Doctor insights on:
Dermoid Vs Endometrioma
How bad is a ruptured dermoid or endometrioma on the ovary? Had an unknown solid septated mass just over 5cm that ruptured and those were possible.
Not Good: A ruptured dermoid (teratoma) is not good because the contents (sebaceous material, tissue, cartilage, teeth, etc) can cause a chemical peritonitis which can cause pain, inflammation, & scarring (bad "juju"...). A ruptured endometrioma is not as bad since it's mainly old blood which can resorb although it too can cause scarring. Teratomas do have malignant potential & should be removed; take care. ...Read more
How to know what kind of ovarian cyst i have? Dermoid or endometrioma? I am looking for other option aside from laparascopic surgery
If you have either: One of those and it is 7.5 cm you need surgery to remove it sometimes some of the ovary can be saved , sometimes not. ...Read more
I have a 8.4cm hypoechoic cystic lesion on my ovary. I saw an obgyn who wants to do a lap cystectomy. An oncologist suggested a laparotomy cystectomy. Which is more recommended? Cyst is complex and possibly endometrioma, hemorhaggic or dermoid.
Lap vs open: A laparoscopic approach is the minimally invasive approach. Open cystectomy is an old school way of doing things. Robotic cystectomy may be an option if your facility has one. I personally like the minimally invasive option of laparoscopy/robotic laparoscopy over open approach. Quicker recovery with the same outcomes if surgically equal at both. ...Read moreSee 1 more doctor answer
Endometriosis: Endometriomas are a cystic mass full of endometriosis tissue. If it ruptures this spread the endometriosis throughout the pelvis. Although that that sounds bad the reality is it's not as bad as it sounds. Likely a patient with an endometrioma already has endometriosis throughout her pelvis. The treatment would be the same whether it ruptures or not. ...Read more
I have nw endometrioma & total correction of tof. Bt my cyst is bcoming large. Nw wht I do?I m 27yr unmarried.
Endometriosis: Endometriomas can be treated by laparoscopic surgery to decrease the size of the cyst, or to remove the cyst. The goal would be to treat the endometriosis and conserve the ovaries. Medical treatment(zoladex, lupron, (leuprolide) or progestins) can also be used to suppress your normal hormone cycle and allow the cyst to decrease in size. This may take longer and may not be effective with larger endometriomas. ...Read more
I have history of endometriosis and endometrioma. Removed. Am on pill after that. If I stopped pill and go natural, what's gonna happen?
Removed endometrioma 3 mts ago. I got recurrence. Already 5cm. Painful everyday. Does that mean the cyst is growing? How can I manage the pain?
Maybe: Wow, i'm so sorry that's happening to you. I can't imagine your pain. If you already have a 5cm recurrent endometrioma, most gyn doctors are going to recommend removal, laparoscopically. These cysts don't go away on their own, and can cause problems associated with infertility and scarring. Best if already 5cm that you have removed. In terms of pain, you may consider nsaid, such as ibuprofen. ...Read more
Size and color: Endometriomas produce very dark brown to burgundy blood and tend to be much larger than hemorrhagic ovarian cysts. ...Read more
Endometriosis reoccurred after 2nd surgery, dr refused 3rd surgery said would cause it to spread and become worse, I have an endometrioma, is this true?
Fertility Specialist: At this point you would likely benefit from seeing a specialist. There are different options and different concerns. Surgery is still an option but you really need to know what your goals are. I would not do anything before seeing a specialist. And yes only surgery will remove an endometrioma but not all of them need to be removed. ...Read moreSee 1 more doctor answer
Either way: Yes you can do ivf with a small endometrioma, but there might also be good reasons to remove it. Online you can only get a general answer like this, for more specifics you need to talk with a doctor who can discuss specifics of your case, pro and con. ...Read more
What are the steps I have to take if I want a Dr to check for endometrioma cyst or endometriosis?
Do you understand: that "checking for" endometriosis means a diagnostic surgery such as laparoscopy? (Just making sure.) An endometrioma can be seen and suspected by ultrasound, but not pelvic endometriosis. If you feel you need or want surgery for diagnosis you should talk directly with a gynecologist about your wishes and reasons. A primary doctor may be helpful if you need a referral. Best wishes. ...Read more
I heard most Endometrioma grows every period. Does it also grow every washout week when I am on pill? The same blood flows
NO: I assume you mean an endometrial tumor or fibroid. There is not a specific washout week on the pill. The tumor would be a slow growing and usually with a hormonal imbalance. During the time you are on the pill your body "thinks" you are pregnant. If you think you have an endometrial tumor see your doctor. ...Read more
I had my right ovary removed 7 days ago due to a 14 CM endometrioma. I should be ovulating now but digital tests say i'm not. Is this normal?
Maybe due to surgery: If your biggest follicle (the fluid-filled structure that contains an egg) was on your right ovary and was removed with the surgery you may still ovulate on the left side this month, but it may be delayed. You might not ovulate until a new follicle develops on the left side. If you're trying to conceive with one ovary and endometriosis see a reproductive endocrinology (rei) specialist for help. ...Read more