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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does An Anechoic Area In The Right Ovary Mean?

hi, i had a pelvic ultrasound done and it reported that i have an irregular apparently anechoic area associated with the right ovary showing a maximum of over 5 cm, i m scheduled to see a gynecologist and the mean time i m worrying that my condition could be extremely critical. and i m afraid that i might have endometriomas or Polycystic ovary syndrome (PCOS) in which they both could lead to infertility. Do you have any suggestions or input?
Mon, 8 Sep 2014
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OBGYN 's  Response
Hi,
Firstly, anechoic appearances in a trans-vaginal/pelvic sonogram usually indicate simple cysts. Management depends on the size, increase and symptoms. Usually sizes less than 2-3 cm. are left for observation to resolve spontaneously. Those with sizes more than that need active management, either medical or surgical based on the clinical appraisal of the situation. Your menstrual history is essential to comment further, as it the history of any hormone intake and other related history. Please see a specialist for further management. You will need a follow up sonogram. Hope this helps.
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What Does An Anechoic Area In The Right Ovary Mean?

Hi, Firstly, anechoic appearances in a trans-vaginal/pelvic sonogram usually indicate simple cysts. Management depends on the size, increase and symptoms. Usually sizes less than 2-3 cm. are left for observation to resolve spontaneously. Those with sizes more than that need active management, either medical or surgical based on the clinical appraisal of the situation. Your menstrual history is essential to comment further, as it the history of any hormone intake and other related history. Please see a specialist for further management. You will need a follow up sonogram. Hope this helps.