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Pelvic Pain, Fibroids, or Ovarian Cysts? Why Women Deserve a Second Opinion on Pelvic Imaging

Pelvic pain is one of the most common, but unfortunately one of the most dismissed, medical concerns women face.

Many women undergo pelvic CT or MRI scans only to be told their findings are “normal,” “age-related,” or “unlikely to explain symptoms.” After months of managing discomfort through busy seasons like the holidays, symptoms often worsen, and questions resurface.

Too often, the problem lies within the the interpretation of the exam you've already completed.

Why Pelvic Symptoms Are Often Delayed and Dismissed

Women are frequently conditioned to normalize pelvic pain, irregular bleeding, pressure, or discomfort. Holidays add another layer of delay, as symptoms are deprioritized until routines return.

When women finally revisit prior imaging, they’re often shocked to learn how much interpretation can vary, especially without the pelvic imaging specialization a board certified body imaging radiologist has.

Pelvic Conditions That Are Commonly Missed or Minimized

Uterine Fibroids

Fibroids are common, but their clinical impact depends on:

  • Size
  • Location
  • Relationship to surrounding structures

General radiology reports may list fibroids without addressing whether they explain pain, bleeding, or fertility concerns. A second opinion can provide that missing context.

Adenomyosis vs. Endometriosis

These conditions are notoriously difficult to diagnose and are often confused or overlooked on imaging.

Subspecialty body imaging radiologists are better equipped to identify:

  • Subtle MRI signs of adenomyosis
  • Imaging features suggestive of endometriosis
  • When imaging aligns, or doesn’t align, with the patient's symptoms

Ovarian Cysts

Many ovarian cysts are benign and resolve on their own, but not all cysts should be treated the same.

Second opinions help clarify:

  • Functional vs. concerning cysts and whether additional imaging is necessary
  • Appropriate follow-up timelines
  • When reassurance is truly appropriate

Pelvic Congestion Syndrome

Pelvic congestion syndrome is a frequently underdiagnosed cause of chronic pelvic pain. It is often missed entirely or dismissed as incidental.

Subspecialty review can identify venous patterns that explain longstanding symptoms.

The Problem With “Everything Looks Fine”

For women with pelvic pain, a “normal” report can be devastating, especially when symptoms persist.

Pelvic imaging requires:

  • Experience with female anatomy
  • Attention to subtle findings
  • Clinical correlation beyond generic language

A second opinion ensures findings are interpreted with the nuance they deserve.

ER Imaging Isn’t Designed for Chronic Pelvic Issues

Pelvic CT scans performed in emergency settings focus on ruling out acute conditions, not the chronic causes of pain.

As a result:

  • Important findings may be underreported
  • Context is often missing
  • Follow-up guidance is unclear

A second opinion allows for a deeper, patient-focused review.

How MDView Supports Women’s Pelvic Health

MDView connects women with board-certified body imaging radiologists who specialize in pelvic imaging.

Patients receive:

  • An expert second opinion fast, from the comfort of home
  • Clear explanations in plain language
  • Confidence to advocate for appropriate care

If pelvic symptoms have been lingering or worsening, it may be time to have your imaging reviewed by someone who truly specializes in pelvic health.

To get started, upload your exam's images to MDView, complete the questionnaire, and connect with an expert radiologist who will provide you with a second opinion report, typically within 72-hours or less. Don't have your exam? No problem! The MDView team can get your exam on your behalf at no cost to you! Most hospitals and imaging centers send exams to MDView electronically, typically within 2 business days or less!

Peace of mind is just a few clicks away. Visit https://app.mdview.com to get answers today!  

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