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 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. ...Read more
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. ...Read more
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. ...Read more
Perhaps: Missed/late period: low body wt, obesity, weight ^ or v, ^exercise, endurance athletics, breast-feeding, stress, illness, eating disorders (bulimia or anorexia), anovulatory cycle (no egg released), travel, perimenopause, just starting menstruation, hormone irregularities, drug use, meds (i.e., birth control) or medical problems (i.e., polycystic ovary syndrome). #1 reason is pregnancy. ...Read more
Ultrasound: Ovarian cysts are best evaluated by transvaginal ultrasound. If you are young and have periods, most cysts are ok, though they may grow large and rupture and cause pain. If you have gone through menopause, ovarian cysts need to be followed more closely, since they may be cancer. Pelvic MRI is helpful in evaluating persistent cysts or cysts which may partially contain solid tissue. ...Read moreSee 2 more doctor answers
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.. ...Read moreSee 1 more doctor answer
Follow up 1 cycle: The cysts are probably unimportant incidental findings - "ovaries make cysts for a living" - but 36 mm is significantly larger than expected in a normal cycle. If you took prescription fertility meds, this "might" explain. Not to worry, but after your next period you should have the cysts checked with ultrasound: 95% of these should go away in 1-3 cycles. If not, you may need other intervention. ...Read moreSee 2 more doctor answers
Cysts are: But a 7cm ovarain cyst is relatively large and m,ay cause some pain, etc. Have the cyst followed regularly by the OB/GYN Dr/surgeon and it may need to come out, especially if it causes you pain and or has the possibility to become "torsed" where it would then require emergency surgery. Best wishes. ...Read moreSee 2 more doctor answers
Ovarian cyst: Ovarian cysts can occur spontaneously in women, and will usually regress. If you have a persistent cyst for 3 months it should be checked out especially if a sonogram shows a solid component to the cyst. Persistent non malignant cysts can be drained either under sedation or general anesthesia using a transvaginal approach. Using bcp's will prevent cysts if you're prone to them. ...Read moreSee 1 more doctor answer
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