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Follicular cyst, the most common type of ovarian cyst. [2] In menstruating women, an ovarian follicle containing the ovum (an unfertilized egg) normally releases the ovum during ovulation. [2] If it does not release the ovum, a follicular cyst of more than 2.5 cm diameter may result. [6] A ruptured follicular cyst can be painful. [2]
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CT Ovarian Cyst. Further work up involves imaging, such as a pelvic ultrasound or CT scan. [7] Theca lutein cysts with diameters over 6 cm in size can be seen through these imaging modalities. [18] Benign ovarian cysts and complex cysts that are potentially malignant are distinguishable via ultrasounds. [19]
Lack of ovarian blood flow on doppler sonography seems to be a good predictor of ovarian torsion. Women with pathologically low flow are more likely to have torsion. [7] The sensitivity and specificity of abnormal ovarian flow are 44% and 92%, respectively, with a positive and negative predictive value of 78% and 71%, respectively. [7]
During an infertility work-up a hysterosalpingogram, an X-ray procedure that uses a contrast agent to image the fallopian tubes, shows the retort-like shape of the distended tubes and the absence of spillage of the dye into the peritoneum. If, however, there is a tubal occlusion at the utero-tubal junction, a hydrosalpinx may go undetected.