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OCP's and ovarian cystsFrom: Anna Meenan, MD (annam@uic.edu)Mon Nov 15 17:03:09 2004
Have a pt. 37 y.o. who clinically has had 2 ruptured ovarian cysts in the past 4 mo. (had one 6 yrs ago where sm amt of fluid was seen on U/S shortly after severe pain in lower quadrant that resolved on its own over several hours). She says these two episodes have felt the same but not as bad, beginning with sudden sharp, severe pain that faded to an ache over 3-4hours and gone the next day. This most recent one actually occurred the day before next menses was due, not at mid-cycle, normal CBC and negative HCG. My question is, I know OCP's are supposed to cut down on the incidence of ovarian cysts, and this pt. is on Necon, but is there a particular OCP that does this better than Necon or are they all about the same.
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Anna Meenan, MD
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