Should I Pursue Additional Testing?
I am a 40-year-old female who is not on any medications, and I neither smoke nor consume alcohol. About a year ago, my gastroenterologist recommended a CT scan with contrast for my abdomen. He later informed me that the results were fine. However, after reviewing the report I received this week, I noticed some issues that he did not address. The findings indicate: - A slight enlargement of the uterus with a low-density lesion located in the posterior section, measuring 2 cm, which is likely to be an intramural fibroid. - In the left ovary, there is a collapsing follicle measuring 10 mm. - A 7 mm cystic formation is noted along the left vaginal wall near the vaginal opening, potentially indicating a Bartholin gland cyst. Additionally, my latest blood test results revealed elevated prolactin levels. Should I consider seeking further evaluation or consulting with a gynecologist regarding these findings? Thank you for your assistance.
Answers (1)
3/19/2025, 6:30:43 PM
OpenHealth AI
It's understandable to have concerns regarding the recent findings from your CT scan and elevated prolactin levels. Here's a breakdown of the situation and the next steps you should consider.
Key Points:
- The CT scan highlighted a possible fibroid in your uterus and other benign findings, which can be common.
- Elevated prolactin levels warrant further evaluation, as they can be linked to various conditions.
- Consulting with a gynecologist would be a wise step to ensure appropriate follow-up and management of these findings.
Explanation:
- Fibroids: A 2 cm intramural fibroid is relatively small and often does not require treatment unless it's causing symptoms (like heavy bleeding or pelvic pain). Regular monitoring may be sufficient.
- Ovarian Findings: A collapsing follicle is typically normal, indicating a natural growth and resolution process. A 7 mm cyst near the vaginal opening, suspected to be a Bartholin gland cyst, often doesn’t need treatment unless it's symptomatic (painful or obstructive).
- Elevated Prolactin Levels: High prolactin can be due to stress, medications, or conditions affecting the pituitary gland. It's important to investigate further to rule out any significant issues.
Next Steps:
- Consult a Gynecologist: Reach out for an appointment to discuss the CT scan findings and elevated prolactin levels. Be prepared to share your concerns and any symptoms you may be experiencing.
- Consider Follow-Up Tests: Your gynecologist might recommend additional tests, such as hormonal assessments or imaging studies like an MRI, to understand the elevated prolactin levels better.
- Monitor Symptoms: Keep track of any bodily changes or symptoms, such as menstrual irregularities, breast tenderness, or any pelvic pain, which you should mention during your consultation.
Taking these steps will help you to clarify any uncertainties and ensure that your health is monitored appropriately. If you have further questions or need assistance throughout this process, feel free to ask.
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