Gynecological Inflammation and Fibroids: Common Concerns

Gynecological Inflammation and Fibroids

1.
It is not uncommon to experience occasional left lower abdominal pain after the surgical removal of a left ovarian teratoma while preserving the ovary.
However, if the pain persists or worsens, it is advisable to consult your healthcare provider.
2.
Postoperative dizziness can occur, and it is good to hear that taking iron supplements has helped improve your symptoms.
It is important to follow up with your doctor regarding any ongoing dizziness.
3.
The discovery of two fibroids on the right side during a transvaginal ultrasound requires monitoring.
The recent right flank pain, occasional right lower abdominal pain, and increased clear, watery discharge with itching may warrant further evaluation.
While the discharge is odorless, any changes in symptoms should be discussed with your healthcare provider.

Given that your previous physician scheduled a follow-up in six months, it may be prudent to schedule an earlier appointment to address your current symptoms and concerns.

sami, 30~39 year old female. Ask Date: 2016/03/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, occasional pain in the lower left abdomen is usually normal.
If your doctor has advised you to return for a follow-up in six months regarding the fibroid, please follow your doctor's instructions.
Wishing you good health.

Reply Date: 2016/03/27

More Info

Understanding gynecological inflammation and fibroids can be complex, especially for individuals who have undergone surgical procedures such as the removal of a teratoma from an ovary. Let's address your concerns one by one.

1. Post-Surgical Pain: It is not uncommon to experience occasional pain in the lower abdomen after surgery, even if the ovary was preserved. This could be due to several factors, including scar tissue formation (adhesions), changes in the surrounding tissues, or even ovulation pain if you still have functioning ovarian tissue. However, if the pain is persistent or worsening, it is advisable to consult your healthcare provider to rule out any complications.

2. Dizziness and Iron Supplements: Feeling dizzy after surgery can be related to several factors, including blood loss during the procedure, low iron levels, or even hormonal changes. Iron supplements can help improve symptoms if they are due to anemia. It’s important to follow up with your doctor to monitor your iron levels and overall health, especially if dizziness persists.

3. Uterine Fibroids: The discovery of fibroids during a transvaginal ultrasound is relatively common, especially in women of reproductive age. Fibroids can cause various symptoms, including pelvic pain, pressure, and changes in menstrual flow. The fact that you are experiencing lower back pain and abdominal discomfort on the right side could be related to the presence of these fibroids, especially if they are large or located in a position that exerts pressure on surrounding structures. Increased vaginal discharge, especially if it is clear and without odor, can be normal, but if accompanied by itching or irritation, it may indicate an infection or other issue that should be evaluated.

4. Follow-Up Care: Your doctor has advised a follow-up in six months, which is standard for monitoring fibroids. However, if you are experiencing significant discomfort, changes in your symptoms, or new symptoms such as heavy bleeding, severe pain, or changes in discharge, it is prudent to seek an earlier appointment. Early intervention can help manage any potential complications and provide peace of mind.

In summary, while some of your symptoms may be within the realm of normal post-operative experiences, others warrant closer attention. It is crucial to maintain open communication with your healthcare provider, who can offer tailored advice based on your medical history and current symptoms. Regular monitoring and proactive management of any new or worsening symptoms are key to ensuring your gynecological health remains stable.

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