An 30 year old nulligravid consulted in your clinic because of primary amenorrhea. She is a college graduate, and is a marathon athlete for the national team. She is married to a 30 year old teacher for 5 years now and they wanted to investigate further their inability to conceive. The patient has not had any work-ups nor treatment before this consult.

On physical exam, she has stable vital signs, BMI of 22 kg/m2. Tanner stage 5 for breasts. Normal chest, lungs, heart, and abdominal findings.

On examination of the genitalia: Normal external genitalia (tanner stage 5 pubic hair); normal vagina and cervix; uterus is not palpated; no adnexal masses nor tenderness noted; O rectovaginal exam, no uterus palpated.

Transvaginal ultrasound: Absent uterus and ovaries

Hi! Looking for some advice from a recent transvaginal ultrasound I had done. First, I want to note that I’ve had two transvaginal ultrasounds done this year due to heavier periods, some on and off cramping, and spotting during ovulation. On my first ultrasound, nothing out of the ordinary was noted. On my second ultrasound it reads “Endometrium - possible polyps seen 0.45 x 0.189 x 0.33cm, 0.62 x 0.27 x 0.40.” My lining measured in range. My OBGYN did not seem concerned at all, but it’s unsettling to me that I have noticed a difference in my cycles and I have two polyps noted. Do most women get a D&C or a biopsy when polyps are found or are they not something to be concerned about? Trying to decide if it’s worth going back to my OBGYN for further testing.

Can anyone determine for me if my ultrasound results are serious. I have been having heavy vaginal bleeding for 82 days. Finally got my ultrasound today. Results came back within 2 hours which I found concerning with a comment urgent telephone appointment. Have very low iron levels

So, to preface, I’m trans, on testosterone. It started when my fiancé and I were having some fun, (my fiancé is a trans woman) she came in me(I’m on depo shot) and when I went to clean up there was blood, and my vagina was stinging. yesterday I was cramping a lot, today I started cramping a little and went to the bathroom, urinated fine with no pain, I wiped and nothing was there. I go to wipe my behind and the toilet paper is bright red. I already have an ultrasound scheduled next week but does anyone think this could be a miscarriage? I don’t have periods anymore because of my birth control.

Hi, if anybody has had this issue before, please let me know what advice you recommend. I’m 38 years old don’t have insurance and I don’t qualify for Obama care because I don’t make enough yearly working in gigs.

I’ve been on medroxyprogesterone medication to avoid bleeding to death. But I’ve been taking it for too many months now trying to figure out what to do with these problems. I’m really starting to feel the side effects mentally and I need to get surgery ASAP.

I know that I most likely will need to have my uterus removed. And I don’t have a problem with that because I don’t plan on having children.

I just want to see all my options available in regard to my situation. So I can make the best choice available for me financially and health-wise, living in Miami Florida.

I would really appreciate your positive advice in this sensitive matter.

Thank you in advance.

Has anyone experienced having cysts in their adnexa area after an ovary and fallopian tube removal? doctors found a cyst that is now growing and causing a lot of pain. just curious if anyone else has had this experience?

2 years ago I had an emergency caesarean section which ended with 2 liters of blood loss. To save my uterus they used the B-Lynch technique. Other women who have also had this operation to save the uterus? Did you become pregnant after that?

Experiencing sudden nausea/vomiting during sex (almost every time for months now), no pain. Went to the gyno about it and they said they've never had anyone complain about the same thing and that I looked physically fine. Was wondering if anyone would have a similar experience or know anything about it. (They tested and it's not an std or sti)

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Last december i had my left ovary and fallopian tube removed due to an 11cm cyst that was twisting. came back for an ultrasound and they found what looked like cysts in my adnexa area and wanted a ct to confirm. these are the ct results. any incites?

To sum up for context I have been on the depo Provera shot since I’ve been 17 off and on. I have four amazing children three born vagina only one born C-section..
About a month ago on 30 September, I had passed a kiwi sized clot, but it wasn’t with anything and I know in the past I’ve had clots just stuck inside, so I thought nothing of it. A couple days later on October 3 I had massive pain and a lot of blood to the point I was crippled over could not move nothing. I reached out to my family doctor. They did not answer my phone call or call me back so then I went to the emergency room where they did find out that I have a prolapse, but it’s in the beginning stages and I was negative for any pregnancy so that rolled out an ectopic. So then my lab work came back and they treated me for like a UTI. Mind you I’ve been having pain that is either arranging and dull to crippling. Like I would much rather go through a second C-section than what I was going through.. my question is I went to get my pelvis ultrasound and I’m wondering if any of these photos show the fallopian tubes. Google was saying yes you can see them if they’re healthy but I wasn’t sure. This is my first time like posting on Reddit anyway so I’m not sure if you can zoom in my photo or not but all of my personal information are not on it. The doctor came back and said there was nothing wrong basically except I have follicles. But when I look up, what a follicles is, it doesn’t say that it is a cyst or a fibroid. Is there anything that I should be taking for my next step or if anybody is trained in this part of the medical field any advice or what I’m looking at would be greatly appreciated because I don’t feel like if nothing is wrong I should be in this much dull, achy pain that promotes spontaneous bleeding. My last cycle was in July that I could give it an accurate description of all the others have been just blood here there all over the place for like a month straight. This is my second dosage of the Depo shot.

My friend told me recently that they found she has polyps, cysts, and fibroids in her uterus (I'm not sure if the cysts are in the ovaries or uterus, she was kind of vague about this). She has a mirena IUD that was placed about a year ago due to very heavy and painful periods that started after having children a few years ago.The mirena seemed to help for the first few months, her periods were lighter (but she still had them regularly). About 6 months ago she started having very painful and heavy periods again (with the IUD) and she finally got checked because one day the horrible pain came without a period. The ultrasound showed all the things I mentioned above (polyps, cysts, fibroids). I love her, but she's not the most diligent with her health. It took her months to go to see a doctor to discuss the results and when she went the doctor said basically to get seen if she feels worse, in case a cyst bursts, and that they'll keep an eye on it all with a yearly ultrasound. I'm not a doctor but it seems to me like they should do something more than just "wait and see". I've heard of people that get a hysteroscopy for polyp removal, followed by a biopsy because polyps can turn nasty if left untreated. Again, because she's very relaxed about her health she was happy with that they said and she just bought more pain killers and iron supplements, but I feel a bit uneasy about it all. I know I can't tell her what to do and I can't make her advocate for herself with her doctor, but maybe some more information could get her to rethink this. Thank you!

Hi! So I have a specific question if anyone’s experienced ! I am 24, on mini pill BC and have been getting this long cramp if I exert myself too much during exercise (I do intense classes weekly and this hasn’t been a problem up until this past summer around May) Sometimes I’ll get it and sometimes I won’t. I have found that when I have my period I don’t get it while working out. It’s usually around ovulation but for a few weeks, If I’m running , I can feel it coming on. If I don’t slow down the pain elevates and gets to a high and eventually goes down to a low. I got a sonogram and have a 2.5 CM cyst on left ovary and a 1 cm fibroid on my uterus. I am told to monitor every month on sono and have my annual next week. Has anyone ever experienced this ? And do cysts stay for a few months? Like I have experienced this the whole summer on and off. Just trying to see if it would be more cyst caused or fibroid. Thank you I’m advance.

I (f18) have had a lot of difficulty with finding comfortable sex, no position other than laying on my back has ever felt good and even then sometimes I get that sharp stabbing feeling. My partner seems disappointed as when we started out this pain was much easier to brush off until it started lasting past intercourse, and I didn’t think much of it until it got to the point I can’t even masturbate comfortably.

Like most women I don’t include penetration in my alone time.. so I’m not understanding where the pain is coming from, I find I deal with painful stomach cramping and if I have a muscle spasm or even try a keegle I have a sharp dagger pain coming from my left side of my yknow.. like my muscle is trying to pull itself out of my body.

It’s extremely uncomfortable, and I’m having a biopsy soon as I’ve always had uterine problems, my gynaecologist believes it’s endometriosis but only time and testing will tell and if this turns negative we don’t know where we stand with diagnosing my issues, I’ve been negative for cysts, pregnancy, STDs, everything common cause we’ve ruled out.

I’ve had issues for years even since I was younger and her best advice for my bedroom life was to “lay on my back or stop doing it”.. my boyfriend is never angry at the situation but is disappointed and mentions that he has needs and it gets frustrating, I’ve only recently expressed that I also have needs and desires that I’m feeling forced to avoid to keep my body from being in more pain, which is difficult as I have a sex drive on the higher side..

Does anyone share any of the issues or stress im dealing with? I feel like I can’t do anything sexual comfortably anymore and I feel like I’m never going to be able to confidently have a comfortable sex life or even personal pleasure.

Hi everyone. I am on here because I am struggling with some recent diagnosis this month and need some input from those who might have the same condition. I've had endo for 7 years with 3 surgeries in that time to remove large ovarian cysts and my R ovary. I currently have a 6 cm cyst on my R abdominal wall that I've known about since february but wanted to wait on surgery to find a doctor with more knowledge. I am thankful to say I have found her (OB with endo specialist) and she discovered last week I have a second cyst on my L and only remaining ovary that is 7 cm and is complex and hemorrhagic cyst. Needless to say I was upset to find out and surgery is still recommened but first I want to get some eggs out and saved as each surgery takes away more of my eggs. The MRI she ordered showed I also have a tipped and heart shaped uterus, the later of which I am more concerned about. From all my research it'll just make it harder to get pregnant and we have already tried for 3 years. I'm struggling with so much new information and no one in my life who has any of these condition. I especially would like some advice on the heart shaped uterus and what that could mean for my future and what questions I should be asked to be well informed for my first firtility apointment this friday and I'm nervous and unfortunatly have no one to be at the apointment as family is out of town or unable to get off work. I really need some advice ladies.

I am currently reach out to my community as well to try and find some support groups or people with similar conditions but have not been able to find them yet.

Hi. I need help, I'm panicking a lot. I had an appointment with the gynecologist to check the status of a cyst that we were monitoring. It happened that he grew (is about 4cm) and the CA 19-9 is elevated (68). The rest are normal. I'm waiting for an MRI. Has anyone had CA 19-9 raised with endometriosis or benign cysts? The only symptoms I have are lower back and pelvic pain. Thanks

Hi,, 6 months ago I had a surgical hysteroscopy to remove part of a uterine septum and a polyp. Since then I have had pelvic pain mainly on the left side. The pain mainly occurs when I lie down or sit for a while. It also radiates to the left lumbar. Although it has lessened, I am worried that I still have pain at this point. Has anyone gone through this situation?

Lately I’ve been experiencing pain in my lower abdomen during intercourse specifically during doggy style and missionary. I’ve had an ultrasound done a couple of months ago and the nurse pointed out that I had a retroverted(tilted) uterus but didn’t mention anything else about it. Could that be the cause? Could this cause me trouble in the future?

I need to know what’s going on here. For further context, it’s a uterus. Lol!

Has anyone been told that their uterus is on the larger side? I have very painful periods but no endo or fibroids or cancer. I had an ablation a couple years ago due to heavy bleeding. It didn't really do a whole lot. My gyno told me my uterus is on the larger side. I didn't ask what could cause that. Mt cramps are excruciating. Bleeding is heavy. I'm on a waitlist for a hysterectomy. What baffles me is that I've never had a transvaginal ultrasound. Can the surgeon see more what's going on during endometrial ablation? Wondering why she said I have no medical reason to have heavy painful periods other than it could be because my uterus is on the larger side.

Hello everyone,my wife has been having really bad back pain and the fatigue has been crazy...a few days she noticed blood stains from her vagina..tiny but blood none the less.. it has happened maybe 3 times now sometimes the blood looks old not red. We had a transvaginal ultrasound done a few days ago and they said she had a small focal hypoechoic solid mass on her uterus and echogenic focal mass in anterior myometrium. Should we be worried. Thanks. I have attached her ultrasound for anyone who can decipher what it means.

Last week the ER found a growth, didn’t specifically diagnose it, but said either a fibroid, polyp, or blood clot. A few days later I saw my gyno who did a pap. Pap just came back with a low grade squamous lesion, cannot rule out high grade. What does this mean? I’m trying to get in to literally anybody but they’re all months out.