That would suggest there was a possible ovarian ectopic in the left ovary and a simple fluid filled cyst in the right. There was also a pregnancy in the uterus.
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That would suggest there was a possible ovarian ectopic in the left ovary and a simple fluid filled cyst in the right. There was also a pregnancy in the uterus.
See... the ER doc said there were two but my OB said there was only one... *confusion* :(Quote:
Originally Posted by nuthinbutpink
On my u/s last Wen. there was a spot on my left ovary that they said was a hemorragic (sp?) cyst?!? On my right was a corpus luteum cyst.
An ovarian mass which appears hypoechoic on ultrasound could be a tumor known as a fibroma. This is a benign, solid growth which can grow quite large, sometimes becoming bigger than a grapefruit. An ovarian fibroma is usually removed surgically and the ovary may be preserved if possible.
Or it was an ectopic pregnancy in your ovary. There had to be tissue of some sort there! There was a mass on your ovary. That's what that report says so you need to know was it an ectopic or is there some sort of mass still there and possibly a tumor.
I get that they thought the sac could have been a pseudo one but if you now have a heartbeat, clearly that was wrong and it was simply too early for anything to be there yet on u/s in regards to fetal pole, etc.
Intrauterine Pregnancy
The first question to ask when evaluating a patient with pain or bleeding in their first trimester of pregnancy is “Is there evidence of a definitive intrauterine pregnancy on ultrasound?” The earliest sign of pregnancy seen with transvaginal ultrasound is the intradecidual sign, an anechoic sac without a distinct chorionic ring. This may be seen as early as four weeks of gestation. However, a thin walled sac within the uterus is not definitive evidence of an intrauterine pregnancy and could also represent a decidual cyst or endometrial breakdown during an ectopic pregnancy (the pseudogestational sac). Definitive sonographic evidence of an intrauterine pregnancy is established when a gestational sac containing a yolk sac is identified in two planes within the endometrium. This occurs around the fifth week of gestation.
So, depending on what gestation you were, it may have been too early to see clear evidence of a viable pregnancy in your uterus and they should have proceeded with great caution.
I've never seen a hb. On the u/s on Wen. there was a gest sac with yolk sac, measuring 5 weeks 2 day, and no fetal pole or HB.Quote:
Originally Posted by nuthinbutpink
At 5 weeks 2 days, it is simply too early. 6 weeks is really the earliest they first try to see a HB.
There should not be a mass of any kind on your ovary. A cyst, any cyst, will appear black on an u/s. A mass is bright white. Any mass should have been seen at your u/s during monitoring when they saw two follicles. So, if there is/was a mass now, that was either the ectopic OR you have developed a mass in this short time that still needs to be explained. Solid masses are not good and need to be diagnosed.
Based on O I should be 7 weeks on Thursday. Based on last weeks measurements baby should measure 6 weeks 1 day today... we shall see...Quote:
Originally Posted by nuthinbutpink
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I forget exactly how he put it but he told me last week, before the u/s, that my ovary was like hanging or twisted or something(like a weight turned it upside down is what I envision) and that he tried to fix it but it wouldn't. He said it sometimes happens with a cyst or endometriosis, etc. but he really didn't go any deeper into explanation. Whatever the case, apparently my ovary has at least started to turn back right side because it appeared normal... at least to me, on u/s except for the big white spot that the called the hemmoragic cyst...Quote:
Originally Posted by nuthinbutpink
Good grief! This saga does not want to come to an end. Ultrasound says bean is growing appropriately now has a fetal pole and a flicker that looked like it could have been a heartbeat but was only 59 beats per minute so she wasn't sure about it. So again more questions but hopefully the outcome will be determined soon. Hoping for good news as always, but bracing for bad as always. But hopefully the outcome will be determined soon. Hoping for good news as always, but bracing for bad as always. Hoping doctor wants to do another ultrasound when I see him Friday.
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