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Doctor insights on: Pcos Cysts

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Dr. Dennis Higginbotham
1,250 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Do ovulatory cyst go away on their own if you have pcos ?

Do ovulatory cyst go away on their own if you have pcos
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PCOS: The cysts formed in PCOS are incomplete ovulations, as they frequently do not rupture "on their own", but remain and enlarge the affected ovaries. Large ovarian "follicle cysts" can rupture. See your gyn provider, as the "treatment" for PCOS, (unless pregnancy is desired) is usually oral bcp's or the equivalent to suppress ovarian cyst formation, and to prevent changes in the endometrium. ...Read more

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I have pcos and i'm done having kids, I have numerous cysts and a lot of pain. Is surgery an option to remove ovaries?

I have pcos and i'm done having kids, I have numerous cysts and  a lot of pain. Is surgery an option to remove ovaries?

Yes , but: Surgery would be an option, however there are a number of medicines that could help your symptoms and potentially preclude the need for surgery. You should see your gynecologist. ...Read more

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I have pcos and i saw people having severe cystic acne. I am so terrified it will happen to me. Will it? Im not in any medications right now.

I have pcos and i saw people having severe cystic acne. I am so terrified it will happen to me. Will it? Im not in any medications right now.

Acne - PCOS: In women, polycystic ovary syndrome (PCOS) is the most common cause of hyperandrogenism. This disorder is characterized by menstrual irregularity, hirsutism, acne, ovarian cysts. Androgens play a key role in the development of acne vulgaris through the induction of sebum production. Thus, antiandrogenic therapies can be useful for the management of female patients with moderate to severe acne ...Read more

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Hi i have 6cm cyst right ovary&19 follicles left ovary(pcos).can i start clomid.i have had these for 3yrs no issues.dr wont remove?

Hi i have 6cm cyst right ovary&19 follicles left ovary(pcos).can i start clomid.i have had these for 3yrs no issues.dr wont remove?

No: It would be best to have 6cm cyst removed to increase chances of pregnancy. There is more to starting clomid than just knowing your follicle count. You would need many other tests on both partners first to ensure you are a good candidate. You should discuss further with your obgyn. ...Read more

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What does "cyst" in ovaries mean when ultrasound performed? Is it serious? Do I need surgery? Dr. said not to worry but to monitor. I have PCOS. Help?

What does "cyst" in ovaries mean when ultrasound performed? Is it serious? Do I need surgery? Dr. said not to worry but to monitor. I have PCOS. Help?

Normal for you: Polycystic ovaries, means you have tendency to form many small ovarian cysts, this can delay normal ovulation. Also delayed or absent periods. Monitoring is correct plan. Fertility can be decreased if not treated. ...Read more

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Can a ovarian cyst cause lower rib cage pain? I think I have a cyst but an experiencing different pain this time. VERY bloated, some left side pain and pain under my left rib cage. I also have pcos if that helps any.

Can a ovarian cyst cause lower rib cage pain? I think I have a cyst but an experiencing different pain this time. VERY bloated, some left side pain and pain under my left rib cage. I also have pcos if that helps any.

Ovarian cyst: An ovarian cyst would have to be extremely large to cause lower rib cage pain. Consider seeing a doctor for an exam to help determine the cause of your pain. Left sided pain with bloating could indicate a color or GI disorder ...Read more

Dr. Ira Katz Dr. Katz
1 doctor agreed:
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I have been diagnosed with PCOS and the GP said I have multiple immature follicles but no cysts I know this will affect my fertility as my periods are irregular but I want to know if I still have a chance of ovulating even with immature folicles ?

Dr. Ira Katz Dr. Katz
1 doctor agreed:

Definitely: PCOS is a fairly common problem these days.However, there are a lot of mimickers which are treated completely diff.First confirm dx with ObGyn and/or endocrinologist who can ideally work together and really increase your chances.The underlying issues need to be addressed. The prog for preg with docs who are experienced treating this are actually pretty good.Most import is right docs working togeth ...Read more

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I have pcos and a large hemorrhagic ovarian cyst. The doctor said it should go away in 6-8 weeks, but I'm having severe back pain.

I have pcos and a large hemorrhagic ovarian cyst. The doctor said it should go away in 6-8 weeks, but I'm having severe back pain.

6-8cm: Generally if a cyst is > 6-8cm it should be drained surgically. Ultrasound also serves to determine if it’s benign or malignant. If pain is severe a surgical opinion is needed. ...Read more

Dr. Dr.
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I am 20 y/o, weigh 129 kg & have PCOS, is it possible to surgically remove the cyst at my age or is my doctor saving my life by not allowing me to do so & making me lose weight & get rid of the cyst the natural way, even though its hard as it is?

Dr. Dr.
2 doctors agreed:
I am 20 y/o, weigh 129 kg & have PCOS, is it possible to surgically remove the cyst at my age or is my doctor saving my life by not allowing me to do so & making me lose weight & get rid of the cyst the natural way, even though its hard as it is?

Lose weight: Hi there! PCOS is essentially a metabolic syndrome. The underlying problem is insulin resistance which in turn causes high insulin level circulating in the body. High insulin level causes all sorts of symptoms including the cysts on your ovaries. PCOS cannot be cured but can be controlled. Losing weight is your best option as it treats the ROOT of the problem which is insulin resistance. ...Read more

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4cm cyst in left ovary and trying to conceive. Doctor said no clomid with cyst. I am taking Metaformin 1000mg for PCOS. Now i am waiting for the cyst to go off on its own. Can you please give me a second opinion as to is this the right way?

4cm cyst in left ovary and trying to conceive.
Doctor said no clomid with cyst.
I am taking Metaformin 1000mg for PCOS.
Now i am waiting for the cyst to go off on its own.
Can you please give me a second opinion as to is this the right way?

4 cm ovarian cyst: There is no contraindication to clomid when having a "4 cm ovarian cyst" , unless the cyst was formed while taking other highly stimulatory medications for follicle production, and/or the estradiol levels are high as a result. Not every follicle actually bursts to produce an egg, in which case it slowly grows in size, but usually resolves (bursts) spontaneously. PCOS often produces these cysts. ...Read more

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Dr thinks I don't have PCOS. Other dx possible that was missed? I have menses monthly, cystic ovaries on US, hirsutism, wt gain in middle, acne, etc

Dr thinks I don't have PCOS. Other dx possible that was missed? I have menses monthly, cystic ovaries on US, hirsutism, wt gain in middle, acne, etc

Get a 2nd opinion: You need to see an alternative GYN MD for a 2nd opinion Consultation to decide this issue after an exam and testing. By the way, have copies of all the previous exams and testing sent to the 2nd opinion MD prior to your visit by signing a records release form. ...Read more

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Does endometriosis cause pain on just one side of your stomach? Or does this sound more like ovarian cyst? Mild cramps during period. I have pcos

Does endometriosis cause pain on just one side of your stomach? Or does this sound more like ovarian cyst? Mild cramps during period. I have pcos

Belly pain: Endometriosis will cause pain on whatever side the actual deposits are and should radiate based on ur Neuro/Embrio anatomy. Ovarian cyst will most of the time hurt only to the side of its location. However, there are other reasons to have pain in the belly in a young woman, like u. If pain is persistent, please have your doctor examine u ASAP to determine he need for further workup. Hpe u feel btr ...Read more

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I finished one round of provera is there any possibility i can get pregnant having very small cyst cause by pcos? i started my period on 8/25/17 and was on it for 6 days im having cramping on my pelvic area could i be ovulating?

I finished one round of provera is there any possibility i can get pregnant having very small cyst cause by pcos? i started my period on 8/25/17 and was on it for 6 days im having cramping on my pelvic area could i be ovulating?

Possibly: Someone with PCOS is more likely to ovulate later that average so your pain may be related to ovulation. However, ovulation typically does not cause any symptoms at all. If you keep having pain, you should see a doctor. Otherwise, if you don't have a period by 28 days after 8/25, take a pregnancy test. Good luck ...Read more

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Started having periods at 13 & had irregular periods since, ranges from 30-90 days. Both ovaries usually have many cysts & I have an acne problem as well, but I always get normal hormone levels & never been overweight. No insulin resistance. PCOS?

Started having periods at 13 & had irregular periods since, ranges from 30-90 days. Both ovaries usually have many cysts & I have an acne problem as well, but I always get normal hormone levels & never been overweight. No insulin resistance. PCOS?

Irreg/menses:PCOS?: At 24, with cycles as described, ovarian cysts and acne, PCOS is certainly a possibility. Stress can also contribute to all of these findings. Consult your gyn provider, as low dose oral bc can regulate your cycle, and may resolve the acne and frequency of ovarian cyst formation. If this is true PCOS, low dose bcp use can also help prevent other problems which can occur later in life from PCOS. ...Read more

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I have pcos, for 6 years after coming off the pill. For 3 years now my period is regular. But my pcos cysts is causing daily pain, so my doctor is putting me back on the pill. A good idea? And why?

I have pcos, for 6 years after coming off the pill.  For 3 years now my period is regular.  But my pcos cysts is causing daily pain, so my doctor is putting me back on the pill. A good idea? And why?

Ovary Suppression: Assuming that the pain is from cysts, the bcp works by suppression follicle (cyst) formation. It might help with cysts. Pco cysts usually are very small and not a source of pain, so perhaps the pco is not the issue. Best wishes. ...Read more

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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