Incidental endometrial uterine pathology may be noticed which impedes ovulation

What other Pelvic  pathology may be detected at basal scan?? 1) Ovarian   cysts 2) Functioning   hemorrhagic   and non hemorrhagic corpus   luteum and simple cysts . Does these incidentally detected  pathology  impede with Ov inducing agents??  

Ans:-Clear thin walled   ovarian cysts usually represent  atretic Graafian   follicles  that did   not ovulate   but continued to    enlarge  sometimes reaching3-4 cm in diameter over   several months Hemorrhagic     and non hemorrhagic   luteal ovarian     cysts may be confused  with endometriomas. They    can be distinguished   from endometriomas  which have a  homogenous texture     by their    heterogeneous nature    and because    they are associated   with elevated  progesterone concentrations as late  as the first    3-5  menstrual cycle   days    . Both   type of functional cyst    occur frequently following   OI and do not   require treatment   other than   a cycle  of rest . When   they are found on an   initial US they may be  treated with   oral contraceptive  pills before initiating OI  . Ovarian     cysts larger  than 4 cm  should be removed  not  drained  smaller cysts  without cancer  characteristics   may either be followed  until they resolve   or suppressed  with OC pills  Aspiration      of single unilateral cysts before   superovulation   for IVF  does   not increase    the number of  preovulatory    follicles   or th number    of oocytes  recovered. 

Functioning   hemorrhagic   and non hemorrhagic corpus   luteum and simple  cysts  inhibit   follicle  develop progesterone production   Benign  ovarian neoplasms  and endometriomas may inhibit    follicle  development     by pressure   . In addition  endometriomas may expand and rupture   during stimulation  Ovulation induction    should not be  attempted when endometriomas  are larger   than 2 cm . When    endometriomas are smaller    than 2 cm mild IU with oral   drugs may be attempted  for p to three   cycles.

Simple   ovarian   cysts can be distinguished from periovarian    cysts originating from  fallopian  tube Nabothain cysts of the cervix     and mesothelial cysts  by  their position. The first two are often     similar in size to  a developing  dominant   follicle. Mesothelial cysts are   a collection  of serous fluid   secondary   to pelvic   adhesions. Mesothelial cysts   can become   very  large but   are distinguishable     by their   position  and irregular    shape