The adnexa of the uterus is the space in your body occupied by the uterus, ovaries, and fallopian tubes. An adnexal mass is defined as a lump in the tissue located near the uterus or pelvic area called the adnexa of uterus. Adnexal tenderness occurs when there is pain or general tenderness around the area where an adnexal mass is located. Symptoms of adnexal tenderness are similar to those of uterine tenderness or cervical motion pain.
You may have an adnexal mass if you experience any of the following symptoms that do not follow your normal menstrual symptoms or are present more than 12 times per month:. To find a suspected adnexal mass, your doctor will typically do a pelvic examination. This consists of a physical examination of the vagina, cervix, and all organs in the pelvic area.
After that, ectopic pregnancy will be ruled out via an ultrasound , also called a sonogram. The ultrasound can also show cysts or certain tumors. If the mass cannot be found with a ultrasound, the doctor may order an MRI. Upon finding a mass, your doctor will most likely do a test to measure for cancer antigens. The antigens will be monitored to make sure that the adnexal mass does not become malignant. 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. Once diagnosed, your doctor will make a plan for treatment or management for the mass. A simple cyst in the ovary or uterus could be the cause of pain. Many simple cysts will heal on their own. If the cyst is small and only causing mild discomfort, many doctors will opt to monitor the cyst for a period of time. If the cyst remains for several months, a laparoscopic cystectomy may be performed to determine if the cyst is malignant.
An ectopic pregnancy is a pregnancy that does not occur in the uterus. If the egg is fertilized or remains in the fallopian tubes, the pregnancy will not be able to be carried to term.
If you are found to have an ectopic pregnancy, you will require surgery or medication and monitoring to end the pregnancy. Citation, DOI and article data. Bell, D. Adnexa female pelvis. Reference article, Radiopaedia. Uterine appendage Uterine appendages Adnexa uteri. URL of Article. The adnexa , or more formally the adnexa uteri , and also known as the uterine appendages , is a collective term for the: ovaries fallopian tubes broad ligaments Some texts also include the associated blood vessels, nerves and other supporting tissues in the definition.
On this page:. William Alexander Newman Dorland. Dorland's Illustrated Medical Dictionary. Terminologia Anatomica. Federative International Programme for Anatomical Terminology, Ian Brookes. The Chambers Dictionary. Related articles: Anatomy: Abdominopelvic.
This content does not have an English version. This content does not have an Arabic version. Overview Female reproductive system Open pop-up dialog box Close. Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina vaginal canal make up the female reproductive system. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references AskMayoExpert.
Adnexal mass.
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