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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

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Dr. Janet Greenhut
1,725 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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