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Women's Health

Pelvic pain

03/21/2006

Question:

Last year I underwent two pelvics, three transvaginal ultrasounds and a CT w/o contrast for sudden onset symptoms that involved: heavy menstral bleeding, abdominal bloating, pelvic pain, cramping, back pain, constipation, nausea. These tests revealed "unremarkable" ovaries and an enlarged left tipped uterus with suspicion of a fibroid. I have had a prior history of adenomyosis. Since my last exam I have had low left sided pelvic pressure, continued bowel complaints, and chronic dull, achy, fullness pain on my lower left side. It can wake me up at night, make bending painful, and radiate into my back and leg. With the tests that I`ve undergone, that have indicated no pelvic masses, what are my chances that this is something serious like ovarian cancer or structural in nature and caused by uterine fibroids? Thanks for your response.

Answer:

It is clear that you have had a good deal of medical attention for this problem, and I am afraid that I cannot provide you with much further insight in this forum, which is designed for more general medical questions.  Knowing nothing else about your medical history or the results of your previous tests, I cannot comment on how to interpret these findings.  I can say that with three ultrasounds and a CT scan revealing normal ovaries, there is almost no chance that you could have ovarian cancer.  A fibroid would most likely have to be very large and far more than just a "suspicion" to cause any significant pressure symptoms.

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Response by:

The Ohio State University Jonathan A Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A Schaffir, MD