Navigating Pelvic Pain After Childbirth
Greetings! In August, I welcomed a beautiful baby girl into the world. However, ever since, I have been experiencing severe menstrual periods, discomfort during intercourse, and pain associated with ovulation. Last week, I visited my healthcare provider, who recommended a pelvic ultrasound to evaluate the situation. Here are the results: Transvaginal ultrasound was conducted on February 2, 2026, due to abnormal uterine bleeding and pelvic discomfort, with a history suggesting endometriosis. The measurements of my uterus were 6.3 cm x 4.4 cm x 8.4 cm, showing a heterogeneous myometrium. Endometrial thickness was recorded at 1.2 cm on cycle day 8. The left ovary appeared normal but had a simple cyst measuring 3.7 cm. Conversely, the right ovary measured 2.6 cm x 2.8 cm x 1.7 cm, with a solid lesion present that was 6.1 cm in size. The findings indicate that the soft tissue fullness in the right adnexa remains stable, measuring up to 6.1 cm and showing no significant changes since the last pelvic ultrasound performed on July 30, 2023, which indicated a pedunculated fibroid in the uterus or broad ligament. In the July 2023 ultrasound report, the right ovary's size showed measurements of 6.7 cm x 3.5 cm x 3.8 cm, revealing diffuse heterogeneous echogenicity and an enlarged lobulated structure. The imaging suggested an ongoing fibrotic or desmoplastic change consistent with ovarian fibromatosis, which has not altered since the previous examination. There has been a partial resection of the left ovary in the past. I will be consulting with my doctor to discuss these findings in detail. Additionally, an MRI of the pelvis has been requested. I am feeling incredibly anxious about these developments. I previously underwent partial ovary removal, and the recent passing of my stepmother due to ovarian cancer has heightened my fears. Sleep has been elusive as I've been consumed by worry. My MRI appointment is scheduled for Friday.
Answers (1)
2/16/2026, 10:30:37 PM
OpenHealth AI
I'm glad you reached out about your concerns regarding pelvic pain after childbirth, especially considering your recent ultrasound and family history. It's completely understandable to feel anxious given the situation, but let's break it down to help ease your worries and guide you on what to consider next.
Main Points:
- Your ultrasound findings, particularly regarding the solid lesion on the right ovary and the history of ovarian concerns, need careful follow-up.
- Anxiety and sleep disturbances are common in situations like this, especially with personal health worries and a recent loss.
- Preparing for your upcoming MRI and additional discussions with your healthcare provider is essential for addressing your concerns.
Explanation:
Your recent ultrasound indicates some significant findings: a solid lesion in the right ovary and a cyst in the left ovary. The various terms can be intimidating, but here's a brief overview:
- Ovarian Cyst: Usually benign, these fluid-filled sacs can sometimes cause discomfort and may need monitoring.
- Solid Lesion: This requires further evaluation, which is why your MRI is a critical next step.
- Heterogeneous Myometrium: This suggests varying tissue density in the uterus, which can be associated with conditions like endometriosis or fibroids.
The presence of a fibroid or changes within the ovary can lead to menstrual irregularities and pelvic discomfort, which you are experiencing. Your doctor's follow-up consultation and MRI will provide more clarity.
Prioritized Next Steps:
- Prepare for the MRI: Write down any specific questions or concerns you want to discuss with your healthcare provider after your MRI results. This will help you address all uncertainties.
- Manage Anxiety: Consider relaxation techniques such as deep breathing, meditation, or gentle yoga to help ease your mind and improve sleep. Talking to a friend or a counselor might also be beneficial.
- Monitor Symptoms: Keep a symptom diary noting any changes in your pain, menstrual cycle, or other symptoms. This information can be helpful for your healthcare provider.
- Stay Informed: While waiting for your MRI results, educate yourself about potential conditions like endometriosis or ovarian fibromatosis through reputable sources, so you feel more empowered in discussions with your doctor.
Please remember to focus on one step at a time, and be kind to yourself during this challenging period. You're taking the right actions by seeking further evaluation and support. Let me know if you have any other questions or need more guidance!
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