OpenHealth Q&A

Get answered by medical professionals

Disturbing Gynecological Experience: Seeking Guidance

4/4/2025, 5:30:24 PMMale25-34

Hello everyone, I wanted to share a troubling experience I had during a recent gynecological appointment, and I'm hoping for some insights. For the past couple of months, I’ve been dealing with discomfort and was referred to a gynecologist. Fortunately, I managed to get an appointment within a week or two. During the vaginal ultrasound, the doctor immediately claimed that I was pregnant. I firmly stated that this wasn't the case, yet he continued to assert otherwise. Additionally, he discovered a small cyst during the examination. After conducting a pregnancy test, which confirmed I was not pregnant, I inquired about what led him to believe I might be expecting. He casually suggested it could have been "just free fluid." For those familiar with gynecological issues, I’m curious to know how someone could potentially confuse free fluid with a developing fetus. Did he perhaps observe something resembling a mass? Is such a misconception common? Moreover, after my appointment, he merely gave me an image of the cyst on the ovary without a detailed report. To highlight the inadequacies of this consultation, he recommended surgery for what he labeled a simple cyst and proposed to perform the procedure as early as Monday. The cyst's size was reported as 1.6 x 1.7 cm. To add to my concern, he prescribed a significant quantity of painkillers, and when I sought a second opinion from my general practitioner later that day, she warned that adhering to his dosage instructions could have led to an overdose. Honestly, I’m quite exhausted from all these medical visits. If anyone could offer some clarification regarding my situation, I would be immensely grateful ❤️❤️❤️ About me: I’m a 27-year-old female, weigh 68.8 kg, and am a smoker. I also take chronic medication for depression.

Pelvic PainPCOSGynecology

Answers (1)

Cony

4/4/2025, 5:30:42 PM

OpenHealth AI

I'm really sorry to hear about your troubling experience; it sounds very frustrating and confusing. Let's break down your concerns and clarify a few important points regarding your recent appointment and what steps you can take next.

Main Points:

  1. Miscommunication about pregnancy and abdominal findings is not common but can occur.
  2. Understanding the nature of ovarian cysts and the need for surgery should be clarified.
  3. Close attention to medication dosing is critical to avoid adverse effects.

Explanation:

  1. Misinterpretation of Ultrasound Findings: It's possible for a doctor to mistakenly think they see a pregnancy when they observe free fluid or certain patterns in the ultrasound. However, it’s unusual for an experienced gynecologist to make this claim without confirming pregnancy via a test first. Free fluid can manifest in ways that might be misinterpreted, but this should always be validated with further tests or imaging.

  2. Ovarian Cysts: The cyst you mentioned measuring 1.6 x 1.7 cm is relatively small and often doesn't require surgical intervention unless it causes significant symptoms or has concerning characteristics. Many simple cysts resolve on their own. It’s crucial to understand why the doctor suggested surgery without providing detailed information about the cyst's properties or your symptoms.

  3. Pain Management: Regarding the painkillers, it’s concerning that the prescribed dosage caused alarm for potential overdose. Pain management should always be handled carefully, especially if you are on other medications for depression.

Next Steps:

  1. Gather Information: Request a summary of your ultrasound findings and a report detailing the characteristics of the cyst. Knowing more about its type and symptoms will help clarify whether surgery is necessary.

  2. Seek Additional Opinions: Since you have already consulted your general practitioner, consider seeking a third opinion from another gynecologist, especially someone who can address your concerns about the cyst and the proposed treatment plan thoroughly. This can give you a more well-rounded view of your situation.

  3. Evaluate Pain Management: Until you have clarity on your pain management plan, consider using over-the-counter pain relief (like ibuprofen or acetaminophen) in moderation and based on label instructions. Ensure you communicate any ongoing pain to a healthcare professional for advice tailored to your specific situation.

  4. Prioritize Your Well-being: With the emotional and physical toll that these medical visits can take, try to engage in self-care—this may include mindfulness practices, light exercise, or connecting with supportive friends or family.

  5. Monitor Symptoms: Keep a diary of your symptoms and any side effects from medications. This will be valuable information to share with your next healthcare provider.

Remember, your health and comfort are paramount, and you deserve a clear understanding of your condition and a treatment plan that feels right for you. Don’t hesitate to keep advocating for your health. If you have further questions or need clarification on specific medical terms or other aspects, feel free to ask!

Related Questions

Could It Be a Burst Ovarian Cyst?

I'm a 32-year-old woman weighing 110 pounds and standing at 5 feet tall. I do not smoke, drink alcohol, nor use recreational drugs. Yesterday, between midnight and 4 a.m., I was hit with sudden, intense pain in my lower abdomen. The discomfort was so severe that it felt like I was being stabbed with knives whenever I moved. It was an agonizing experience, unlike anything I had previously encountered. I also felt lightheaded, experienced chills, and endured some painful vomiting. I was essentially immobilized, but thankfully, the pain began to ease a bit, allowing me to eventually visit urgent care. At the clinic, the doctor examined me and sent me home, suggesting that various conditions could be the cause of my distress, advising me to seek emergency care if a fever developed. Later that same night, I noticed brown, bloody discharge, which raised my concern about a possible ovarian cyst, especially since they run in my family. Currently, I am still suffering from pain that prevents me from standing up straight or walking normally. How long can I expect this to persist? Over-the-counter pain relief isn't working for me, which is incredibly frustrating. I'm seeking some guidance since I have had similar pain before, but nothing that lasted this long. Typically, doctors tend to brush it off. Could anyone offer some advice?

Pelvic PainPCOSWomen's Health
Male25-34
2 hours ago

Exploring Bilateral Ovarian Fibromatosis: Seeking Guidance for a Rare Condition

I’m a 28-year-old female, standing at 5’4” (162 cm) and weighing 222 lbs (101 kg). Currently, I'm on escitalopram and Ritalin for managing depression and ADHD. **Background Story:** My menstrual journey began early, at age eight, and has been characterized as typically heavy. In November 2024, I experienced my first missed period with no chance of pregnancy since I wasn't in a relationship—initially, I felt relieved to have a break from menstruation. By December 2024, I traveled to Germany to visit an ex. Interestingly, after we were intimate, my period resumed. However, the bleeding continued excessively for several weeks, escalating to 5, 10, and then even 15 days. When I sought help at an emergency clinic in Germany, the doctor informed me that I had "a lot more to shed". I was advised to return to Ireland for further assessment if the bleeding persisted after ten days. They identified a small cyst, about 2 cm, on my right ovary, deemed too minor for any immediate intervention. Returning to Ireland in late January 2025, I went to the Accident and Emergency (A&E) department due to ongoing bleeding. They prescribed tranexamic and mefenamic acid and sent me home. Throughout 2025, my menstrual cycles became increasingly erratic, with intervals stretching between 50 to 70 days, followed by prolonged bleeding lasting around 20 days. A particularly concerning episode occurred from October to December 2025 when I bled continuously for 50 days. Between September and November 2025, I had three separate visits to emergency departments. One of these trips was to a maternity hospital, hoping for better care. Another incident involved an ambulance due to sudden, severe pain that required stretcher transport. Although I was later told it was back pain, I disagreed; I am familiar with sciatica and this felt distinctly different. I suspect it may have been ovarian torsion, briefly twisting before returning to its original state. Each visit concluded with prescriptions for more tranexamic acid and pain relief medication. In October 2025, I underwent transvaginal and abdominal ultrasounds, which detected a significant cyst (possibly the same one) on my right ovary and a small mural nodule. This led to an MRI exam. The pelvic MRI performed in November 2025 confirmed the cyst was simple yet measured approximately 7 cm x 6 cm x 6 cm. Alarmingly, the report also noted that both ovaries exhibited an “unusual appearance.” It mentioned a “T2 signal rim” and described it as a “Black Garland sign,” indicative of bilateral ovarian fibromatosis. I had an appointment with a gynecologist just two days ago, and while they recommended further scans, I was troubled to learn that they had no prior knowledge of ovarian fibromatosis. In my quest for answers post-MRI report, I conducted my own research (not out of distrust, but rather from a sense of deficiency in the information provided), and I discovered that ovarian fibromatosis, albeit benign, is extremely uncommon. Reports suggest there have been roughly 30 cases documented in the last three decades, with most being unilateral. My case is bilateral, making it even rarer. Now, I am left pondering whether I should seek treatment abroad for this condition. Are there any specialists in my area familiar with ovarian fibromatosis? The specialist indicated that the gynecological team at my hospital would convene to discuss my case to see if any team member has relevant experience, which adds to my apprehension. I appreciate any insights or advice that could help guide my next steps!

PCOSEndometriosisGynecology
Male25-34
2 days ago

Concerns About Birth Control and Spotting

At the age of 40 and weighing 120 pounds, I've been using the same form of birth control for seven years. Recently, I've noticed unusual spotting that begins about ten days prior to my period, occurring consistently during each cycle. While I still experience a slight menstrual flow when my period is due, the spotting has become a recurring issue. I underwent a routine pap smear and had both a pelvic ultrasound and a transvaginal ultrasound, which revealed a thin endometrial lining measuring 3.2 mm. Consequently, my gynecologist changed my birth control to a different type of progestin and instructed me to return in two months. In the first month after the switch, I didn’t experience any spotting - a welcome change. However, I did notice some spotting occurring after intercourse, which is something I haven’t encountered before. Currently, I’m midway through my second pack of birth control and have had slight spotting again, particularly with sexual activity. My doctor mentioned that if the spotting persists, she would recommend a biopsy of the lining, even though she assessed that it was unlikely to indicate a serious issue. I’m left wondering if my body is still adapting to the new hormones or if this situation warrants an earlier visit to the doctor instead of waiting for my scheduled follow-up at the end of February. Any thoughts or insights on this matter would be greatly valued.

Pelvic PainEndometriosisGynecology
Male25-34
2 days ago

Inquiry: Are Endometriosis Vesicular Lesions Visible on MRI?

18-Year-Old Female Currently dealing with diabetes, borderline personality disorder, and suspected endometriosis. I have been prescribed dienogest in relation to my suspected endometriosis. I'm seeking clarity on whether MRI scans can detect endometriosis vesicular lesions. I've been attempting to research this question, but I haven't found any definitive information. Unfortunately, my doctor is away for the next couple of weeks, making it impossible for me to reach out for guidance directly.

EndometriosisGynecologyWomen's Health
Male25-34
4 days ago

Unusual Changes in My Menstrual Cycle

Hello everyone! I've noticed that my menstrual cycle has become quite irregular lately; this marks the second time my period has been delayed by over a week, which is unusual for me. Considering the stress I've been under recently, I suspect it might be a contributing factor. However, I'm worried this could be an early sign of pre-menopause. Additionally, I'm uncertain about how to track my cycle going forward. Should I start counting from the date of this last period, or revert to my previous schedule? Thanks for your insights!

MenstruationMenopauseGynecology
Male25-34
4 days ago