What does adnexal tenderness indicate?

Adnexal tenderness is a slight pain or tender feeling in the pelvic region, including your uterus, ovaries, and fallopian tubes. Adnexal tenderness that persists over a long period of time could be due to a cyst or other condition within your adnexal region.

What are the cause of the adnexal masses?

Some of the causes of adnexal masses include: Ectopic pregnancy: A pregnancy where the fertilized egg implants somewhere outside the uterus. Endometrioma: A benign cyst on the ovary that contains thick, old blood that appears brown. Leiomyoma: A benign gynecological tumor, also known as a fibroid.

What is adnexal abnormality?

An adnexal mass is an abnormal growth that develops near the uterus, most commonly arising from the ovaries, fallopian tubes, or connective tissues. The lump-like mass can be cystic (fluid-filled) or solid. While most adnexal masses will be benign (noncancerous), they can sometimes be malignant (cancerous).

How do you test for adnexal tenderness?

By moving the abdominal hand to the lateral lower quadrant and the pelvic hand to each ipsilateral side, each adnexal region can be palpated, feeling for the ovary. The presence of a mass or any adnexal tenderness or lack of mobility can be determined.

What does Adnexa mean on an ultrasound?

Adnexa refer to the anatomical area adjacent to the uterus, and contains the fallopian tube, ovary, and associated vessels, ligaments, and connective tissue.

Can adnexal mass be cured?

The majority of adnexal masses aren’t harmful. They won’t require treatment unless a woman is experiencing uncomfortable symptoms. Many adnexal masses will resolve themselves without any intervention. In a very small number of cases, the cause of the adnexal mass will be ovarian cancer.

How is adnexal mass treated?

Virtually all women with adnexal masses thought to be benign are managed by general gynecologists. Some of these women are managed expectantly while others are taken directly to surgery. Regrettably, many women with adnexal masses are treated without an appropriate workup.

When should an adnexal cyst be removed?

Large or persistent ovarian cysts, or cysts that are causing symptoms, usually need to be surgically removed. Surgery is also normally recommended if there are concerns that the cyst could be cancerous or could become cancerous. There are 2 types of surgery used to remove ovarian cysts: a laparoscopy.

What is adnexal fullness?

Overview. An adnexal mass is a growth that occurs in or near the uterus, ovaries, fallopian tubes, and the connecting tissues. They’re usually benign, but are sometimes cancerous. Some of them are filled with fluid, and some are solid. Doctors tend to be more concerned if they’re solid.

Should adnexal masses be removed?

Most adnexal masses develop in the ovary and can be cancerous or non-cancerous. While some women may have no symptoms, others may experience pain, bleeding, bloating, and other issues due to the mass. Depending on the size of the mass and whether it is suspected to be benign or malignant, surgery may be necessary.

What kind of pain does adnexal tenderness cause?

If you have slight pain or soreness in your pelvic area, specifically around where your ovaries and uterus are located, you may be suffering from adnexal tenderness.

What causes pain in the adnexal region of the uterus?

Adnexal tenderness is a slight pain or tender feeling in the pelvic region, including your uterus, ovaries, and fallopian tubes. Adnexal tenderness that persists over a long period of time could be due to a cyst or other condition within your adnexal region.

What are the signs and symptoms of adnexal masses?

Abdominal or adnexal tenderness, cervical motion tenderness, fever, vaginal discharge Oligomenorrhea, amenorrhea, or menorrhagia associated with obesity and hirsutism Unilateral or bilateral adnexal fullness or enlarged ovary or ovaries

When to see a gynecologist for adnexal tenderness?

If the mass is larger than six centimeters, or the pain does not subside after three months, a gynecologist will usually discuss options for removal of the mass. There are many types of adnexal masses that may be causing your adnexal tenderness.

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