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Doctor insights on: Internal Septation Ovarian Cyst

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I have just been told I have a 6cm internal septation ovarian cyst do I need to get it surgically removed?

I have just been told I have a 6cm internal septation ovarian cyst do I need to get it surgically removed?

Follow doc advice: It is normal for a small cyst to develop on the ovaries from time to time. Ovarian cysts are quite common in women during their reproductive years and may be a single cyst or many cysts. Most cysts are benign and only require monitoring. Most are cysts which develops from tissue that changes in the normal process of ovulation. They usually disappear within 6-8 weeks. ...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


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Left ovarian cyst with internal septation-? hemorrhagic cyst. This is my scanning report. What does this mean? Is there any severe problem

Left ovarian cyst with internal septation-? hemorrhagic cyst. This is my scanning report. What does this mean? Is there any severe problem

Donot worry: There can be lot of reasons for this kind of finding but it depends on your age and also how big the cyst is and also what is the value of CA125, any pain on that site, you should ask all these questions from your obgyn ...Read more

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I am diagnosed with dysfinctional ovarian cyst of 4.6 by 4.8 with internal septum. M 27 years old...and quite worried about it. Plz advise?

I am diagnosed with dysfinctional ovarian cyst of 4.6 by 4.8 with internal septum. M 27 years old...and quite worried about it. Plz advise?

The cyst: Is (as it's name infers) is NON-FUNCTIONAL (Produces NO HORMONES) and is BENIGN (Internal septum indicates usually benign contents) YOU SHOULD NOT WORRIED. Its SIZE may make it a candidate for REMOVAL. Discuss with your GYNECOLOGIST for more information and the advisability for surgery.

Hope this helps!
Dr Z ...Read more

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Hi. I want to ask, what the best food to eat after ovarian cyst surgery for speed recovery my internal after my OP?

Hi. I want to ask, what the best food to eat after ovarian cyst surgery for speed recovery my internal after my OP?

No specific food: There are not specific foods that need to be eaten after surgery. In the first few hours you will likely be instructed not to eat and then slowly advance your diet back to your usual routine ...Read more

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Why do the Dr's keep sending me home with pain meds for my ovarian cysts even now when I've had 1 rupture and cause internel bleeding w/serve pain.

Why do the Dr's keep sending me home with pain meds for my ovarian cysts even now when I've had 1 rupture and cause internel bleeding w/serve pain.

Obgyn: Without knowing the details it is hard to comment. Perhaps you are being seen in the ER and not in an office by an obgyn. If so schedule a visit in the office with an Obgyn (our office is close to you) so that you can be properly evaluated. ...Read more

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I consulted dr they said 3.5cm complex left ovarian cyst with low level internal echoes within it so I m worried will I get concieve without any probl?

I consulted dr they said 3.5cm complex left ovarian cyst with low level internal echoes within it so I m worried will I get concieve without any probl?

Need Fertility Exam: I would refer you to a fertility specialist. Certainly a complex ovarian cyst can be secondary to endometriosis which can adversely affect fertility. Ovarian cyst resulting from polycystic ovary syndrome – a constellation of small cysts in the ovaries, irregular periods, elevated androgens – can contribute to fertility problems. A fertility exam is required for specific answers. ...Read more

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Ovarian cyst rupture just happened, how to determine if there is internal bleeding?

Ovarian cyst rupture just happened, how to determine if there is internal bleeding?

ONLY TIME: ULTRASOUND AND CT SCAN COULD NOT DIFFERENTIATE BLOOD FROM FLUID, ONLY TIME AND BLOOD LEVEL CAN DETERMINED IF THE BLEEDING WERE SIGNIFICANT ENOUGH TO REQUIRED A SURGICAL INTERVENTION OR NOT. SO THE AMOUNT OF ABDOMINAL PAIN, AND THE PATIENT VITAL SIGNS, AND THE CHANGES IN THE BLOOD LEVEL OVER A PERIOD OF TIME WILL ALLOWED THE SURGEON OR THE GYN TO DECIDE ON THE TREATMENT PLAN, ...Read more

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Please explain 20ml complex ovarian cyst containing internal echoes measuring 3.3 x 2.2 x 3cm also containing focal hyperechoic densities?

Please explain 20ml complex ovarian cyst containing internal echoes measuring 3.3 x 2.2 x 3cm also containing focal hyperechoic densities?

Fibrin in cyst: Ovarian cysts frequently will have stuff inside. When they do not, it is a simple cyst. When there is bleeding in to the cyst, they become complex. This causes all kinds of findings on ultrasound. Blood clots look like clumps and fibrin can cause stranding. All usually clear up ...Read more

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ERI was told I have an ovarian cyst. Cannot get appt to Gyno yet. Feeling back pain and worried about internal bleeding from cyst popping. Any advice?

ERI was told I have an ovarian cyst. Cannot get appt to Gyno yet. Feeling back pain and worried about internal bleeding from cyst popping. Any advice?

Family Doctor: One should always turn to their family doctor for these PRIMARY kinds of problems. You need to be seen urgently but not at the ER but at the primary care or family medical clinic. ...Read more

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Ultrasound says complex ovarian cyst, septated, internal echos and avascular. Says could be possible haemorrhagic cyst but I'm worried of cancer?

Ultrasound says complex ovarian cyst, septated, internal echos and avascular. Says could be possible haemorrhagic cyst but I'm worried of cancer?

Follow-up required: In a patient of your age, it is likely self-limited and very well could represent a hemorrhagic cyst. However, a repeat ultrasound 6 weeks following the first is suggested to document resolution or decrease in size and to re-evaluate for patency of the ovarian artery. ...Read more

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If I have an ectopic pregnancy and it ruptures and causes internal bleeding can I lie and say it was a big ovarian cyst?

If I have an ectopic pregnancy and it ruptures and causes internal bleeding can I lie and say it was a big ovarian cyst?

Lying: To your physician? One should never, ever lie about their medical history to the professionals caring for them. How you live your life otherwise is between you and your maker. ...Read more

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Is it possible an ovarian cyst can cause a false negative on a hpt ten years ago I had horrible cysts 2 ruptured and I had emergency surgery to stop internal bleeding. I am now 7 days late

Is it possible an ovarian cyst can cause a false negative on a hpt ten years ago I had horrible cysts 2 ruptured and I had emergency surgery to stop internal bleeding. I am now 7 days late

An: An ovarian cyst should not cause a false negative on a hpt, however there are other causes. These includs:
testing too early
error when performing the test
not reading the result when directed, i.e. Waiting too long to read the result
my advice would be to repeat the test if your period does not start in another week or so, or you can have one done in your doctor's office sooner.
Good luck. ...Read more

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Now-edema in nodes (inner thigh)w/low grade fever. W/endometrial lining@2.1cm +fluid in cul de sac&ovarian cyst@recent ER visit. Should I return2er? W/no insurance what r thoughts on what's wrong

Now-edema in nodes (inner thigh)w/low grade fever. W/endometrial lining@2.1cm +fluid in cul de sac&ovarian cyst@recent ER visit. Should I return2er? W/no insurance what r thoughts on what's wrong

No ER: Perhaps there is a plan parnthood clinic in your town or other free health care clinic. The er is not the place for a detailed conversation about causes of enlarged lymph nodes in your inner thigh. It sounds like from your note that an ultrasound was performed. I also assume that blood work was done. I'd follow up via phone call in a few days to check on the lab results and seek a clinic appt. ...Read more

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Does a ruptured ovarian cyst cause a lot of internal bleeding?

Not usually.: Typically, this type of bleeding is minimal and self-limited. A notable exception is changes related to an ectopic pregnancy. ...Read more

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What internal infection can you get after keyhole surgery to remove ovarian cyst?

What internal infection can you get after keyhole surgery to remove ovarian cyst?

Hematoma: In general a hematoma after surgery could become infected with any number of bacteria. Okay to ask your surgeon for details in your case. Okay to get an appointment to see your surgeon. Ask about culture, culture results and antibiotics. Good luck. ...Read more

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Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Is a 2cm complex ovarian cyst without internal vascularity cause for concern? Ultrasound report said "likely hemorrhagic"

Hemorrhagic cysts: A hemorrhagic cyst is a type of benign ovarian cyst that is very common. Typically one would simply monitor it and repeat the sonogram in 1-3 months to confirm resolution. Your specific case should be evaluated by a doctor after a complete history and physical exam to determine the proper management ...Read more

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2x us over 6 weeks shows complex ovarian cyst with septated internal echoes. Grown 8mm in 6 wks. Now at 59mm. Blood cancer markers neg. What is likely?

2x us over 6 weeks shows complex ovarian cyst with septated internal echoes. Grown 8mm in 6 wks. Now at 59mm. Blood cancer markers neg. What is likely?

Painful?: It looks like you have a GYN who is doing all of the right tests. So what does she/he recommend? In my practice, I recommend surgery for cysts this size that are painful. Cysts that are not can get serial ultrasounds. Most of my patients with cysts this size have opted for surgery since pain from these masses can escalate if they enlarge. Good luck to you in lovely Australia. ...Read more

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Bi-loculated ovarian cyst, thick internal septum, part solid. Size 42x21x26mm. There 2 yrs (was pregnant). Ca125 normal. No risk for cancer?

Bi-loculated ovarian cyst, thick internal septum, part solid. Size 42x21x26mm. There 2 yrs (was pregnant). Ca125 normal. No risk for cancer?

Ovarian cancer: There is no such thing as "no risk." the ultrasound features are concerning. A ca-125 isn't a screening test, it's only used in this circumstance to aid in deciding who best to further evaluate a complex cyst--a general gynecologist or a gynecologist oncologist. There are other tests to aid in making this decision as well, such as ova1, but not all insurances cover this test yet. ...Read more

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62 female. Mildly complex ovarian cyst.4.6cm. Ovary measures 25cc. Hypoechoic with internal echoes. Radiologist wants to repeat us 6wks. Going crazy! Help!

62 female. Mildly complex ovarian cyst.4.6cm. Ovary measures 25cc. Hypoechoic with internal echoes. Radiologist wants to repeat us 6wks. Going crazy! Help!

Deep breath: Take a deep breath, no need to panic yet. It is 100% appropriate to follow a 62 Y.O. W/ a complex cyst, some turn out to be cancers but many do not. Follow-up ultrasound is critical, but may turn out to be nothing. Blood testing tumor markers is sometimes helpful but not always, and should only be done with a doctor who understands markers and what they mean. Please don't panic and best wishes! ...Read more

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Gyne ordered CBC with diff with plt, ultrasound, prolactin, TSH 3rd gen after painful internal exam. Ovarian cyst rupture 6/16. What are tests for?

Gyne ordered CBC with diff with plt, ultrasound, prolactin, TSH 3rd gen after painful internal exam. Ovarian cyst rupture 6/16. What are tests for?

A few things: Your doctor is checking your blood count and your platelets to make sure there are no signs of anemia or infection. Also checking your pituitary and your thyroid. An ultrasound is performed to look and see if there are additional cysts on the ovaries. A very thorough doctor. You should be pleased and I hope the test turn out negative for you ...Read more

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A pelvic scan revealed an ovarian cysts of 4.8cm X 3.5cm with internal echogenic debris. I have slight pressure pain. Will this go away on its own?

If it ruptures: If the ovarian cyst ruptures then it might go away on its own. However, the size is very small and you may benefit from oral hormonal suppression by your MD. ...Read more

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Hello I have a ovarian cysts and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all that's mean. Thanks?

Hello I have a ovarian cysts and said in the trasnvaginal ultrasound hipoechoic and complex and septation what all that's mean. Thanks?

Complex cyst: In your age group, complex cysts are typically from involuting follicles containing blood or endometriomas (benign collection of blood). There is an increased risk of cancer the larger the size of the cyst. All complex cysts should be followed with an additional ultrasound to document resolution. ...Read more

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28yo w history of ovarian cysts. Have 1.6cm 'minimally complex w/thin septation' cyst. Is septation cause for alarm? See conflicting opinions online.

28yo w history of ovarian cysts. Have 1.6cm 'minimally complex w/thin septation' cyst. Is septation cause for alarm? See conflicting opinions online.

No alarm: At 1.6cm cyst in a women who is 28 years of age is probably not a big deal. First of all, 1.6cm is very small. This cyst is probably a functional cyst, meaning part of the ovulatory function of the ovary. As such it will usually go away on its own in a few weeks. If you repeat an u/s in a couple of months, you can prove it is gone. Ovarian Cancer is uncommon at your age. Best wishes! ...Read more

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I'm 19 years old with 7.7x7.7x5.8 cm ovarian cyst that is predominantly anechoic with a single septation. What does this mean?

I'm 19 years old with 7.7x7.7x5.8 cm ovarian cyst that is predominantly anechoic with a single septation. What does this mean?

Follow up needed: Anechoic is an ultrasound term which means simple and usually benign. Hypoechoic is usually more complex and could be more worrisome. Your finding based on us and age are likely benign. However, because of the size you have an increased risk of ovarian torsion. I would definitely recommend follow up with your gynecologist for a rpt us in 6wks versus laparoscopic cystectomy ...Read more

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How long is it normal to wait for surgery to remove an ovarian cyst with septations the size is 10 cm?

How long is it normal to wait for surgery to remove an ovarian cyst with septations the size is 10 cm?

Depends: Their is not a specific amount of time. This usually would not need to be performed immediately. If you have pain, an elevated CA-125, a family history of ovarian cancer or some other concerning feature then that would increase the urgency. Regardless, I would not wait to long. Several weeks would not be uncommon depending on the surgeon's and hospital's schedule. Hope this helps. ...Read more

Dr. Howard Schneider
2 Doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more