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Doctor insights on: Management Of Ovarian Endometrioma

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Ovarian cysts after treatment of ovarian cancer, help?

Ovarian cysts after treatment of ovarian cancer, help?

May be normal: Cysts are what ovaries make "for a living". An ovarian cyst, by itself, does indicated ovarian cancer. The reason for the cyst should be evaluated if it is persistent. Continued followup with the treating physician for ovarian cancer is indicated. ...Read more

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Treatment of hemorrhagic cyst ovary?

Treatment of hemorrhagic cyst ovary?

Time: While painful, these should resolve on their own within 1-2 cycles. The treatment is usually pain control--ibuprofen or tylenol (acetaminophen). If persistent or recurrent, sometimes control is obtained with an oral birth control. ...Read more

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Likelihood of a ovarian dermoid cyst returning?

Likelihood of a ovarian dermoid cyst returning?

Very low: These are benign; if they are taken out by the laparoscope there's a few percent chance of their needing to be taken again by laparoscope; if laparotomy is performed, recurrence would be very unlikely, though it's a bigger and more difficult procedure for the patient. ...Read more

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6 cm ovarian cyst. Hemorrhagic in appearance. History of severe endometriosis & endometriomas. Causing severe pain. Treatment recommendation?

6 cm ovarian cyst. Hemorrhagic in appearance. History of severe endometriosis & endometriomas. Causing severe pain. Treatment recommendation?

Options: You have a number of options. You can repeat the u/s in 3 months or so and see if it has gone away on its own. Hemorrhagic ovarian cysts frequently resolve spontaneously. If It is very painful, you could have a laparoscopy and removal of the cyst. With your history of severe endometriosis and endometriomas, its also possible that you would need an open procedure to remove the ovary. ...Read more

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What treatment for painful post hysterectomy complex hemorrhagic bilateral ovarian cysts? Total of five cysts in right ovary & change in bowel habits

What treatment for painful post hysterectomy complex hemorrhagic bilateral ovarian cysts? Total  of five cysts in right ovary & change in bowel habits

Ovarian Cysts: Hemorrhagic ovarian cysts can develop after uterine removal, or they can represent foci of endometriosis or merely retained corpora lutein cysts that become necrotic and bleed into them. Either way, the cysts don't usually burst, but they should definitely be evaluated by your gynecologist immediately, because they can be serious or even be harboring an ovarian tumor. See your gynecologist soon. ...Read more

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Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?

Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?

Maybe: Since I am unaware of your total history and physical, I am loathed to "recommend" any procedure without it. It sounds like you have multiple problems that need resolution. ...Read more

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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How are an ovarian cyst and ovarian cancer different?

How are an ovarian cyst and ovarian cancer different?

Benign&Malignant: Ovarian cysts are benign fluid filled sacs in the ovaries.Some custs can become cancerous ovarian cancer is a malignant tumor of ovaries and is a serious condition often with poor prognosis requiring surgery, chemotherapy and sometime radiation therapy. ...Read more

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Can ovarian cysts and dermoid cysts decrease the chances of pregnancy?

Can ovarian cysts and dermoid cysts decrease the chances of pregnancy?

Yes: Both kinds of ovarian cysts decrease the ability to spontaneously ovulate and therefore get pregnant. ...Read more

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How are an endometrioma and a hemorrhagic ovarian cyst different?

How are an endometrioma and a hemorrhagic ovarian cyst different?

See below: Hemorrhagic cysts are functional cysts, ie result from ovulation cysts that become hemorrhagic, whereas endometriomas as new growths which are typically benign. ...Read more

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What is the non surgical treatment of ovarian cyst of size 7×7×7?

What is the non surgical treatment of ovarian cyst of size 7×7×7?

Units please.: There is a big difference in management if the cyst is 7mm versus 7 cm. A 7mm cyst wouldn't require any treatment. With a 7 cm cyst, treatment options would depend partly on the description of the cyst (for example simple versus complex). But a cyst larger than about 4 cm is at risk of ovarian torsion ( twisting on it's stalk) which may cause loss of the ovary and a surgical emergency. ...Read more

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What are the symptoms of ovarian cancer vs. Those for ovarian cysts?

What are the symptoms of ovarian cancer vs. Those for ovarian cysts?

Worsenin vs sporadic: Symptoms of ovarian cysts which burst tend to be sporadic/cyclical.There may be intense sharp right or left lower abdominal/pelvic pain, occurring around 14 days after the first day of one's cycle.Other types of ovar. Cysts which grow and do not burst may behave similarly to ovarian ca (bloating, pain w/ sex, frequent urination, lower abd pressure).Tests may be done by doc to distinguish btwn the 2. ...Read more

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What are the signs of an ovarian cyst or ovarian cancer?

What are the signs of an ovarian cyst or ovarian cancer?

Abdominal swelling: Small ovarian cyts are asymptomatic. When they convert to a malignancy the cyst has markedly increased in size. The malignant lesion if unrecognized spreads to omentum because of TGF-B. A large mass filling upper abdomen develops and induces formation of ascites filling the abdomen with fluid. ...Read more

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History of early stage breast cancer have septated ovarian cyst?

History of early stage breast cancer have septated ovarian cyst?

Need more details: I highly recommend you consult your oncology team and get evaluated by a gynecology oncologist. Since you are <50, it makes me concerned about a brca mutations (if you have not been tested, then get tested!). Ovarian cancer and breast cancer can be related, especially if brca is positive. If you have a estrogen positive tumor, then stopping the ovaries from making hormone may be beneficial. ...Read more

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Complex ovarian cyst w/intern.Septations, submuc. Fibroids, nabothian cysts, liver cyst, hernia. All new w/in last 8 weeks. Possible cancer? Type?

Complex ovarian cyst w/intern.Septations, submuc. Fibroids, nabothian cysts, liver cyst, hernia. All new w/in last 8 weeks. Possible cancer? Type?

Slow down a bit...: Ok, you have a lot of issues just recently identified. I'm doubtful you have any cancer. Your biggest concern appears to be the ovarian cyst, which is probably benign, but you need to be evaluated by your gyn. The hernia is an elective process, and the liver cyst is probably congenital. Fibroids and nabothian cyst can also be evaluated by your gyn. Take a breath and make an appointment. Good luck. ...Read more

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U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?

Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you. Please let me know what develops. ...Read more

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Does fertilaid cure ovarian cysts and fibroids?

Does fertilaid cure ovarian cysts and fibroids?

No: Fertilaid has not been show scientifically to cure - or even help - with any female reproductive condition, in spite of the banners on their websites. ...Read more

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Do lap surgery for removal of endometriosis cysts also lowers the amh level from ovaries?

Do lap surgery for removal of endometriosis cysts also lowers the amh level from ovaries?

Very possible: Removing endometriomas can decrease the ovarian reserve and lower amh. The surgery can remove more ovarian tissue containing eggs than intended. We are much more cautious about surgery today. Best wishes. ...Read more

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Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions

Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions

Adhesions are likely: The thing that sounds most likely would be more adhesions. The worrisome thing would be a possible bowel obstruction due to adhesions but the ct should have shown this. ...Read more