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[|Human|] Hi I had a hysterectomy in 2005 due to cervical cancer in 2010 I had my left ovary removed I have been experiencing pain in my right side had a U/S done 2D Transvaginal and also on my stomach with a full bladder they found a complex 1.5 cm follicle with internal echoes they think it is a hemorrhagic follicle and report also states trace free fluid in the pelvis. Can you tell me what this means.
[|AI|]  Hello and welcome to Chat Doctor, The ultrasonography report showing a complex 1.5 cm follicle suggestive of hemorrhagic cyst suggests presence of a cyst in the right ovary (the ovary which is present). Hemorrhagic follicle indicates presence of hemorrhage or bleeding in ovarian follicle. In an ovarian cycle, a number of follicles develop. One of them matures and releases mature ovum at the time of ovulation. After the ovum is released, the ruptured follicle undergoes certain changes. First the follicle undergoes luteinization i.e. deposition of hormone rich cells. These cells release female hormones. The follicle is called corpus luteum at this stage. After this stage, hemorrhage takes place in the corpus luteum. Sometimes the follicle may enlarge and hemorrhage may be more than normal. This may cause abdominal pain. Conversely, a follicular cyst may undergo hemorrhagic change. This cyst can also cause similar symptoms. Whatever may be the cause of formation of the hemorrhagic cyst, both of them are benign for all practical purposes. Free fluid in the pelvis can be secondary to formation of hemorrhagic cyst. For further management, you will have to consult your gynecologist. Thanks and take care Chat Doctor.