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Doctor insights on: What Is A Complex Ovarian Cyst Filled With Pus Called

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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

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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What is a complex ovarian cyst? And what is the difference between that and a regular one that appears and stays even after menstruation.

What is a complex ovarian cyst? And what is the difference between that and a regular one that appears and stays even after menstruation.

Ultrasound: Can distinguish between simple and complex ovarian cysts. Simple cysts are entirely fluid filled. Complex cysts contain echoes indicating solid areas mixed with fluid filled areas. Most complex cysts are benign but some are borderline or malignant. Most cysts go away on their own with time. Ultrasound descriptions help us know if they are growing, changing, or going away. ...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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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 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 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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I have a complex ovarian cyst now heavy bleeding for 2 weeks and bad pain what should I do?

I have a complex ovarian cyst now heavy bleeding for 2 weeks and bad pain what should I do?

Need workup: Your doctor or nurse may discover a cyst during a pelvic exam, or when you have an ultrasound test for another reason.

Ultrasound may be done to diagnose a cyst. Your doctor or nurse may want to check you again in 6 weeks to make sure it is gone.

Other imaging tests that may be done when needed include:

ct scan
doppler flow studies
mri
the following blood tests may be done:

ca-125 test, to look for possible cancer if you have an abnormal ultrasound or are in menopause
hormone levels (such as lh, fsh, estradiol, and testosterone)
pregnancy test (serum hcg). ...Read more

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Had a complex ovarian cyst rmvd from my left ovary yr ago & just found out I've a simple cyst on the same ovary. Will it prevent me from ovulating?

Had a complex ovarian cyst rmvd from my left ovary yr ago & just found out I've a simple cyst on the same ovary. Will it prevent me from ovulating?

Probably not.: A simple cyst is usually benign and will go away on its own. In fact when you ovulate, the egg is released from a cyst and then the cyst resolves.

Cysts do not usually interfere with ovulation. Depending on the size and symptoms of this cyst, your doctor may want to repeat your ultrasound in 6 weeks to insure it has resolved or is not getting bigger or complex appearing. ...Read more

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I have a complex ovarian cyst which when diagnosed had little symptoms. I'm now having pain everyday and horrible bladder pressure. Does this mean its growing. Ovary was 46 cc 2 months.

I have a complex ovarian cyst which when diagnosed had little symptoms. I'm now having pain everyday and horrible bladder pressure. Does this mean its growing. Ovary was 46 cc 2 months.

Possibly: It could also mean you have a simple bladder infection. See your doctor. If cyst is that large and if you are having pain you may need to have it removed. ...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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I have a rotator cuff injury. I have a complex ovarian cyst. Now when I lie on either side = severe pain in hips and shoulders. What could it be?

I have a rotator cuff injury. I have a complex ovarian cyst. Now when I lie on either side = severe pain in hips and shoulders. What could it be?

NO relation: You have given very little history. It may be from your work or some type of exercise you do. Would not overdo anything until you have an ortho check you out. The rotator cuff injury may be a clue as to why your joints hurt if it is joint. See the doc for better advice. ...Read more

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I have a complex ovarian cyst with septations and debris about 14ml in volume. It was 7ml 3 months ago. It's now pressing against my colon. Treatment?

I have a complex ovarian cyst with septations and debris about 14ml in volume. It was 7ml 3 months ago. It's now pressing against my colon. Treatment?

Talk to your GYN: Your personal GYN can best answer for your specific case, but generally if the cyst is enlarging and causing symptoms by pressing against your colon it may be best treated surgically. See link for more information on ovarian cysts.

http://www. Uptodate. Com/contents/ovarian-cysts-beyond-the-basics ...Read more

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I have a complex ovarian cyst partially rupture yesterday. Starting to improve but have slight fever (99.9) despite being on nsaids. Should I be worried?

No, but call MD: This is a general answer since I don't know your clinical specifics: probably not! Doctors define fever as temperature over 100.4 f, measured twice more than 4 hours apart. Hence, you don't have a fever, although this can be confused by taking nsaids. If in doubt at all you should call your doctor. ...Read more

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Had a pelvic US after irreg period and pain and result is I have a complex ovarian cyst approx 5cmx4cm in size. Gyno is months away, should I be worri?

Had a pelvic US after irreg period and pain and result is I have a complex ovarian cyst approx 5cmx4cm in size. Gyno is months away, should I be worri?

Move up appt: The irregular periods & the complex cyst would be the cause for concern. But it may be just an unusual cycle. I'm not a gynecologist, but it might be worthwhile to try and move up the gynecology appointment. You can wait to see what happens next month (things may normalize), but monthS (plural) is too long for new symptoms. Explain this to the receptionist & you can probably get seen sooner. GL! ...Read more

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I have been found with a complex ovarian cyst and this was prescribed; prednisolone, doxycycline 100mg and tinidazole 500. is it going to dissolve?

I have been found with a complex ovarian cyst and this was prescribed; prednisolone, doxycycline 100mg and tinidazole 500. is it going to dissolve?

I don 't know if: This will make it go away or not. Take the medications and get a repeat ultrasound in 1-2 months, and see if the cyst has shrunken or resolved. If not, make sure you see a Gynecologist for further treatment. ...Read more

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I'm 27 and had a complex ovarian cyst for at least 10 wks. Can a gynecologist remove it or should it be an oncologist? We don't have a local gyn/onc.

Yes: Gynecologists are trained to handle this. Most complex cysts are benign hemorragic cysts. There is a small chance of malignancy so get this taken care of so you won't be worried. ...Read more

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I have been diagnosed with a complex ovarian cyst on my left ovary my family doctor has recommended a follow up ultrasound in 6 weeks I have considera?

I have been diagnosed with a complex ovarian cyst on my left ovary my family doctor has recommended a follow up ultrasound in 6 weeks I have considera?

SEE A GYN: U need to be followed by a gyn not your family doc, you need blood work to r/o ovarian cancer or precancer! And u may need it removed right away depending on how big it is and what it looks like, if it is a simple cyst and not too big it can be followed which is not what u have, so demand to see a gyn. ...Read more

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I've been told I hv a complex ovarian cyst and multiple fibroids some of which r calcified. D fibroids r inside and outside my uterus. Should I worry?

I've been told I hv a complex ovarian cyst and multiple fibroids some of which r calcified. D fibroids r inside and outside my uterus. Should I worry?

More information: More information is needed to adequately address your question. Complex ovarian masses in 31 year olds, are typically benign, but your doctor knows your history and can give you expert opinion on that mass. Calcification of fibroids is normal and is not a sign of malignancy. Fibroids can be inside of uterus and on outside of uterus, location can affect fertility, bleeding and pain. Good luck! ...Read more

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I have a complex ovarian cyst no period for 3 months now real heavy bleeding and extremely sharp pain and vomiting do I go the er?

Urgent evaluation: Sharp pain and vomiting with no periods for 3 months can occur with an ovarian cyst, but these can also be the symptoms of a ruptured ectopic pregnancy. If your pregnancy test is positive, this is a medical emergency. If your test is negative, you may still need evaluation for the amount of bleeding you are having, and to receive pain control. Talk to your doctor or go to emergency for evaluation. ...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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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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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

Pus (Definition)

Pus consists of white blood cells that have "eaten" bacteria and then died. You find pus resulting after an infection has established itself and the pus is a product of the body's immune ...Read more


Dr. Marvin Ott
2 Doctors shared insights

Ovarian Cyst (Definition)

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