Each test has advantages and disadvantages. An ultrasound does not require an IV or oral contrast agent, has no radiation associated with it, and usually just requires a full bladder during the test. The best view of the ovaries does require both an abdominal probe (similar to an ultrasound when pregnant – probe moving across the abdomen), and a transvaginal probe (the ultrasound viewing instrument is inserted into the vagina similar to a pelvic exam). A CT scan may require contrast, does have radiation associated with it, but otherwise, you just lay down and let the scanner do the work. An MRI has no radiation, is noninvasive, but is the most expensive and generally used only if another test didn’t give enough information.
The radiologist diagnoses the cyst based on its appearance, location and size. Based on these three factors, they can suggest possible causes for the cysts and recommendations for further workup. In order to treat the cyst, you would have to see your primary care physician to review options. OB/GYN’s are specialists in the primary care of women as well as the surgical experts on women’s reproductive organs. You may require a referral to an OB/GYN (if you aren’t already seeing one) for further management.
LuAnn Moraski, DO