Pelvic Mass

Key Points

• Pelvic examination is not sensitive or specific for the diagnosis of a pelvic mass.

• Initial evaluation of a pelvic mass should include a focused history, physical exam, and pelvic ultrasound.

• Pelvic ultrasound with cyst morphology and Doppler flow studies can distinguish benign cysts from ovarian carcinoma, especially in postmenopausal women.

• Although combination oral contraceptives can reduce the risk of functional ovarian cysts, OCs are not useful for treatment.

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