Ultrasound Results: Ovarian Health and Abdominal Pain Concerns

Ultrasound examination

Hello Doctor: I often experience unexplained lower abdominal pain, even pain close to the pubic bone, which makes me very worried about ovarian cancer, as this type of cancer is often diagnosed at an advanced stage.
Therefore, I went to a certain joint hospital in Taipei for an ultrasound examination.
Since I have not engaged in sexual intercourse, the doctor performed the ultrasound through the rectum instead of the abdominal surface and found several uterine fibroids measuring 2-3 cm, but did not see the ovaries.
The doctor indicated that there was no problem and suggested that it might be a gastrointestinal issue, advising me not to worry too much.
Could you please tell me if the doctor's interpretation is correct? Is the absence of visualizing the ovaries significant? Should I undergo more in-depth examinations? I appreciate your response, thank you!

Mei, 50~59 year old female. Ask Date: 2022/07/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, as the doctor mentioned, regular follow-up is sufficient.
Wishing you good health.

Reply Date: 2022/07/30

More Info

When it comes to understanding ultrasound results, particularly in relation to ovarian health and abdominal pain, it's essential to consider several factors. Your concerns about ovarian cancer are valid, especially given the nature of your symptoms and the fact that ovarian cancer can often be asymptomatic in its early stages. However, let's break down your situation based on the information provided.

Firstly, the ultrasound examination you underwent is a common diagnostic tool used to assess the reproductive organs, including the uterus and ovaries. In your case, the doctor performed a transrectal ultrasound, which can be useful for visualizing pelvic organs, especially when a transabdominal approach may not provide clear images. The fact that the ultrasound revealed multiple fibroids in the uterus is significant. Uterine fibroids, while generally benign, can cause various symptoms, including pelvic pain, pressure, and even changes in bowel habits, which could explain some of your discomfort.

Regarding the absence of visual confirmation of the ovaries during the ultrasound, it is important to note that while the ovaries are typically visible in a pelvic ultrasound, there are instances where they may not be easily seen due to their position, the presence of other structures, or the quality of the ultrasound images. The doctor’s interpretation that your symptoms might be related to gastrointestinal issues is plausible, especially if the pain is not localized to the ovarian area and if other gastrointestinal symptoms are present.

However, your concern about ovarian cancer is understandable, particularly given the potential for late-stage diagnosis. If the ultrasound did not visualize the ovaries, it may be prudent to follow up with additional imaging or tests. A transvaginal ultrasound is often more effective in visualizing the ovaries and can provide a clearer picture of their health. Additionally, if you continue to experience pain or if new symptoms arise, further evaluation may be warranted, including blood tests for tumor markers such as CA-125, which can be elevated in ovarian cancer, although it is not specific to the disease.

In summary, while the initial interpretation of your ultrasound suggests that your symptoms may not be directly related to ovarian issues, the lack of visualization of the ovaries does warrant further investigation, especially considering your concerns about ovarian cancer. It is advisable to discuss your symptoms and the ultrasound findings with your healthcare provider, who may recommend a transvaginal ultrasound or other diagnostic tests to ensure a comprehensive evaluation of your reproductive health. Regular follow-ups and open communication with your healthcare team are key to addressing your concerns and ensuring your well-being.

Similar Q&A

Evaluating the Accuracy of Gynecological Ultrasound for Left Lower Abdominal Pain

Hello, Doctor! I occasionally experience a pressure sensation and intermittent dull pain in my lower left abdomen, sometimes accompanied by the urge to have a bowel movement. Although I have had occasional bowel issues, there are no significant bowel problems during the abdominal...

Dr. Lin Zhaopei reply Obstetrics and Gynecology
Oophorectomy can be classified into total and partial removal. If it is a partial removal, ultrasound can still detect the remaining normal tissue. Left lower abdominal pain accompanied by bowel changes may still be related to gastrointestinal issues. Since the ultrasound has rul...

Understanding Abdominal Pain and Abnormal Bleeding in Women

Hello, doctor. I am 38 years old and unmarried. Recently, I have experienced bleeding during my ovulation period for two consecutive months (the bleeding lasts until my period starts). When my period came recently, I had left lower abdominal discomfort and cramping for about a we...

Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The treatment provided by your current physician is very reasonable and appropriate. I recommend that you follow the doctor's orders and patiently await the fin...

Understanding Ovarian Issues: PCOS, Symptoms, and Diagnosis Concerns

Hello, doctor. About two weeks ago, I was diagnosed with polycystic ovary syndrome (PCOS) by an outpatient physician after undergoing a transrectal ultrasound and blood tests. However, during the consultation, I only mentioned my irregular menstruation, lower abdominal pain, and ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, constipation, diarrhea, and bloating issues will not affect the physician's diagnostic results. Polycystic ovary syndrome (PCOS) is not a tumor but rather a condition characterized by poor ovarian function. If you have further concerns, you may consult your regular ob...

Understanding Abdominal Pain During Ovulation: Causes and Concerns

Hello doctor, today is May 1st, which is my ovulation period. I am experiencing some pain in my lower abdomen, along with discharge, and sometimes it feels like bloating, making me want to pass gas frequently. I have taken two pregnancy tests, both of which were negative. Could t...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Today, on May 1st, I am in my ovulation period, and I am experiencing some pain in my lower abdomen (mostly on the left side). There is also some discharge, and at times it feels like bloating, making me feel the urge to pass gas frequently. I have taken two pregnancy tests, both...