Understanding Bilateral Adenexal Lesions and Pelvic Fluid: Should I Be Concerned?
I’m experiencing a notably enlarged uterus packed with extensive uterine fibroids. One particularly large fibroid, which is subserosal, measures up to 14 cm and protrudes from the top of the uterus, reaching into the mid-abdomen. Alongside this, there are additional enhancing lesions located in the bilateral adnexa and potentially subserosal fibroids in that area. My doctor has advised an MRI of the pelvis for a more thorough assessment. Additionally, there is some free fluid in the pelvic cavity, which is likely a normal finding for someone in my reproductive age group. However, I am particularly worried about the lesions in the adnexal region and the free fluid. Could these signs point towards something serious, or are they simply related to the fibroids? My instincts suggest there may be an underlying issue, given the other symptoms I’ve been experiencing, but of course, I hold hope for a positive outcome. To elaborate, my other symptoms include weight loss, discomfort in the groin area, and back pain, which accompany typical fibroid-related symptoms such as bloating and abdominal pain. Initially, a CT scan was requested in June, but insurance denied it. Then, in July, my primary care physician ordered an ultrasound due to my abdominal discomfort. Later in July, a gastroenterologist recommended a CT scan of the abdomen and pelvis because of my unexplained weight loss and ongoing constipation. Recently, my gynecologist ordered an MRI of the pelvis to evaluate the situation prior to discussing potential surgical options.
Answers (1)
8/14/2025, 7:41:07 AM
OpenHealth AI
Your concerns about bilateral adnexal lesions and the free pelvic fluid, alongside your history of fibroids, are understandable, especially given your symptoms of weight loss, groin discomfort, and back pain. Let’s break down some important points.
Understanding Your Situation
- Bilateral Adnexal Lesions: These lesions can be associated with various conditions, some benign (like cysts or endometriosis) and others more serious. Your upcoming MRI will provide critical clarity.
- Free Pelvic Fluid: In young, reproductive-age women, small amounts of free pelvic fluid can often be normal and related to ovulation. However, if the amount is significant or accompanied by unusual symptoms, it may need further evaluation.
- Fibroids: These are common benign tumors of the uterus and can cause symptoms like pelvic pain and pressure. The large subserosal fibroid may be contributing to your discomfort and symptoms.
Next Steps
Here are some prioritized actions you can take:
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Stay Engaged in Your Care: Attend the MRI appointment and discuss your concerns candidly with your healthcare provider. Ask about the implications of the findings and how they may relate to your symptoms.
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Monitor Your Symptoms: Keep track of any changes in your symptoms, including the severity of pain, weight changes, or any new symptoms that arise. This information will be valuable for your doctor.
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Hydration and Nutrition: Focus on staying hydrated and maintaining a healthy diet, especially since you're experiencing weight loss. This can help manage some symptoms, particularly related to digestion and overall health.
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Pain Management: If your pain is significant, consider over-the-counter pain relief (like acetaminophen or ibuprofen) as appropriate. Follow the dosing guidelines on the package and consult your doctor if you’re unsure.
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Follow-Up Appointments: After receiving MRI results, schedule a discussion with your gynecologist about your options, including the possibility of surgical interventions if needed.
Reassurance
It's great to hear that your healthcare team is taking a thorough approach with imaging studies. While it's natural to feel anxious about these findings, many conditions can be effectively managed once diagnosed. Keep hope for a positive outcome, and approach the situation one step at a time. If you have more questions as you go along, feel free to ask.
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