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Doctor insights on: Ovarian Cysts With Low Estrogen Level

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Cyst (Definition)

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


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Day-3 ultrasound shown a 6.4cm by 4.3cm ovarian cyst. Doctor said my estrogen level is 106 and so I can start Clomid 75mg. Good to start? or wait?

Day-3 ultrasound shown a 6.4cm by 4.3cm ovarian cyst. Doctor said my estrogen level is 106 and so I can start Clomid 75mg. Good to start? or wait?

I would not: start a patient of mine under these conditions, but your doctor may have different approach with different reasoning. You should ask your doctor to clarify if you are uncomfortable with the decision to start. ...Read more

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Can you have normal testosterone and estrogen levels with multiple ovarian cyst and still be considered to have pcos?

Can you have normal testosterone and estrogen levels with multiple ovarian cyst and still be considered to have pcos?

Yes: Pcos is a clinical syndrome. It is not diagnosed by blood test results, though high male hormone levels, or other tests suggestive of Insulin resistance, can support the diagnosis. If you have problems with irregular periods, weight gain, excess hair growth, you can be diagnosed with pcos, despite normal lab results. ...Read more

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I am a 43 yo non smoker with an ovarian cyst. Which pill is best a pop or estrogen/progestin? Or are there other options?Thank you.

All are fine: Ovarian cysts are common and while they are more frequently associated with progestin only pills, if you are healthy any of these options ( including a nuvaring, nexplanon, iud, as well) are fine. The best birth control option is the one that you feel comfortable with, tolerate, and you will use correctly. Good luck. ...Read more

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What is the best (type of) oral birth control to help with the occurrence of ovarian cysts? Estrogen progesterone ratios and such....

What is the best (type of) oral birth control to help with the occurrence of ovarian cysts? Estrogen progesterone ratios and such....

Combined OCP: There is not a great answer to this question. Many types of ocp's can be helpful in preventing large cysts from forming. However, this is not a fool proof treatment either. Many people will still develop cysts. I would recommend trying any combined tri or mono-phasic pill either to a cyclic fashion (monthly or quarterly periods) or in a continuous fashion (skipping periods) to see what works for u. ...Read more

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42 yrs old, still cycling, with simple ovarian cyst that slowly grows (@4cm) & history of PCOS. Dr said total estrogens of 545 is normal? Not high?

42 yrs old, still cycling, with simple ovarian cyst that slowly grows (@4cm) & history of PCOS. Dr said total estrogens of 545 is normal? Not high?

Ovarian cysts: At 42, the ovaries require more stimulation to achieve a release of an egg (ovulation). Sometimes the egg does not rupture the follicle (small fluid filled area around the egg before ovulation) and a persistent cyst results. At "4 cm." it will eventually rupture and pain will result temporarily. With PCOS you may be better taking low dose oral contraceptives. Ask your doctor to consider this. ...Read more

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I consulted dr they said 3.5cm complex left ovarian cyst with low level internal echoes within it so i m worried will i get concieve without any probl?

Need Fertility Exam: I would refer you to a fertility specialist. Certainly a complex ovarian cyst can be secondary to endometriosis which can adversely affect fertility. Ovarian cyst resulting from polycystic ovary syndrome – a constellation of small cysts in the ovaries, irregular periods, elevated androgens – can contribute to fertility problems. A fertility exam is required for specific answers. ...Read more

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Pelvic pain, low progesterone levels, ovarian cysts, what is wrong with me?

Pelvic pain, low progesterone levels, ovarian cysts, what is wrong with me?

Hard to say..: These may not be related to each other. Many things can cause pelvic pain, if you have large ovarian cysts (>4cm) they may be the cause, but smaller ones less likely to cause pain.Low prog levels (&small ov cysts) are both normal during certain phases of menstrual cycle. But low prog can cause mood sx, anxiety, sleep disturbances. If you have these natural Progesterone tx may help. ...Read more

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2 ovarian cyst, one 8 CM and the other 6cm. Had vus done, low level echos. Going back in 2 months for review. Ca-125 in normal limits. Concered?

2 ovarian cyst, one 8 CM and the other 6cm. Had vus done, low level echos. Going back in 2 months for review. Ca-125 in normal limits.  Concered?

Low degree of concer: Most common cause of such benign cysts are functional cysts that are very common in reproductive age females. Unless, presenting with symptoms (pain, nausea, vomiting, fever etc), your physician may opt to follow them with a repeat us in 3-6 months. Unless you have strong family hx of cancer, or personal hx of cancer, there is a low level of suspicion for ovarian cancer. ...Read more

Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...Read more


Dr. John Landi
2 doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more