Doctor insights on:
Ovarian Cysts In Perimenopause
Could it have been an ovarian cyst? 47 yo female, in perimenopause. Been experiencing dull pressue in left lower abdomen for about a week, beginning right after ending a period. Last evening, experienced a small amount of pink (blood) upon wiping after u
Yes,: Yes, that could very well be an ovarian cyst. Cysts often cause pressure, then a sudden pain. Taking advil (ibuprofen) can often help. They usually resolve on their own. If there is any chance of pregnancy, then the patient should take a pregnancy test to rule out other causes. Be sure and tell your doctor about your symptoms or see them earlier if your symptoms worsen. Cysts are also more common during peri-menopause.
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
I'm 47, in perimenopause, had burst ovarian cyst. Dr wants me to take Lo Loestrin FE 1-10 for 6 months. Is it safe? Have no risk factors, but PSVT.
Unclear why/not safe: Your real, significant risks in taking contraceptive pills at this point in your life (age 47, cardiac arrhythmias...) seem to outweigh the minimal, questionable benefits of suppressing your ovulation (OCPunfortunately will not be effective in preventing another ovarian cyst)Depending on the "pathology of your burst ovarian cyst" which I presume was removed surgically, recurrence is unlikely.
DEPENDS: On what kind, simple complex, solid, abnormal ovarian cancer blood work or not, the size, any free fluid anything else going on with the pelvic organs, your desire for fertilty or your fear of ovarian or uterine cancer or family history, all of these factor determine what your options are so make an appt to discuss all of this with your gyn that is your gyn's responsiblity to you like I do my pts.
Depends on factors: A simple cyst is very common and often detected on routine pelvic or ultrasound exam and might disappear by the next exam. The more complex ones need further evaluation so doctors can determine the significance of cysts based their size, structure, timing with regard to period and to menopause, etc. Because not all cysts are normal, i'll share this with specialists in onc for their perspective..See 1 more doctor answer
Possibly: For the most part, ovarian cysts are not genetic in the sense that they are not hereditary. Most women with ovarian cysts have some disruption of the ovarian cycle resulting in ovarian cyst development. However, their are some genetic syndromes which are hereditary and in which ovarian cysts are part of that syndrome. An example is basal cell nevus syndrome.
Complex cyst: A complex ovarian cyst is a term used to differentiate it from the more common "simple" cyst. A simple cyst is a cell membranes surrounding a fluid filled sac. A complex cyst means there are liquid and solid components. While most complex cysts are benign this term is also used to describe cysts that need closer follow up to confirm resolution as some will need surgical management.
Highly variable: Most feel like nothing, no symptoms at all. Large cysts may cause pressure, ruptured cysts are usually painful, but there is no one rule. If you are 1) in pain or 2) worried about cysts you need an exam with a doctor who can assess female pelvic pain. Good wishes.
Usually resolve: 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.
Usually Nothing: During reproductive age cysts are very common. Most women would have something considered a cyst at least once per year but would never know unless an x-ray test was performed due to pain. Often though the pain is completely separate from the cyst. The follicle (a cyst) that is the growing egg each month grows to 2-3 cm and ruptures each month. Cyst rupture is normal! Cysts unusually cause pain.See 1 more doctor answer
Normal process: When women ovulate every month, the ovary produces an egg to be released for fertilization. The egg is released from a cyst on the ovary. If that egg is fertilized, that cyst remains to support the early stages of pregnancy. If there is no pregnancy, this cyst 'involutes'/resolves, i.e., gets reabsorbed by the body.