Although we do not see an increase in the rate of ovarian cysts after tubal reversal surgery, polycystic or simply cystic ovaries are one of the concerns some patients have expressed after tubal reversal surgery. For most, a thorough exam after the tubal reversal surgery, or close monitoring after the tubal reversal surgery will alleviate these fears.
Predicting whether a cyst is benign or malignant is not always straightforward. Clinical examination, serum concentrations of CA 125, and ultrasonography are the main diagnostic protocols available.
Clinical examination is often unsatisfactory, with 30-65% of ovarian tumours being unnoticed and mostly overlooked by most doctors. Ultrasound studies of ovarian cysts will however …show more content…
How do Gynecologists conduct the evaluation?
1. Gynecologists first take a detailed medical history of the patient and perform a physical examination. During the physical examination the gynecologist will perform a pelvic exam.
2. In a pelvic exam the gynecologist will place an instrument called a speculum into the vagina and will examine the vaginal walls and the cervix. The gynecologist may take samples of vaginal discharge or perform a Pap smear (removing cells from the cervix with a small brush). Samples are sent to a laboratory for microscopical examination.
3. The gynecologist will then do a bimanual exam by inserting two fingers into the vagina and placing the other hand on the abdomen to examine the size and shape of the uterus and ovaries. The ovaries may feel larger than normal and this exam may make the patient have discomfort. If cysts are felt, the gynecologist will suggest additional laboratory and diagnostic tests.
4. Laboratory tests mostly include;
a) a complete blood count (CBC) and a WBC to perceive any infection and internal