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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 (clomiphene) 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 (clomiphene) 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.

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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Does a large ovarian cyst and cervical cysts indicate a hormone imbalance & would that be excess estrogen? But progesterone high days I hurt all over

Does a large ovarian cyst and cervical cysts indicate a hormone imbalance & would that be excess estrogen? But progesterone high days I hurt all over

Ovarian cyst: If you have a large ovarian cyst this needs to be evaluated by an Obgyn to determine if needs to be removed or if it is likely to resolve on its own. The term cervical cyst is unclear in meaning. An Obgyn should evaluate this to determine if further work up is needed. Neither of these would lead one to suspect a hormonal imbalance. ...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

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I have an ovarian cyst. This month my period is very light to the point that I don't need to wear a pad. My pH levels are low can I still get pregnant?

I have an ovarian cyst. This month my period is very light to the point that I don't need to wear a pad. My pH levels are low can I still get pregnant?

OVARIAN CYST: Assuming that this ovarian cyst is an unruptured follicle, ovulation will not take place (the egg failed to break the follicle and be released). If this cyst has persisted for some time, it may not have an effect on your ability to become pregnant. Many cysts break, and then normal cycles can resume. Check with your health professional to make sure the cyst is simple and no surgery is required ...Read more

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Do ovarian cysts cause your blood cell levels to mess up?

Do ovarian cysts cause your blood cell levels to mess up?

Ovarian cyst: Ovarian cysts can be functional or pathologic. Pathologic ovarian cysts can cause abnormal blood levels of certain tests. Examples include a granulosa cell tumor can appear as a cyst and cause elevated inhibin and estrogen levels. An endometriotic cyst can cause mildly elevated CA 125 levels. Your doctor can help you sort this out. ...Read more

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Can ovarian cysts cause elevated hCG levels?

Can ovarian cysts cause elevated hCG levels?

If there is a tumor: A small number of ovarian tumors make hcg. If you have high HCG and are not pregnant, please consult your doctor. Even if you are pregnant consult your doctor for pre-natal care. ...Read more

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What level of hCG does an ovarian cyst generate?

What level of hCG does an ovarian cyst generate?

Depends on the: Nature of the cyst. Usual ovarian cysts do not produce hcg. A cystic germ cell tumor would need to be considered if an ovarian cyst is associated with elevated hcg. ...Read more

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My thyroid level is 13.21 h my B12 is 1793 h I have a ovarian cyst. Can this all be related?

My thyroid level is 13.21 h my B12 is 1793 h I have a ovarian cyst. Can this all be related?

Thyroid disease: Any thyroid abnormality, whether excessive thyroid hormone or less than normal can affect a woman's menstrual cycle, but either does not generally cause ovarian cysts. Your B12 level will not cause an ovarian cyst. Ovarian cysts are spontaneous, and at 56, may require surgery to diagnose the cause. See your physician for advice soon. ...Read more

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Will a low carb diet get rid of ovarian cysts?

Will a low carb diet get rid of ovarian cysts?

Ovarian cysts: If you have pcos (polycystic ovarian disease), eating a low carb, low sugar diet may help with correcting your Insulin resistance and with ovarian cysts. Otherwise, low carbs probably won't help with a cyst -- but will be good for your overall health! ...Read more

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Can ovarian cysts cause low back pain only while lying down?

Can ovarian cysts cause low back pain only while lying down?

Ovarian Cysts/back: Yes, ovarian cysts are often a cause of back pain. When you lie down the position of the pelvic organs changes which can excite the lumbar plexus to initiate pain in the back. ...Read more

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I had an open ovarian cyst surgery two years back and a few months later I started getting low grade fever 99-99.6f. It stays persistently mostly?

I had an open ovarian cyst surgery two years back and a few months later I started getting low grade fever 99-99.6f. It stays persistently mostly?

Low grade temp: Your temp is considered normal and probably has nothing to do with your surgery. If you are concerned see your doctor for a complete medical workup. ...Read more

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Can low progesterone cause ovarian cysts? I had a m/c in march, no ret. Prods & still haven't had a period. The longest cycle I've had ever is 45 days

Can low progesterone cause ovarian cysts? I had a m/c in march, no ret. Prods & still haven't had a period. The longest cycle I've had ever is 45 days

Delayed menses: Periods are often delayed after pregnancy. A 'lazy' pituitary and an ovarian cyst are common causes that will resolve on their own. Uterine scar tissue is a rarer cause. An ultrasound and a blood test can reveal the reasons, and would be appropriate after 3 months. ...Read more

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Dr said my blood count is low. 106. I asked is it due to iron. He didn't know. He said sometimes periods, but mine are not heavy. Ovarian cyst only.?

Dr said my blood count is low. 106. I asked is it due to iron. He didn't know. He said sometimes periods, but mine are not heavy. Ovarian cyst only.?

He doesn't know??: The diagnosis of iron deficiency is usually not difficult. It can be done by simple blood tests. I commend your doctor's honesty, but question his acumen (if you are accurately and fully reporting his assessment). Menstrual blood loss is most common cause of iron deficiency anemia in U.K., even among women who report light menses. Ovarian cyst does not cause iron deficiency. Rx is iron supplement ...Read more

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I have an ovarian cyst on my right ovary. The last week or so I have been feeling little flutters in my right low abdomen. Is this normal?

I have an ovarian cyst on my right ovary. The last week or so I have been feeling little flutters in my right low abdomen. Is this normal?

Might be: As long as you aren't having too much pain. Little flutters may be due to the cyst. Make sure you have a follow-up sonogram in 4-6 weeks to see if the cyst resolves. ...Read more

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Can ovarian cysts effect blood sugar? I had one rupture recently and have been having high & low blood sugar issues for 2 weeks. Also on bcp's

Can ovarian cysts effect blood sugar? I had one rupture recently and have been having high & low blood sugar issues for 2 weeks. Also on bcp's

Not likely: Bcps in pcos are not a great idea because they increase Insulin resistance and then affect blood sugar. See if you can stop the bcps and go to Glumetza 2.5 g per day. The ovarian cyst by itself will not affect blood glucose. Cj glueck md. ...Read more

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I had a hysterectomy 4 months ago. All of my ovarian cyst symptoms are back. Is it okay to go back on my birth control (ortho try-cyclene low)?

I had a hysterectomy 4 months ago. All of my ovarian cyst symptoms are back. Is it okay to go back on my birth control (ortho try-cyclene low)?

Yes: Unfortunately, removal of the uterus (hysterectomy) does not treat ovarian cysts. I would recommend seeing your ob/gyn for a sono to evaluate the ovaries before restarting your pills, however. Birth control has benefits but also risks, so you would want to make sure you are treating the right thing. ...Read more

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Recently diagnosed with 6cm ovarian cyst. Is normal to have increase in discharge with a smell close to after birth normal? Left low back pain normal?

Recently diagnosed with 6cm ovarian cyst. Is normal to have increase in discharge with a smell close to after birth normal? Left low back pain normal?

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. They usually disappear within 6-8 weeks. An ovarian cyst should not be related to vaginal discharge. This should be evaluated and tested ...Read more

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Is a painful, 3.6 ovarian cyst bad for 32 yo after partial hysterectomy in April2015? Spotting, nausea, pressure, low appetite, fullness, freq. Urination

Is a painful, 3.6 ovarian cyst bad for 32 yo after partial hysterectomy in April2015? Spotting, nausea, pressure, low appetite, fullness, freq. Urination

Bad versus good: An documented ovarian cyst that produces pressure is not uncommon. However you don't say if the cyst is 3.6 centimeters or inches. Moreover, your symptom complex with urinary frequency, and vaginal spotting post hysterectomy indicate a need to be examined more thoroughly to rule out something else by your MD including bowel or urinary tract issues. ...Read more

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Can a ruptured ovarian cyst affect beta hcg levels in pregnancy?

Can a ruptured ovarian cyst affect beta hcg levels in pregnancy?

No: Since the ovary is not the source of HCG, a ruptured ovarian cyst should not effect the HCG level. ...Read more

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How does hCG level increase in casw of ovarian cyst or tumors. Or in case of molar or tub pregnancy?

How does hCG level increase in casw of ovarian cyst or tumors. Or in case of molar or tub pregnancy?

See below: Hcg is only secreted once implantation occurs. It would not rise purely in the case of an ovarian cyst. A molar pregnancy usually has way higher than normal HCG and in the case of an ectopic it does not rise appropriately. ...Read more

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My ovarian cyst has ruptured I now have some bleeding and my hCG levels has dropped 6241 to 1177 can the cyst do this I am 7wks pregnant?

My ovarian cyst has ruptured I now have some bleeding and my hCG levels has dropped 6241 to 1177 can the cyst do this I am 7wks pregnant?

Maybe: The most concerning thing is the drop in hormone level at 7 weeks of pregnancy. This combined with your bleeding sounds like a miscarriage. A ruptured ovarian cyst could make you bleed inside your pelvis, but the vaginal bleeding is likely coming from inside the uterus. A pelvic exam and ultrasound would be the most helpful in figuring out what is going on. ...Read more

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7 CM ovarian cyst, ca-125 levels elevated (48), roma score & all blood tests good. Previously had nasopharyngeal cancer. Recurrence or endometrioma?

7 CM ovarian cyst, ca-125 levels elevated (48), roma score & all blood tests good. Previously had nasopharyngeal cancer. Recurrence or endometrioma?

Likely endometrioma: At your age, ovarian cancer would be exceedingly rare. Ca-125 levels can be elevated in young women for a variety of reasons that have nothing to do with cancer. Nasopharyngeal cancer and ovarian have no relation to each other. Your doctor should tell you what features or characteristics the ovarian cyst has, this will tell you what kind of cyst it is. Good luck! ...Read more

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I have 4-5 cm ovarian cyst causing nausea and low back pain. Dr wants to follow up in 6 weeks with ultrasound. Should I be concerned it is cancerous?

I have 4-5 cm ovarian cyst causing nausea and low back pain. Dr wants to follow up in 6 weeks with ultrasound. Should I be concerned it is cancerous?

Unlikely: Lifetime risk of cancer is 1 in 60-90. Small odds. It usually strikes women after the age of 45. There are other findings on an ultrasound that can suggest if its a benign or malignant looking cyst. If your gyn feels its safe to follow in 6 weeks, that's a normal approach.
Best wishes
Dr M ...Read more

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Pain on left side feels like trapped gas and it is felt on both lower and upper quadrants (low rib and underneath) Usually every few months after eating. Area hurts if pressed on. Could endometriosis or ovarian cysts be causing it?

Pain on left side feels like trapped gas and it is felt on both lower and upper quadrants (low rib and underneath) Usually every few months after eating. Area hurts if pressed on. Could endometriosis or ovarian cysts be causing it?

Splenic flexure: The colon takes a sharp 90 degree turn under the left rib cage and this splenic flexure is the site of trapped gas at times. Applying heat to the abdomen and drinking hot water helps break down the gas enabling you to pass it. Taking simethicone after meals helps prevent gas build up. If these measures relieve your distress, it would rule out the other diagnoses. ...Read more

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I have an ovarian cyst. I am also 2 months late. Not pregnant. Thyroid levels normal. Can the cyst cause a late period?

I have an ovarian cyst. I am also 2 months late. Not pregnant. Thyroid levels normal. Can the cyst cause a late period?

Need more info: How old are you? Have you ever been evaluated for polycystic ovarian syndrome (PCOS)? I suggest you see a gynecologist for a complete evaluation. ...Read more

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Can ovarian cysts cause a shooting, stinging pain down the thighs? Should I be concerned? Low ab pain (sore) pelvic pain (gas-like)

Can ovarian cysts cause a shooting, stinging pain down the thighs? Should I be concerned? Low ab pain (sore) pelvic pain (gas-like)

They can: Cysts can cause different sorts of pain. They cause pain from their size, from twisting around or fro bursting open. They can cause nausea or GI symptoms as well. So if the pain persists, you should be evaluated for lots of sources ...Read more

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Can ovarian cysts cause persistent upper back ache and bone weakness / discomfort? I also have high ESR and very low ferritin, all other blood normal.

More than one issue: Simple ovarian cysts should not cause backache. Low ferritin represents iron deficiency and you may have low blood count. High ESR is usually associated with inflammation, infectious or non-infectious. You have enough symptoms to warrant a consultation with a physician. ...Read more

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Hello, I have a couple of PCOS related questions: would you recommend consumption of spearmint tea to reduce testosterone levels, and should ovarian cysts be examined regularly?

Hello, I have a couple of PCOS related questions: would you recommend consumption of spearmint tea to reduce testosterone levels, and should ovarian cysts be examined regularly?

Insulin resistance: PCOS tx should include measures to reduce insulin levels. This is accomplished by lowering your carbohydrate intake dramatically and increasing your green vegetables and protein intake. Reviewing ovarian cysts is not standard of care. Metformin is commonly used which helps ovulation they an insulin sensitivity pathway. ...Read more

Estrogen (Definition)

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


Dr. M. Hytham Beck
2 Doctors shared insights

Ovarian Cyst (Definition)

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