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Doctor insights on: Menopausal Ovarian Twinges

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Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal ...Read more

Dr. Janet Greenhut
1,739 doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


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Do you know if age of onset of menopause is related to ovarian cycle length?

Do you know if age of onset of menopause is related to ovarian cycle length?

Menopause: Genetics is the major contributor to when a women goes through menopause. the best predictor of menopause is when your mother or sister went through menopause. Stress can also be a contributing factor. ...Read more

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Is there a male equivalent of menopause (ovarian failure)?

Is there a male equivalent of menopause (ovarian failure)?

Yes: Yes. Some men make few or no sperm at all. During an investigation, it is found that their testicles make very low amounts of hormones. However, it is easier to find a few sperm and use them for fertility than to find eggs in women with ovarian failure. ...Read more

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Can a home menopause test work for testing for premature ovarian failure?

Can a home menopause test work for testing for premature ovarian failure?

No: There is a blood test called fsh that can determine if you are in the menopause. Generally levels greater than 25-30 are suggestive of the menopause. Premature ovarian failure (pof) is the cessation of menses before the age of 38; and the most common cause in premature menopause. If you have pof, you should consult your gyn because it can sometimes be associated with other endocrine disorders. ...Read more

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Is there anyway to get my eggs back, I have been in premature menopause/ premature ovarian failer since i was 15 im 26 now. Help?

Premature menopause: If you were diagnosed with premature menopause it means your ovaries are not functioning the way they supposed to. If you have a genetic condition it would be very difficult to conceive naturally. I suggest you seek help from a reproductive obgyn. ...Read more

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Could you have ovarian cysts in menopause?

Could you have ovarian cysts in menopause?

Ovarian cysts: Yes, ovarian cysts occur in postmenopausal women, but in general they are not physiologic cysts. ...Read more

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How to deal with ovarian dermoid cyst post menopausal?

It depends: An ovarian dermoid is a benign neoplasm (tumor) that won't spread beyond the ovary, but may continue to grow. If imaging (ultrasound or mri) suggest a dermoid, management may depend on whether there are any symptoms, the size of the tumor, whether it is growing, and whether there is any suggestion that it might be a different type of tumor or cancer. ...Read more

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Ovarian cyst post menopause?

Ovarian cyst post menopause?

Depends: Depends on the size and appearance. Though no radiographic test is perfect. The only way to know what it is for sure is to take it out. See a gyn to determine if this is necessary. ...Read more

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Treatment for ovarian failure/premature menopause?

Treatment for ovarian failure/premature menopause?

Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more

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Ovarian cyst 5.1 CM growing, is this post menopause symptom?

Not usually: Menopause is defined by a decline in hormone levels and their effects. As the estrogen decreases, the ovaries become nonproductive. The appearance or enlargement of ovarian cysts should not occur after menopause. See your doctor as likely, this cyst needs to be removed. Your doctor will want to rule out cancer and the earlier the work up, the earlier treatment can be rendered for the best outcome. ...Read more

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What is the treatment for premature ovarian failure / menopause symptoms?

What is the treatment for premature ovarian failure / menopause symptoms?

POF: The full answer is extremely long and complex. The short answer is: for women not interested in conception hormone-replacement may be started for quality of life and bone preservation, for those seeking conception ivf with donated eggs is often a good (and sometimes only) answer. ...Read more

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I am 54 years old with a painful ovarian cyst for 4 years now. Ultrasounds show it is simple. Does it need to be removed? I am not menopausal yet.

Maybe: You do not mention how large or small it is. A large simple cyst can be painful just as a small one. If it does not respond to treatment and it is still painful, there may not be that many options left other than take it out. ...Read more

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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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Does the Depo-Provera shot cause early menopause or ovarian damage?

Usually not: Depo Provera (medroxyprogesterone) causes ovarian suppression and ovulation. It can cause you not to have a cycle and experience symptoms similar to menopause. Depo does not cause actual menopause or ovarian damage. ...Read more

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What might cause a thickened uterine lining in a woman with premature ovarian failure vs. One in natural menopause?

Estrogen excess: Endometrial thickening is usually due to excess estrogen effect on the uterine lining or infrequent ovulation. A polyp, submucus fibroid or (less commonly) an endometrial cancer can cause an abnormally thickened endometrial lining. ...Read more

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I am 42 yo and I have had 2 surgeries for ovarian remnants. Fsh shows 21.8. No symptoms of menopause. Could there be yet another remnant?

Possibly: You didn't really explain what the issue is that you're having. Fsh of 21 is not in the menopausal range. But some women in menopause do not have elevated fsh level. It's a very non-specific test. It may help to also check the Estradiol level. ...Read more

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Hi.......I have a 3.8 cm hemorrhagic right ovarian cyst. I will be 50 yrs old and not menopausal. Had a hysterectomy 10 yrs ago. What should I do?

Hi.......I have a 3.8 cm hemorrhagic right ovarian cyst. I will be 50 yrs old and not menopausal. Had a hysterectomy 10 yrs ago. What should I do?

Watch it...: Hemorrhagic ovarian cysts usually go away on their own without surgical intervention. If it isn't too painful, its usually ok to repeat the u/s in a few months to make sure it is gone. If it is very painful, it can be removed surgically. Best wishes! ...Read more

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Peeing small dots of blood and my ovarian hurts and I am in my menopause. I went six months ago to a check up and my pop test was normal what could it?

Peeing small dots of blood and my ovarian hurts and I am in my menopause. I went six months ago to a check up and my pop test was normal what could it?

Uterus/bladder issue: The best way to evaluate it is by doing through exam followed by a biopsy of the inside of the uterus (endometrium) and also a cystoscopy. This way you could rule out the life-threatening possibilities like uterus or bladder cancer and identify the issue. ...Read more

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42yo, total hysterectomy followed by 2 ovarian remnant syndrome surgeries. Fsh at 21.8. No menopause symptoms, pain is back. Could it be remnant?

42yo, total hysterectomy followed by  2 ovarian remnant syndrome surgeries. Fsh at 21.8. No menopause symptoms, pain is back. Could it be remnant?

Ovarian remnant: Yes, unfortunately ovarian remnant can be difficult to surgically excise. Typically, in our practice, we purposefully stimulate the ovary prior to surgery so that we can see the tissue better. An alternative to surgery is to suppress ovarian function with hormones and see if the pain gets better. Sometimes, however, pain can be due to the scar tissue, which hormone therapy will not help. ...Read more

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Aunt and grt-grandma (dad's side) died of ovarian cancer. Both post-menopause (aunt 59, ggm late 60s), both had kids in 20s. Heredity or coincidence?

Aunt and grt-grandma (dad's side) died of ovarian cancer. Both post-menopause (aunt 59, ggm late 60s), both had kids in 20s. Heredity or coincidence?

Likely coincidence: Hard to say, but the association is much stronger with first degree relatives (sisters, mothers, etc). Your history does not rule out a hereditary component, so make sure you let your primary care physician know. ...Read more

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What are the risks and side effects of uterine embolisation for fibroids? Can it shut down ovarian function and trigger menopause?

What are the risks and  side effects of uterine embolisation for fibroids? 

Can it shut down ovarian function and trigger menopause?

Rarely: Overall, the risk of complications from uterine fibroid embolization (UFE) is quite low. Infection is the most serious risk, sometimes requiring hysterectomy. There is a small risk of premature menopause, seemingly higher in women over 40. It is probably more difficult to get pregnant after UFE. But overall it is an effective, safe procedure for symptomatic fibroids. ...Read more

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Hello, i am writing regarding my mom she has been on her period almost 11 she is 42 years old can it be pre-menopause or ovarian cancer?

Hello, i am writing regarding my mom she has been on her period almost 11 she is 42 years old can it be pre-menopause or ovarian cancer?

Vaginal bleeding: Vaginal bleeding may be many things. It occurs in pre-menopause, because the periods get irregular around that time. It could also be other things in the uterus, endometrial hyperplasia or polyps or endometrial cancer. Ovarian cancer usually does not present this way. If she has not been seen by a GYN recently and this bleeding is new, she should make an appt to be sure. ...Read more

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How long will menopause last?? I'm 31 y/o & had a total hysterectomy 4 weeks ago. I had it due to ovarian cysts & the family history risk of cancer

The rest of .....: your life! Thirrty-one is very young to have your ovaries removed and you will need hormone replacement therapy, likely, for your entire life in order to prevent bone thinning and, probably, heart disease. The symptoms of ovarian deficiency would be most severe right now, but you are 20 years away from natural menopause. Even if symptoms improve you will still be in menopause. Good wishes:) ...Read more

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MRI (for other purpose) found 3 cm. ovarian cyst. Post-menopausal, hysterectomy/one ovary. Wasn't felt 4 months ago at gyn exam. Expect follow-up?

MRI (for other purpose) found 3 cm. ovarian cyst.  Post-menopausal, hysterectomy/one ovary. Wasn't felt 4 months ago at gyn exam. Expect follow-up?

Very likely benign : If a pelvic sonogram confirms that your 3 cm ovarian cyst has thin walls, clear fluid,no septation and normal blood flow, it is most probably benign. If you have a personal history or a family history of breast-colon-endometrial-thyroid tumors, have never been pregnant, never used oral contraceptives, have symptoms and risk factors for ovarian tumors...consult a Gyn oncologist for evaluation. ...Read more

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52 year old, menopause 1 year, tennis ball size cyst on each ovary, ca 125 of 271. Is this ovarian cancer?

Don't know: The cysts are large, and your ca-125 is elevated, so a full-work-up is obviously indicated. X-ray studies may help, but biopsy/cyst drainage or even hysterectomy is certainly a possibility. You doctor can provide you with much more specific info than we can. ...Read more

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How can I help with my wife's menopausal lack of sleep?Just finished chemo for ovarian cancer couple mo. Ago and had a hysterectomy back in march.

How can I help with my  wife's  menopausal lack of sleep?Just finished chemo for ovarian cancer  couple mo. Ago and had a hysterectomy back in  march.

By taking to the doc: Give support to her lack of sleep may be due to anxiety, due to her cancer, which is not unusual, speak to her may need medications .She may even need help , you may have to take her to a psychiatrist., it is part of treatment. ...Read more

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Am I totally in menopause or premature ovarian failure? My doctor did a blood test and my results were: fsh=106.6 and estrogen: 20. I am 39 years old.

Am I totally in menopause or premature ovarian failure? My doctor did a blood test and my results were: fsh=106.6 and estrogen: 20. I am 39 years old.

Prematue menopause: An fsh that high performed on cycle day 2 or 3 suggests ovarian failure. Since the average age of menopause is around 42, i would suggest repeating the test again at the correct cycle day. If a high value is repeated it confirms the conclusion. ...Read more