Fibroids, endometriosis and ovarian cysts
Many women first hear these words when a scan report is handed to them, often after a routine check for something unrelated. The report gives a measurement but not a meaning, and the gap between the two causes a great deal of worry.
This consultation is about interpreting the finding in context — how large, where, whether it explains your symptoms, and whether it needs treating at all right now.
Symptoms and findings that prompt a review
Having one of these does not necessarily mean something is wrong. It means the question is worth asking.
- A scan report mentioning a fibroid, cyst or endometrioma
- Heavy or prolonged periods
- Pelvic pain or a dragging sensation in the lower abdomen
- Period pain that has been getting steadily worse over the years
- Pain during or after intercourse
- Pain when passing urine or opening the bowels during periods
- Abdominal fullness, bloating or a palpable lump
- Frequent urination from pressure on the bladder
- Difficulty conceiving alongside any of the above
How a consultation may help
- Explaining what the scan actually shows and how significant the size and position are
- Establishing whether the finding explains your symptoms, since small fibroids often cause none
- Discussing whether observation, medication or referral for a procedure is most appropriate
- Considering your plans for pregnancy when weighing up options
- Setting a sensible interval for repeating a scan, where watching is the right approach
- Providing a second opinion if surgery has already been recommended elsewhere
What to expect at your visit
Reading the report together
Bring the scan images and report. They are explained in plain language, including which measurements matter.
Matching findings to symptoms
A finding on a scan and the reason you feel unwell are not always the same thing.
Options laid out honestly
What each approach involves, what it can realistically achieve, and what the alternatives are, including doing nothing for now.
Referral where it is needed
If a procedure is the right step, you are guided on where it can be done and what to expect from it.
Common questions
Answers here are general. Your own situation is what the consultation is for.
Do all fibroids need to be removed?
No. Many fibroids cause no symptoms and are simply monitored. Treatment is usually considered when there are symptoms such as heavy bleeding or pressure, or when the size and position are causing a specific problem.
Can endometriosis be confirmed on a scan?
A scan can show some features, such as an endometrioma on an ovary, but it does not always show the condition. Diagnosis often relies on the pattern of symptoms alongside examination and imaging.
Will a fibroid stop me getting pregnant?
It depends greatly on size and position. Many women with fibroids conceive without difficulty. Where a fibroid is likely to be relevant, that is discussed specifically rather than in general terms.
My cyst was found by accident. Should I be worried?
Many ovarian cysts are simple, common and resolve on their own. The appearance, size and your age all influence what is advised, which is why the report is best reviewed rather than acted on alone.
Discuss this with Dr. Disha Ghoniya
Send a request with your preferred day and a short line about what has been happening. The clinic will confirm a time that works.