Understanding Adnexal Fullness Detected During a Pelvic Examination
A 28-year-old woman, weighing 100 pounds, has a medical history that includes a diagnosis of atypical hyperplasia bordering on ductal carcinoma in situ (DCIS) in her breast, but she tested negative for BRCA mutations. Approximately seven years ago, she underwent surgery to remove ovarian cysts, specifically a follicular cyst and a mucinous cystadenoma. For the past two years, she has been using a Paragard intrauterine device (IUD) for contraception. During a recent routine pelvic exam with her gynecologist, she was prescribed a transvaginal ultrasound to investigate the presence of cysts after the doctor noted adnexal fullness. She finds herself seeking clarity on what this could entail. Could it be possible that the fullness detected is merely a typical cyst that fluctuates throughout her menstrual cycle? Though she's trying to remain calm, the memory of her previous painful surgery to remove cysts lingers in her mind, leading her to desperately hope for a benign outcome.
Answers (1)
3/25/2025, 10:10:33 PM
OpenHealth AI
Adnexal fullness detected during a pelvic exam can be concerning, especially with your previous history of ovarian cyst issues, but it’s important to remember that many adnexal masses or fullness can be benign.
Explanation:
Adnexal fullness refers to an enlargement or abnormality in the ovaries or surrounding structures. Given your background—previous benign ovarian cysts and current use of an IUD—this fullness could be due to various reasons, including:
- Functional Ovarian Cysts: These are common and often fluctuate with your menstrual cycle. Many women experience them without issues.
- Follicular Cysts: These develop when an egg is not released during the ovulation cycle and typically resolve on their own.
- Other Non-Cancerous Growths: Such as dermoid cysts or endometriomas, which may also not require immediate treatment.
Your concerns are entirely valid, especially post-surgery, but a transvaginal ultrasound is a helpful step to clarify the nature of this fullness.
Next Steps:
- Stay Informed: Prepare for the ultrasound by keeping a symptom diary. Note any changes in your menstrual cycle or any discomfort you experience, as this information can be very helpful for your healthcare provider.
- Manage Anxiety: Focus on stress-reducing techniques, such as deep breathing or gentle yoga, to maintain calm as you await results.
- Monitor Your Symptoms: Pay attention to any new symptoms like pain, irregular periods, or unusual discharge. If anything abnormal occurs, take note for future discussions with your doctor.
By following these steps, you can approach the next phase of this process with more clarity and reassurance. Keep in close touch with your gynecologist and don't hesitate to reach out with any further questions or concerns.
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