>>>
>>>>Greetings. I just returned from a transvaginal ultrasound which failed
>>>>to show either ovary. I've been having right sided pain for a while
>>>>now. Previously had a previous ovarian cyst rupture.
>>>>What would cause the ovaries to both be missing? What do I do? The tech
>>>>tried for about 20 excruciating minutes to find at least one, but to no
>>>>avail.
>>>>Any and all help is appreciated. Thank you.
>>>
>>>--
>>> 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, they will receive no response.
>>>
>>>William F. von Almen, II, MD, FACOG
>>>Private Practice
>>>New Orleans, La.
>>>
>--
> 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, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>




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