
- Pelvic pain.
- Difficulty urinating.
- Bleeding near the mass.
- Frequent urination.
- Bloating.
- Irregular periods, especially in premenopausal people.
- Constipation.
- Gastrointestinal disorders.
Explore
Surgery would only be considered if:
- your doctor suspects that the adnexal mass is malignant
- a complication occurs
- the mass is so big that it’s likely to cause a problem with the pregnancy
What is the treatment for an adnexal mass?
Your doctor might suggest:
- Watchful waiting. In many cases you can wait and be re-examined to see if the cyst goes away within a few months. ...
- Medication. Your doctor might recommend hormonal contraceptives, such as birth control pills, to keep ovarian cysts from recurring. ...
- Surgery. ...
How to get rid of adnexal cyst?
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). 1
What is an adnexal mass on the right ovary mean?
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 is adnexal tenderness?

What does adnexal mass feel like?
The most common symptoms encountered in a patient with an adnexal or pelvic mass are abdominal fullness, abdominal bloating, pelvic pain, difficulty with bowel movements, and increased frequency of urination, abnormal vaginal bleeding, or pelvic pressure. Some patients will present with only one of these symptoms.
How do you check adnexal mass?
Adnexal masses are usually diagnosed by a pelvic exam, ultrasound, or both. Often, in cases when the woman isn't showing any symptoms, the growth is detected during routine exams. Once diagnosed, your doctor will decide if your case is an emergency.
What is the most common adnexal mass?
In premenopausal women, physiologic follicular cysts and corpus luteum cysts are the most common adnexal masses, but the possibility of ectopic pregnancy must always be considered. Other masses in this age group include endometriomas, polycystic ovaries, tubo-ovarian abscesses and benign neoplasms.
Where is the adnexal mass located?
A lump in tissue near the uterus, usually in the ovary or fallopian tube. Adnexal masses include ovarian cysts, ectopic (tubal) pregnancies, and benign (not cancer) or malignant (cancer) tumors.
How do you know if adnexal mass is cancerous?
Transvaginal ultrasonography remains the standard for evaluation of adnexal masses. Findings suggestive of malignancy in an adnexal mass include a solid component, thick septations (greater than 2 to 3 mm), bilaterality, Doppler flow to the solid component of the mass, and presence of ascites.
What is the cause of adnexal mass?
What causes adnexal tumors? Adnexal masses can be caused by numerous gynecologic and non-gynecologic factors. Most commonly, the tumors originate from the female reproductive system. But they can also originate in the urinary or digestive systems.
What is the normal size of adnexal mass?
Results: One hundred and eighty-six women underwent laparoscopic evaluation for an adnexal mass of 10 cm or larger in size. The average preoperative mass size was 12.1 +/- 4.9 cm.
Do adnexal cysts cause pain?
Symptoms of an ovarian cyst An ovarian cyst usually only causes symptoms if it splits (ruptures), is very large or blocks the blood supply to the ovaries. In these cases, you may have: pelvic pain – this can range from a dull, heavy sensation to a sudden, severe and sharp pain. pain during sex.
What is the treatment of adnexal cyst?
How Are Adnexal Cysts Treated? The majority of ovarian cysts (both fluid-filled and hemorrhagic) resolve spontaneously and require no intervention. Pelvic ultrasound is often repeated after 1-2 menstrual cycles to check for ovarian cyst resolution.
How are adnexal masses removed?
With advancements in minimally invasive, robotic-assisted technology, adnexal masses can be removed via laparoscopic surgery using the da Vinci Surgical System. In the female reproductive system, the area where the uterus, fallopian tubes, and ovaries connect is called the adnexa.
What does adnexa mean on an ultrasound?
INTRODUCTION. Adnexa refer to the anatomical area adjacent to the uterus, and contains the fallopian tube, ovary, and associated vessels, ligaments, and connective tissue.
What does adnexa mean on an ultrasound?
INTRODUCTION. Adnexa refer to the anatomical area adjacent to the uterus, and contains the fallopian tube, ovary, and associated vessels, ligaments, and connective tissue.
Do adnexal masses need to 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 is the normal size of adnexal mass?
Results: One hundred and eighty-six women underwent laparoscopic evaluation for an adnexal mass of 10 cm or larger in size. The average preoperative mass size was 12.1 +/- 4.9 cm.
What is a normal adnexa size?
Moreover, our results suggest that solid benign adnexal lesions ≤ 50 mm are common and may be regarded as normal findings in older postmenopausal women.
What is an adnexal mass?
An adnexal mass refers to a growth that develops in the female pelvic region. Adnexal masses occur near the uterus, usually in the ovaries, fallopi...
What causes an adnexal mass?
There are multiple causes of adnexal mass development. Gynecologic causes, meaning that masses originate from the reproductive system, are the most...
Does having an adnexal mass mean cancer?
Adnexal masses are not necessarily cancerous. They may be malignant in some cases, but most commonly, adnexal masses are benign, or not cancerous.
What are the symptoms of having an adnexal mass?
Symptoms associated with adnexal masses often differ depending on what caused the mass to form. Pelvic pain is a common symptom, and it can suggest...
How is an adnexal mass diagnosed?
When evaluating adnexal masses, a review of medical history, with a detailed gynecologic and family history, and a careful review of symptoms are o...
How is an adnexal mass treated?
Treatment options for adnexal masses vary depending on the specific diagnosis. Some masses can be treated conservatively, and others may require su...
What are the most important facts to know about adnexal masses?
Adnexal masses include different types of growths near the uterus, in the ovaries, fallopian tubes, or connecting tissues. In most cases, they are...
How to diagnose adnexal tumor?
Diagnosis of adnexal tumors involves a careful physical exam, imaging tests and, sometimes, surgery. Treatment for adnexal tumors depends on the specific location and types of cells involved.
What are adnexal tumors?
Adnexal tumors occur in the: 1 Ovaries 2 Fallopian tubes 3 Connective tissue around the ovaries or fallopian tubes
How to diagnose adnexal mass?
Adnexal masses are usually diagnosed by a pelvic exam, ultrasound, or both. Often, in cases when the woman isn’t showing any symptoms, the growth is detected during routine exams. Once diagnosed, your doctor will decide if your case is an emergency. Usually it’s not, and your doctor will have time to investigate what’s causing the mass and ...
Where does an adnexal mass occur?
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.
What tests can be used to determine the cause of adnexal mass?
Imaging and lab tests can be used to determine the underlying cause of the adnexal mass. Your doctor will also probably have you take a pregnancy test to rule out an ectopic pregnancy, since this will need immediate treatment.
When should adnexal masses be discovered?
However, adnexal masses are sometimes discovered during a pregnancy when having routine ultrasounds or pelvic exams.
What are the symptoms of irregular periods?
irregular periods in women who are experiencing premenopause. bleeding at the site of the mass. difficulty with urination. frequent urination. constipation. gastrointestinal disorders. Whether or not symptoms are present often largely depends on the size of the mass.
Can you have surgery for a small adnexal mass?
If the adnexal mass is small and you have no symptoms, then it may not require treatment at all. However, your doctor will likely want to monitor you with regular pelvic exams and ultrasounds. Surgery will be needed if: the mass begins to grow. you develop symptoms.
Is adnexal mass malignant?
your doctor suspects that the adnexal mass is malignant. the mass is so big that it’s likely to cause a problem with the pregnancy. About 10 percent of adnexal masses discovered in pregnancy are malignant, according to one 2007 clinical review. Even in these cases, the cancer is usually in its early stages.
How is an adnexal mass diagnosed?
When evaluating adnexal masses, a review of medical history, with a detailed gynecologic and family history, and a careful review of symptoms are often necessary.
What is an adnexal mass?
An adnexal mass refers to a growth that develops in the female pelvic region. Adnexal masses occur near the uterus, usually in the ovaries, fallopian tubes, or connecting tissues. These growths can originate from either the reproductive system or nearby pelvic organs, such as the intestines or the urinary bladder. Adnexal masses usually are not cancerous (i.e., benign), but they can be cancerous (i.e., malignant) in some cases.
What are the most important facts to know about adnexal masses?
The causes of adnexal masses vary and can be either gynecologic or non-gynecologic. Common symptoms associated with adnexal masses include irregular vaginal bleeding, bloating, dyspareunia, urinary symptoms, and pelvic pain. Diagnosis of adnexal masses involves medical history review and physical examination. Blood tests and imaging may be necessary for diagnosis in rare cases. Treatment for adnexal masses largely depends on the underlying cause and can be either conservative or surgical.
What causes adnexal masses?
Common symptoms associated with adnexal masses include irregular vaginal bleeding, bloating, dyspareunia, urinary symptoms, and pelvic pain. Diagnosis of adnexal masses involves medical history review and physical examination.
Can adnexal masses cause genital pain?
Lastly, dyspareunia, or genital pain during sexual intercourse, may be experienced by individuals with adnexal masses.
What are the symptoms of adnexal mass?
People with an adnexal mass may report: severe lower abdominal or pelvic pain that is usually on one side. abdominal symptoms, including a feeling of fullness, bloating, constipation, difficulty eating, increased abdominal size, indigestion, nausea, and vomiting.
What is an adnexal mass?
Adnexal masses are lumps that occur in the adnexa of the uterus, which includes the uterus, ovaries, and fallopian tubes. They have several possible causes, which can be gynecological or nongynecological.
Why do doctors need to pinpoint the location and cause of an adnexal mass?
Doctors need to pinpoint the location and cause of an adnexal mass to determine the appropriate management and treatment.
Can a family doctor treat a benign adnexal mass?
A family doctor can usually manage benign masses. However, prepubescent and postmenopausal individuals will need to see a gynecologist or oncologist. Malignant adnexal masses require treatment from a specialist. In this article, we discuss the characteristics of adnexal masses.
What is the adnexal mass?
An adnexal mass, or adnexal cyst, is a growth that occurs in or near the organs attached to the uterus in women. This is what is called the adnexa region and includes the fallopian tubes, ovaries, uterus, and the connecting tissues. Women of all ages may develop an adnexal mass, especially in the ovaries.
What is a complex adnexal mass?
A complex adnexal mass or cyst can be further classified into categories of dermoid cysts, endometriomas, and low malignant tumors. There are thought to be hundreds of adnexal mass causes. Adnexal cyst symptoms are often similar ...
What causes adnexal cysts?
Causes of Adnexal Cyst and Mass Growth . There are a variety of different adnexal cysts and masses. Some fluid-filled growths arise in the woman’s ovaries; others have both solid and liquid matter (called septated) and are especially dangerous.
What are the symptoms of a cyst in the adnexal region?
It is important to consult your doctor if you experience any of the following adnexal cyst symptoms, since they may also be present in other conditions and further investigation is likely required. Pain or pressure in the pelvic region. Abdominal distension. Constipation and gastrointestinal disorders.
How to diagnose adnexal cyst?
Diagnosing Adnexal Cyst and Mass. A physical pelvic exam will help the doctor diagnose an adnexal cyst or mass. The doctor will feel the woman’s ovaries, uterus, vagina, bladder, and rectum, and make note of a lump or anything else unusual.
How to tell if a cyst is growing?
Symptoms of Adnexal Cyst and Mass Growth 1 Pain or pressure in the pelvic region 2 Abdominal distension 3 Constipation and gastrointestinal disorders 4 Bleeding at the site of the cyst or mass 5 Back pain 6 Irregular periods in women experiencing pre-menopause 7 Difficulty with urination 8 Frequent urination
Where does adnexal mass originate?
Usually, an adnexal mass or cyst affects the adnexa, but when it is metastatic in nature, it may originate somewhere else, such as in the breast or stomach. An adnexal cyst can be found in women of all ages. A malignant adnexal cyst may develop in females as young as 15, but more often, the mass is a functional cyst that will likely disappear on ...
What are the symptoms of adnexal masses?
Pelvic pain. Irregular menstrual cycle. Difficulty urinating or the frequent urge to do so. Constipation. Gastrointestinal problems. The symptoms of adnexal masses often depend on the condition they're associated with, so some may have more severe symptoms than others.
What is an adnexal mass?
What is adnexal mass? An adnexal mass is a lump of tissue in or near the female reproductive system, usually in an ovary or uterine tube. They are called "adnexal" because of their association with the adnexa of the uterus, which are appendages related to the uterus. These appendages include the tissue around the uterus, ovaries, and uterine tubes.
How often are pelvic masses cancerous?
Most pelvic masses are not cancerous. Only 5–10 percent of women will be diagnosed with one in their lifetime, and 15–20 percent of those masses are cancerous. The most important action upon discovering a malignant mass is diagnosing it and treating it as soon as possible. The faster a cancerous tumor or growth is diagnosed and removed and treatment begins, the better the outcome will be. The risk of a cancerous adnexal or pelvic mass increases with age, and postmenopausal people are at a greater risk than premenopausal people.
How to manage adnexal mass?
Ways to manage adnexal mass. The location and cause of the adnexal mass will influence what types of treatment are used. People with ovarian cysts can have them surgically removed or wait for the cysts to go away on their own. Benign or malignant tumors are often removed by surgery.
What causes pelvic mass?
Some causes of pelvic masses, like ectopic pregnancies, can lead to the rupture of the uterine tube and cause serious bleeding. Emergency medical care should be sought immediately.
Where is the adnexal mass located?
Managing adnexal mass. When to see a doctor. Discovering a growth or mass can set off alarms in anyone’s head. If it's located in the breast or reproductive area, it's easy to jump to conclusions and assume the worst. A lump near the ovaries or uterus isn’t always a cause for major concern. Sometimes it’s a non-threatening adnexal mass.
Is an adnexal mass a tumor?
Some adnexal masses are benign tumors or noncancerous growths. These growths won't spread to other body parts and don't usually pose any major threats. They grow slowly and are often only noticed during a routine exam.
What is an adnexal mass?
Management/Treatment. 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.
What is the best doctor for adnexal mass?
If an adnexal mass is found and cancer is suspected, it is always best to get a second option from a gynecologic oncologist who will be more experienced in the diagnosis, staging, and of treatment of endometrial and ovarian cancers.
Can adnexal masses be benign?
While most adnexal masses will be benign (noncancerous), they can sometimes be malignant (cancerous). 1. Adnexal masses may occur at any age, although they are more typically seen in women of reproductive age. skaman306 / Getty Images.
Is an adnexal mass a cause for alarm?
In most cases, an adnexal mass will not be a cause for alarm and may never present any health problems to the woman.
Can an adnexal mass be alarming?
In most cases, an adnexal mass will not be a cause for alarm and may never present any health problems to the woman. With that being said, doctors will pay particular attention to any masses or lesions that appear in or around the ovaries or in fallopian tubes. Studies have shown that growths in the fallopian tubes often serve as precursors ...
Where do adnexal tumors form?
Adnexal tumors are growths near the uterus. They're also known as adnexal masses. They usually form in the ovaries, which make eggs and hormones, or the fallopian tubes, which connect your uterus and ovaries. The tumors can form in the connective tissue around this part of your body. Many conditions can cause an adnexal tumor and they can happen at any age.
How Are Adnexal Tumors Treated?
The treatment for an adnexal tumor will depend on several factors, including what's causing it and where it's located. Generally, there are three options for treating adnexal masses:
Does adnexal mass go away on its own?
Expectant management. If your adnexal mass is not cancerous and your doctor thinks it will go away on its own, you may not need any treatment or follow-up care. This may be the case if you have a small cyst that will probably go away.
