Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Have Had Pain In Lower Abdomen, Done With Scan. Findings?
Question: hi i have had pain in lower abdom right and left side so doctor said go for scan and the esults are as follows the pain is more to the left and is a sharping pain
retroverted uterus normal in size, and paenchymal texture endom mesures 9 mm in thickness uterus is tender to probe.
right ovary normal in size para ovarian cyst measuring 10mm x 12 mm
left ovary parenchma showing collopsing cyst irregular shape. 15mm x7mm
small quantity of free fluid seen in the cul de sac
no other positive finding
she asked me to get a preg test saying it wont be a bad idea and saying impression is of pid when i have one child and have been marriued for 13 years one sexula partner
retroverted uterus normal in size, and paenchymal texture endom mesures 9 mm in thickness uterus is tender to probe.
right ovary normal in size para ovarian cyst measuring 10mm x 12 mm
left ovary parenchma showing collopsing cyst irregular shape. 15mm x7mm
small quantity of free fluid seen in the cul de sac
no other positive finding
she asked me to get a preg test saying it wont be a bad idea and saying impression is of pid when i have one child and have been marriued for 13 years one sexula partner
Brief Answer:
Pelvic Inflammatory disease is first opinion
Detailed Answer:
Hi XXXXX
Your query and the symptoms at this age reminds me of PID (Pelvic Inflammatory disease). This has a high possibility in a sexually active women. Did you have fever earlier to the pain?
The ovarian cysts could be the second reason that could have burst and fluid in cul de sac.
I agree with your doctor that I would order for pregnancy test and complete blood counts. Once the pregnancy is ruled out the actual therapy for PID is given. An empirical antibiotic therapy is given waiting for blood counts. Since the results would be on the next day if the counts are high I would continue the antibiotics. If not I would refer to a OBGYN for XXXXXXX examination.
Suppose the counts are high we need to monitor such patients on antibiotic therapy for three days to 4 days and see if the symptoms subside else a diagnostic laparascopy can be planned by the OBGYN.
Hope this gives you an idea how to proceed further.
Pelvic Inflammatory disease is first opinion
Detailed Answer:
Hi XXXXX
Your query and the symptoms at this age reminds me of PID (Pelvic Inflammatory disease). This has a high possibility in a sexually active women. Did you have fever earlier to the pain?
The ovarian cysts could be the second reason that could have burst and fluid in cul de sac.
I agree with your doctor that I would order for pregnancy test and complete blood counts. Once the pregnancy is ruled out the actual therapy for PID is given. An empirical antibiotic therapy is given waiting for blood counts. Since the results would be on the next day if the counts are high I would continue the antibiotics. If not I would refer to a OBGYN for XXXXXXX examination.
Suppose the counts are high we need to monitor such patients on antibiotic therapy for three days to 4 days and see if the symptoms subside else a diagnostic laparascopy can be planned by the OBGYN.
Hope this gives you an idea how to proceed further.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
no I have had no fever, nor burning when I urine and smell of discharge is very normal.. no irregular smell.
can you explain how I have contracted pid if I have had the same partner and this pain has only started 3 days ago.
pregnancy test is negative but I will go and see a gyney today for a proper check
thank you very much
can you explain how I have contracted pid if I have had the same partner and this pain has only started 3 days ago.
pregnancy test is negative but I will go and see a gyney today for a proper check
thank you very much
Brief Answer:
PID can happen with single partner
Detailed Answer:
Hi
It need not be multiple partners for PID. It can happen for any sexually active women with Chlamydia type bacteria; it can easily be treated and completely without damage to the genital organs. Early management is necessary.
Hope this answers.
PID can happen with single partner
Detailed Answer:
Hi
It need not be multiple partners for PID. It can happen for any sexually active women with Chlamydia type bacteria; it can easily be treated and completely without damage to the genital organs. Early management is necessary.
Hope this answers.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
