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Doctor insights on: Septated Complex Ovarian Cyst Post Menopausal Women

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Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal ...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


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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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Mildly complex ovarian cyst 4.5cm in postmenausal woman.Ca125 is 15. Having surgery tomorrow so worried! can it be something bad?Help!

Mildly complex ovarian cyst 4.5cm in postmenausal woman.Ca125 is 15. Having surgery tomorrow so worried! can it be something bad?Help!

Talk to doctor: Many women will develop cysts in their life. The vast majority are benign, but some do develop into cancer. Having a ca 125 that low is a good sign, but no one can tell until the cyst is examined by a pathologist after surgery. After surgery, your doctor will be able to give you more detailed answers. ...Read more

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4.7cm mildly complex ovarian cyst in postmenopausal woman mild discomfort.Going to see gyn/onc for a consult. How high are the chances it's bad?Worry

4.7cm mildly complex ovarian cyst in postmenopausal woman mild discomfort.Going to see gyn/onc for a consult. How high are the chances it's bad?Worry

Need futher evaluati: Large cysts, especially complex cysts in postmenopausal women are always of some concern and need to be evaluated further. Suggest you followup with your doctor. ...Read more

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Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Diagnosed with 3cm complex ovarian cyst via ultrasound. Advised to wait 6 weeks to recheck. Safe to wait even with a family history of female cancers?

Probablyl: Depending on the appearance of the cyst, your doctor must have felt that it was safe. Not all female cancers are genetically related (so, for ex: if you family has a history of cervical cancer that does not increase the risk for ovarian cancer). The ova-1 test or ca-125 tests can help to see if your cyst is higher or lower risk to be a cancer. But there are lots of cysts that are not cancers. ...Read more

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62 female.Mildly complex ovarian cyst.4.6cm.Ovary measures 25cc.Hypoechoic with internal echoes.Radiologist wants to repeat us 6wks.Going crazy!help!

62 female.Mildly complex ovarian cyst.4.6cm.Ovary measures 25cc.Hypoechoic with internal echoes.Radiologist wants to repeat us 6wks.Going crazy!help!

Deep breath: Take a deep breath, no need to panic yet. It is 100% appropriate to follow a 62 Y.O. W/ a complex cyst, some turn out to be cancers but many do not. Follow-up ultrasound is critical, but may turn out to be nothing. Blood testing tumor markers is sometimes helpful but not always, and should only be done with a doctor who understands markers and what they mean. Please don't panic and best wishes! ...Read more

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Is multi septate complex ovarian cyst malignant?

Is multi septate complex ovarian cyst malignant?

Possible: Most malignant ovarian cancers are complex and multilocular / multiseptate. But many benign ovarian cysts also present that way as well. The only way to know for sure is to biopsy or remove the cysts for pathologic evaluation. ...Read more

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Help please! could complex ovarian cyst dissolve?

Help please! could complex ovarian cyst dissolve?

Ovarian cyst: They can, but the doctor must find out why you have a complex cyst and rule out any serious pathology. Depending on the cyst characteristic your doctor can do expectant management or can offer surgery. Depends on the ultrasound, your age, family hx, time with cyst etc. ...Read more

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In the past four months I have grown a 5.1cm complex ovarian cyst. Should I be worried at the growth? I have a lot of pain with it!

In the past four months I have grown a 5.1cm complex ovarian cyst. Should I be worried at the growth? I have a lot of pain with it!

Yes: If you've had several ultrasounds to determine growth then I assume your Doctor has made recommendations about this? If not then I would get a second opinion from an OB/GYN regarding possible removal of the cyst ...Read more

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I never had a problem w/ ovarian cysts until I got off bc.Will my recent complex ovarian cyst rupture that's 1.5cm. How will they treat it?

I never had a problem w/ ovarian cysts until I got off bc.Will my recent complex ovarian cyst rupture that's 1.5cm. How will they treat it?

Ovarian cysts: ...Are very common and usually do not require treatment unless they are large, worrisome for cancer, or causing pain. If your cyst is 1.5 cm in diameter and is a recent development it will (should) likely be observed, they usually resolve. If you meant 15 cm that will likely involve surgery - soon. ...Read more

Dr. Janet Greenhut
1,701 doctors shared insights

Menopause (Definition)

Menopause is defined as the absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


Ovarian Cyst (Definition)

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