WOMENS-HEALTH Messages for January, 2001: Re: Ovarian Cysts??!

Re: Ovarian Cysts??!

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Jan 2001 16:21:12 -0600 (CST)

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In reply to: M: "Ovarian Cysts??!"

At Wed, 31 Jan 2001, M wrote: >
>What could cause multiple and/or large ovarian cysts? I had my right
>ovary and a wedge section of my left ovary removed in July 2000 - low
>malignant potential (borderline) ovarian cancer. I'm 28. Today I had
>my first followup ultrasound, since a followup lap in October. The lap
>was clean, normal, good to go. CA125 have been in the 10-12 range (in
>July it was 111). The ultrasound today showed a large 5-6cm fluid cyst
>with small septae inside (a few short, tiny lines) and then another cyst
>~0.5-1cm that appeared to be just fluid. My last period started January
>7th, I believed I ovulated on January 18th (based on BBT and cervical
>fluid), and expected my period yesterday or today (my cycles have been
>averaging 25-26 days with a luteal phase averaging 12-13 days). Over
>the weekend my temps had started to drop some and on Monday I had a
>little spotting. However, yesterday(tues) and today(wed) my temperature
>starting rising again and no period!? I had hoped I was pregnant, but no
>sac was found on the ultrasound...just this large cyst (which doesn't
>look at all like my tumor did in June on the ultrasound).
>
>Would I need to be given something to start my period if it doesn't
>begin on it's own in the next week? Should I try a pregnancy test or is
>that just false hope? Is this cyst something to worry about? Can it go
>away on its own?
>
>Any insight would be greatly appreciated as I wait.....for calls from
>the drs. and my period!
>
>Thank you for your help!
>
>- M.

The most likely cause for your cyst is that it represents a cyst of ovulation or corpus luteum. This is a bit on the large side for that but maybe there was some bleeding into it following ovulation. As far as the concern aspect, yes, there is concern if it does not resolve on its own. Particularly in your case with a previous borderline tumor. As far as your period, I would check a pregnancy test and if nothing, then you can certainly be give something to bring on a cycle or you could just wait and see if it starts spontaneously... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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