WOMENS-HEALTH Messages for April, 2002: Polymenorrhea & Hemorrhagic Cystic Mass

Polymenorrhea & Hemorrhagic Cystic Mass - long

From: Michele (anonymous@obgyn.net)
Tue, 30 Apr 2002 14:37:46 -0500 (CDT)

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Reply: William McIntosh, MD: "Re: Polymenorrhea & Hemorrhagic Cystic Mass - long"

1)WOW! what a wonderful resource this is!

2) About me. 29, overweight (size 20/22ish), diagnosed with cystic ovaries when I was 18, put on Orthos, was on those until I was 27.

3)Situation. After stopping the pill (June of 97) my periods were clockwork. I noticed weight gain (up 4 sizes without any behaviour changes)and acne. In April 01 my period was late and didn't stop. Went to a GYN in May 01 "one off period in 10 years don't worry". 2 months later I went to my GP who said "Monitor it". I got back in March 02. My GP sent me to get an ultrasound.

The U/S reported "a 3.5 cm hemorrahgic cystic mass on left ovary" and the GP sent me to a GYN since I have had only 7 "off" days since January.

GYN put prescibed 10 days of Provera 10 mg to "pull everything together" then Lo/Orval, and an U/S for end of May.

The 10 days on Provera were fantastic. But it didn't stop my period. 5 days with no hormones. I've been on Lo/Orval 9 days now and my period still hasn't stopped.

4)When I was 18 I got very used to seeing "cyst" on my U/S reports. The "hemorrhagic" and "mass" on this one has me a bit freaked. Am I overreacting?

Upon reexamining my teen records I dicovered that I was diagnosed PCOS and Estrogen Dominant. I'm beginning to wonder if the Lo/Orval is really the right since it's a relatively low progetin dose (.3 mg norgestril). Should I be looking for something with a higher progestin activity level and lower androgenic activity to battle the acne and hair growth like desogestrel?

Sorry I babbled so much. I needed the cathartic release. Thanks again.

--
Michele
(a fallopian tube is not part of the TV)

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