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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

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

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What is complex ovarian cyst?

What is complex ovarian cyst?

Cystic and solid: Ovarian complex cysts have cystic and solid components on ultrasound and bears further evaluation by your md. ...Read more

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Is going bck 2work with complex ovarian cyst ok.

Is going bck 2work with complex ovarian cyst ok.

Depends: How big it is, and if it is causing sxs and assuming they think it is benign and not malignant and obviously will need close followup. ...Read more

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Abnormal complex ovarian cyst, should I be concerned?

Abnormal complex ovarian cyst, should I be concerned?

Possibly: Ovarian cysts come in many varieties. The majority are benign. Complex features are more concerning and warrant further evaluation. This could be repeat imaging, blood work, or surgery. The evaluation would be determined on other risk factors as well. A gynecologist should be involved in the evaluation. ...Read more

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How big is a 40.6mm x 39.3mm complex ovarian cyst? Can it be cured?

How big is a 40.6mm x 39.3mm complex ovarian cyst? Can it be cured?

Ovarian cyst: This cyst is smaller than a tennis ball, and larger than a ping pong ball. Sometimes cysts resolve on their own, and usually a repeat ultrasound is done. If they become large, painful, are suspicious for cancer, or don't resolve, then they can be surgically removed. See your OBGYN to discuss. ...Read more

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If a complex ovarian cyst ruptures will it destroy your entire reproductive system?

If a complex ovarian cyst ruptures will it destroy your entire reproductive system?

No: No, it would not damage your reproductive organs, but there is a chance it could cause adhesions (scar tissue) leading to pain or infertility. ...Read more

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I have a complex ovarian cyst that will not go away and it is very painful could it be cancer?

I have a complex ovarian cyst that will not go away and it is very painful could it be cancer?

Maybe: Most likely it is a benign cyst. Cancer risk increases in cystic ovaries in Women over 60. However a complex system of the ovary can't be associated with cancer and a 37-year-old female. The only way to know for sure is to have it ultrasound and possibly biopsied. You can also look at the Ca 125 serum protein levels. Again though it is very common to have benign cyst in the ovary in a 37-year. ...Read more

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US 3.8cm mildly complex ovarian cyst. Septations mainly in mid aspect of lesion and no vascularity seen. What does "mildly complex" mean?

US 3.8cm mildly complex ovarian cyst. Septations mainly in mid aspect of lesion and no vascularity seen. What does "mildly complex" mean?

Great question: Not really sure. Any thing that is not a simple cyst is called complex. Sometimes the person who is reading the report does not think it is so bad so calls it mild. But it is not really a medical term. ...Read more

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Please explain 20ml complex ovarian cyst containing internal echoes measuring 3.3 x 2.2 x 3cm also containing focal hyperechoic densities?

Please explain 20ml complex ovarian cyst containing internal echoes measuring 3.3 x 2.2 x 3cm also containing focal hyperechoic densities?

Fibrin in cyst: Ovarian cysts frequently will have stuff inside. When they do not, it is a simple cyst. When there is bleeding in to the cyst, they become complex. This causes all kinds of findings on ultrasound. Blood clots look like clumps and fibrin can cause stranding. All usually clear up ...Read more

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Been told I have to wait until feb. 2013 to remove complex ovarian cyst last ultrasound 8 th aug 2012 was 10 CM how dangerous is this. I live in qc?

Been told I have to wait until feb. 2013 to remove complex ovarian cyst last ultrasound 8 th aug 2012 was 10 CM how dangerous is this. I live in qc?

Would not happen US: Should not wait that long should come out now a nd u need blood work to see if it is malignant or premalignant which the blood work can give u an idea but the risk of leaving it in is that it could twist or rupture and if it is cancer (hopefully not or precancer) it needs to come out that is why I get pts coming down here from canada. ...Read more

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I have a 4cm complex ovarian cyst and in a lot of pain. Shouldn't it get removed? I've had other surgeries to remove cysts before. Partiak hysterectom

I have a 4cm complex ovarian cyst and in a lot of pain. Shouldn't it get removed? I've had other surgeries to remove cysts before. Partiak hysterectom

Cyst and pain: The presence of an ovarian cyst and pain combination warrants at the least a Laparoscopy evaluation and possible removal. Obtain a 2nd GYN MD opinion if you still have concerns. ...Read more

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I have a complex ovarian cyst should I request ca 125 test?

I have a complex ovarian cyst should I request ca 125 test?

Maybe: Talk it over with your doctor. Things to consider are 1) your age and menopausal status, 2) previous history of endometriosis, 3) size of the mass, 4) ultrasound appearance, 5) duration of the problem., 6) family history of ovarian cancer. Remember that ca-125 may be elevated in many benign conditions, as well as ovarian cancer. ...Read more

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I have a complex ovarian cyst. Could this be the cause of my lack of libido?

I have a complex ovarian cyst. Could this be the cause of my lack of libido?

Typically no: Ovarian cysts are not usually linked to a low sex drive. Complex cysts should be evaluated by an Obgyn to determine if surgical treatment is warranted. ...Read more

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Is it normal for a doctor to wait and see if my complex ovarian cyst bursts?

Is it normal for a doctor to wait and see if my complex ovarian cyst bursts?

No: Get a 2nd opinion, as most GYN MD's would prefer to "act" on the problem then "react" to ignoring it. ...Read more

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I had a complex ovarian cyst partially rupture. Will this reduce my libido in the future?

I had a complex ovarian cyst partially rupture. Will this reduce my libido in the future?

No: It should not affect your libido at all, unless the rupture leads to pain with intercourse. Painful intercourse is often a part of decreased libido. ...Read more

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I just found out I had a 2.2mm complex ovarian cyst when I was 17 and my doctor never told me. I'm 20 now. Is that harmful?

I just found out I had a 2.2mm complex ovarian cyst when I was 17 and my doctor never told me. I'm 20 now. Is that harmful?

No: I'm thinking that you are meaning to say a 2.2cm (not mm) cyst. As a 2mm cyst would nearly be impossible to measure. A 2.2cm cyst is also normal for all women who are ovulating. Most women will produce a functional cyst right before ovulation that is near to that size. Sometimes when they say it's 'complex' they mean there's debris (like blood) in the cyst, also normal. And not harmful. ...Read more

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Complex ovarian cyst fromn1.3cm to 3.1 cm in matter of 3 months. Should I have exploratory surgery what r chances of cancer?

Complex ovarian cyst fromn1.3cm to 3.1 cm in matter of 3 months. Should I have exploratory surgery what r chances of cancer?

Complex cyst: A complex ovarian cyst is a term used to differentiate it from the more common "simple" cyst. A complex cyst means there are liquid & solid components. While most complex cysts are benign this term is also used to describe cysts that need closer follow up as some will need surgical management. The decision to proceed with surgery will require an in depth review by your doctor ...Read more

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I have a complex ovarian cyst that partially ruptured 3 days ago. Er dr said i'd be fine in 2 days but I'm still in tremendous pain. Is this normal?

I'd say yes.: You have had an ovarian cyst rupture, with blood and possibly other fluid empty into your abdominal cavity. This will likely cause a great deal of pain and reactive changes, like adhesions over time. If you haven't already, it might be wise to schedule at least an appointment with your OB dr. To get checked out if the pain persists. You might even have endometriosis which is also painful. ...Read more

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How serious is a complex ovarian cyst? I have never had a complex ovarian cyst before. Always simple and I haven't had problems with them for years. Now suddenly I have had two cyst rupture in one week! I was in the ER and told it would just be a few days

How serious is a complex ovarian cyst? I have never had a complex ovarian cyst before. Always simple and I haven't had problems with them for years. Now suddenly I have had two cyst rupture in one week! I was in the ER and told it would just be a few days

I: I am so sorry you are going through this. Ovarian cysts are a very painful, miserable condition. As the er physician advised removal, it is worthwhile to discuss this with a gynecologist. In some patients, treatment with anti-inflammatory type medications or even birth control pills can help shrink cysts down. However, if the cyst looks concerning on ultrasound, often times the patient is advised to have it removed. Only a licensed gynecologist who reviews your studies and takes your history can advise one way or the other. ...Read more

Dr. Janet Greenhut
1,739 Doctors shared insights

Menopause (Definition)

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


Dr. Harinder Gill
2 Doctors shared insights

Ovarian Cyst (Definition)

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