WOMENS-HEALTH Messages for October, 1998: Re: Fluid around my ovary? -- Second Request -- Please Help!!!!!!!!!!!

Re: Fluid around my ovary? -- Second Request -- Please Help!!!!!!!!!!!

From: Christy (anonymous@obgyn.net)
Wed, 28 Oct 1998 15:41:31 -0600 (CST)

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In reply to: Lynn D. Montgomery, M.D.: "Re: Fluid around my ovary? -- Second Request -- Please Help!!!!!!!!!!!"

>
>Christy,
>The fact that you had "fluid around your left ovary" on the first day of
>your period could represent a couple of things.

Sorry, I wasn't clear on my first post. The day I had the intense pain was the first day of my period, which was Sept. 25th. The ultrasound was October 26th. (Had another period on October 18th; no substantial pain, but the cycle was not ovulatory.)

It could be that you >had a cyst on that ovary that ruptured. Each cycle, one or both of the
>ovaries forms a cyst from which ovulation occurs. Occasionally,
>ovulation does not take place and these cysts can continue to grow,
>sometimes rupturing later, causing either the cyst fluid or some
>bleeding from the site of rupture. We don't get concerned about these
>cyst unless they become quite large (> 7cm)or don't go away over the
>course of 2-3 cycles.
>If the fluid around your ovary represented a small amount of blood, this
>can be extremely irritating to the lining of your abdominal cavity and
>could explain the discomfort.
>
>Less likely, but a possibility is this could represent endometriosis and
>the collection around the ovary is related to this process. Finally,
>fluid that remains around the ovary, rather than settling into the lower
>part of the pelvis, can lead one to suspect that there are adhesion
>(scar tissue)around the ovary. These can also cause discomfort.
>

Would the fact that the fluid was still around the ovary a month after the intense pain be significant? (I saw the ultrasound, and it looked like an xray of a raw egg, with the eggwhite (fluid) surrounding the yolk (ovary).

FYI: I had an appendectomy 10 years ago, with the absess behind my uterus and obstructing my right ovary from ultrasound view. The surgeon's report notes that there were adhesions, as expected, between the omentum and abdominal wall.

I am trying to get pg (no luck), and have been tracking my temps since April. They show I have ovulated every cycle but this last one. Would my temps still be biphasic if I am completely ovulating?

My advice would be to allow tincture of time to sort things out. Things >that would increase the urgency would be worsening pain. Are you on any
>birth control-are you sexually active-was this a normal period-and could
>you be pregnant. If there is the least possibility that you could be
>pregnant, it could increase the urgency in that this could represent an
>ectopic pregnancy (tubal).
>Hope this helps some.
>
>Thanks so much for your answers; I really do appreciate it.
>--
>Lynn D. Montgomery, M.D.
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>lmontgomery@communitymed.org
>

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