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Doctor insights on: Cyst Ovary Pcos

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I have pcos and i'm done having kids, I have numerous cysts and a lot of pain. Is surgery an option to remove ovaries?

I have pcos and i'm done having kids, I have numerous cysts and  a lot of pain. Is surgery an option to remove ovaries?

Yes , but: Surgery would be an option, however there are a number of medicines that could help your symptoms and potentially preclude the need for surgery. You should see your gynecologist. ...Read more

Dr. Dennis Higginbotham
1,246 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Hi i have 6cm cyst right ovary&19 follicles left ovary(pcos).can i start clomid.i have had these for 3yrs no issues.dr wont remove?

Hi i have 6cm cyst right ovary&19 follicles left ovary(pcos).can i start clomid.i have had these for 3yrs no issues.dr wont remove?

No: It would be best to have 6cm cyst removed to increase chances of pregnancy. There is more to starting clomid than just knowing your follicle count. You would need many other tests on both partners first to ensure you are a good candidate. You should discuss further with your obgyn. ...Read more

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4cm cyst in left ovary and trying to conceive. Doctor said no clomid with cyst. I am taking Metaformin 1000mg for PCOS. Now i am waiting for the cyst to go off on its own. Can you please give me a second opinion as to is this the right way?

4cm cyst in left ovary and trying to conceive.
Doctor said no clomid with cyst.
I am taking Metaformin 1000mg for PCOS.
Now i am waiting for the cyst to go off on its own.
Can you please give me a second opinion as to is this the right way?

4 cm ovarian cyst: There is no contraindication to clomid when having a "4 cm ovarian cyst" , unless the cyst was formed while taking other highly stimulatory medications for follicle production, and/or the estradiol levels are high as a result. Not every follicle actually bursts to produce an egg, in which case it slowly grows in size, but usually resolves (bursts) spontaneously. PCOS often produces these cysts. ...Read more

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Dr thinks I don't have PCOS. Other dx possible that was missed? I have menses monthly, cystic ovaries on US, hirsutism, wt gain in middle, acne, etc

Dr thinks I don't have PCOS. Other dx possible that was missed? I have menses monthly, cystic ovaries on US, hirsutism, wt gain in middle, acne, etc

Get a 2nd opinion: You need to see an alternative GYN MD for a 2nd opinion Consultation to decide this issue after an exam and testing. By the way, have copies of all the previous exams and testing sent to the 2nd opinion MD prior to your visit by signing a records release form. ...Read more

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What does "cyst" in ovaries mean when ultrasound performed? Is it serious? Do I need surgery? Dr. said not to worry but to monitor. I have PCOS. Help?

What does "cyst" in ovaries mean when ultrasound performed? Is it serious? Do I need surgery? Dr. said not to worry but to monitor. I have PCOS. Help?

Normal for you: Polycystic ovaries, means you have tendency to form many small ovarian cysts, this can delay normal ovulation. Also delayed or absent periods. Monitoring is correct plan. Fertility can be decreased if not treated. ...Read more

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Started having periods at 13 & had irregular periods since, ranges from 30-90 days. Both ovaries usually have many cysts & I have an acne problem as well, but I always get normal hormone levels & never been overweight. No insulin resistance. PCOS?

Started having periods at 13 & had irregular periods since, ranges from 30-90 days. Both ovaries usually have many cysts & I have an acne problem as well, but I always get normal hormone levels & never been overweight. No insulin resistance. PCOS?

Irreg/menses:PCOS?: At 24, with cycles as described, ovarian cysts and acne, PCOS is certainly a possibility. Stress can also contribute to all of these findings. Consult your gyn provider, as low dose oral bc can regulate your cycle, and may resolve the acne and frequency of ovarian cyst formation. If this is true PCOS, low dose bcp use can also help prevent other problems which can occur later in life from PCOS. ...Read more

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Will my ovaries have to be removed if I have cysts? Or pcos?

Will my ovaries have to be removed if I have cysts? Or pcos?

No: All ovaries have cysts, they're the remnants of egg production. Relax. Pcos is different. Check w/your doctor. ...Read more

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How many cyst should I have on ovaries to diagnosed with PCOS ?

How many cyst should I have on ovaries to diagnosed with PCOS ?

PCOS DX: It takes more than a "necklace sign" 10--20 small cysts on the outer edge of the ovary to make the diagnosis of PCOS. You also need irregular menstrual cycles and/or elevated male hormone levels to make this diagnosis and to rule out other conditions. ...Read more

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Im 28.. my report says that i have small cysts peripherally arranged in both ovaries consistent with polycystic ovaries.. what does it mean..??

Im 28.. my report says that i have small cysts peripherally arranged in both ovaries consistent with polycystic ovaries.. what does it mean..??

Insulin resistance: Pco or polycystic ovaries usually means that your body doesn't use insulin normally . When this happens it causes you to gain weight , have irregular periods and have male pattern hair growth. It can lead to diabetes and infertility. It needs to be treated .
Your body doesn't tolerate carbs at all and you are at a higher risk for heart disease and diabetes ...Read more

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Is it normal to get cysts on your ovaries and not have pcos?

Is it normal to get cysts on your ovaries and not have pcos?

Probably: All women with working ovaries have natural cysts in their reproductive lifetime. Cyst is a general term meaning a fluid-filled sac anywhere in a body. A challenge can be sorting out which ovarian cysts are normal and which not. Some can be a fertility issue but the majority aren't. Your doctor can help you sort this out better. ...Read more

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Is it normal to have cysts on your ovaries but not have pcos?

Is it normal to have cysts on your ovaries but not have pcos?

Yes: Every woman, every regular cycle will have a cyst at least 2cm in diameter. Some of those cysts will enlarge to 6cm or 8cm and still be perfectly normal. The cysts are usually a variety of sizes as they come and go. With pcos there are usually a lot of small cysts present on both ovaries. - and ovulation does not occur regularly. ...Read more

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Hi i m 28 having pcos & ovary cysts , so is it normal to have high BP it was 157 last time?

Hi i m 28 having pcos & ovary cysts , so is it normal to have high BP it was 157 last time?

Not normal: Buy a cuff, check your BP at rest, average the readings. If it's >140 on average, ask your doctor to treat it. You should have a urinalysis and blood sample for renal function at a minimum to look for the cause. ...Read more

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Please tell me how dangerous is the condition of bilateral polycystic ovaries with right endometrioma . Size of the cysts are 27mmby27mm?

Not dangerous: The biggest danger with polycystic ovarian syndrome is that often it's accompanied by no period, anovulation, which puts women at increased risk of uterine cancer. In addition, can be associated with increased risk of diabetes. Endometriomas won't hurt your, but can affect fertility. See gynecologist to determine if you need treatment. ...Read more

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Got PCOS, 20+Cysts on each ovary all at least 5cm in size. Lots of pain in abdo and back. What size of the cysts is required for surgery? how urgent?

Got PCOS, 20+Cysts on each ovary all at least 5cm in size. Lots of pain in abdo and back. What size of the cysts is required for surgery? how urgent?

Surgical indications: Indications vary.If the medical management of PCOS is not successful, then and only then indications for ovarian surgery will usually be considered based on your symptoms (severity of pelvic-abdominal pains, suspected torsion or hemorrhage...) , reliability of sonographic evaluation (suspicion of ovarian neoplasm...) "Size of the cysts"alone may not be a reliable or clear criteria for surgery. ...Read more

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I hve polycystic ovaries follicles size less 0.6cm.hve two kids 3 and 1year old.want to ask for this cyst as i m worried?

I hve polycystic ovaries follicles size less 0.6cm.hve two kids 3 and 1year old.want to ask for this cyst as i m worried?

No need to worry.: As an egg matures in the ovary and is about to rupture, it forms a small cyst that gradually moves to the margin of the ovary, so a 0.6 cm cyst is not unusual or cause for worry. ...Read more

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Hi, i am 26 year old , i got diagnosed with pcos last month with 12 cysts on right ovary but none on left.I have brown spotting since yest?

Hi, 

i am 26 year old , i got diagnosed with pcos last month with 12 cysts on right ovary but none on left.I have brown spotting since yest?

Don't worry: The brown spotting is old blood. You need to make changes in your life style to overcome the imbalance in your system. Read kelly mcgonigal's book the will power instinct to helo you be successful. Avoid processed food, alcohol, and tobacco, eat 6 healthy small meals a day to keep Insulin levels low, get a good night sleep, move through the day, and destress. ...Read more

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1 year back my sonography reports showed i had pcos.I've been on meds since then but my new reports show I have a follicular cyst on one ovary.Help!

1 year back my sonography reports showed i had pcos.I've been on meds since then but my new reports show I have a follicular cyst on one ovary.Help!

Not to worry: A follicular cyst is normal and every woman who ovulates has one (each and every cycle). The follicular cyst contains an egg and that egg will be release with ovulation. ...Read more

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Hello, I was diagnosed with bilateral enlarged ovaries with a complex cyst 3.3 X 1.7 cm. Cyst cleared after a month. Does this mean I can have PCOS?

Hello, I was  diagnosed with bilateral enlarged ovaries with a complex cyst 3.3 X 1.7 cm. Cyst cleared after a month. Does this mean I can have PCOS?

Maybe (not): Having a large 3.3cm cyst doesn't mean you do (or do not) have PCOS. Women sometimes form these cysts but they usually go away on their own. The diagnosis of PCOS isn't based on ultrasound alone. It involves many other factors such as are you ovulating? Do you have excess facial hair; Is the skin on the back of your neck dark; are you over weight, etc. Your gyn can help you! Best wishes! ...Read more

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I have just been diagnosed with pcos.I have approx 30-40 cysts on each ovary & about to start on clomid (clomiphene).What happens the cysts after taking clomid (clomiphene)?

Not true cysts: What the doctor is seeing are really antral follicles not cysts. These are eggs that are waiting to develop and be released or undergo atresia and die off without being released. Hopefully you will respond to Clomid (clomiphene) and make 1-2 eggs to release. ...Read more

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If there are no visible (by ultrasound) cysts on your ovaries, can I still have pcos?

If there are no visible (by ultrasound) cysts on your ovaries, can I still have pcos?

Yes: Ovarian cysts are common, and do not mean you have pcos. Pcos is a metabolic disease characterized by Insulin resistance. It often is present without ovarian cysts. ...Read more

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Whats the difference between polycystic ovaries and ovarian cysts?

Whats the difference between polycystic ovaries and ovarian cysts?

Totally different: It is normal for a small cyst to develop on the ovaries from time to time. Most resolve in 6-8 weeks on their own and the discomfort can be controlled with ibuprofen. Pcos is totally different. These are multiple tiny cysts throughout the ovary. The main problem being weight gain, lack of periods and abnormal hair growth. The ovarian cysts are a side effect of the hormonal imbalance with pcos. ...Read more

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What is the difference between polycystic ovaries and ovarian cysts?

Good question: Pcos is a condition which patient may have multiple cysts in the ovary, irregular period, increased male hormone production, et al. Ovarian cyst is a very common condition which means a cyst present in the ovary. There are many kind of ovarian cysts, and most of them are benign and physiological. Pcos patients may have ovarian cysts, but patients with cyst usually do not have pcos. ...Read more

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I have pcos. My left ovary has a 3.75cm cyst. Can this be cured and can ibget pregnant?

Unlikely related: While pcos stands for polycystic ovarian syndrome, it doesn't refer to clinical ovarian cysts, but to the multiple small (usually <8mm) antral follicles in the ovary. A 3.75cm cyst in unlikely to be related to pcos. The 'cure' or management of a cyst depends on a variety of factors - benign vs. Malignant, chronic vs. Acute, simple vs. Complex, symptomatic, size, progression/regression, etc. ...Read more

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Need advice on what is the the difference between polycystic ovaries and getting ovarian cysts?

Need advice on what is the the difference between polycystic ovaries and getting ovarian cysts?

Different cysts: Polycystic ovaries contain many very small follicles - "cysts." these are less than 1cm, and related to anovulation and hormone alterations. Ovarian cysts would normally be 2cm or larger, may happen after ovulation, or be related to some type of ovarian tumor, endometriosis, or other reasons. ...Read more

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I have small cyst on both ovaries, do i have pcos? will it be hard for me to conceive with the cyst on my ovaries?

I have small cyst on both ovaries, do i have pcos? will it be hard for me to conceive with the cyst on my ovaries?

To diagnose PCOS: To diagnose pcos you need irregular (skipped or absent) periods. You also need elevated androgens in blood and/or a polycystic 'look' to ovaries on ultrasound: sounds like you might (or might not ) have this. But US doesn't diagnose PCOS by itself. Best wishes. ...Read more

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Sharp pain.Over left ovary when coughing? I have pcos did my cyst rupture? There's no pain now it went away after a min or two

Sharp pain.Over left ovary when coughing? I have pcos did my cyst rupture? There's no pain now it went away after a min or two

Ovulation: You may have ovulated which involved rupturing the follicle cyst which contains the egg. Or you had an ovarian cyst that was not a follicle cyst that ruptured while you were coughing. ...Read more

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How do OCPs help to treat PCOS if they dont help to ovulate? Does that means ovary still contains cysts after years of taking OCPs?

How do OCPs help to treat PCOS if they dont help to ovulate? Does that means ovary still contains cysts after years of taking OCPs?

Multiple: Note, there are likely variants of PCOS & all women may not have the same cond. There's a lot of new info about PCOS. But OCP's remain a main tx. A major rare risks of PCOS is uterine CA. OCP's sig protect against it. They also may directly modify the dz, lower T, DM risk & other sx's. Lastly, OCP's dec the # of follicles(cysts) & MAY dec a hormone related to its cause & help prep the ovary for tx ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


Ovary (Definition)

The usually paired female or hermaphroditic reproductive organ that produces ova and, in vertebrates, ...Read more


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