WOMENS-HEALTH Messages for May, 2008: Re: PCOS: nonfunctional ovarian cysts

Re: PCOS: nonfunctional ovarian cysts

From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Tue, 27 May 2008 21:49:36 -0500 (CDT)

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In reply to: jcha: "PCOS: nonfunctional ovarian cysts"

At Tue, 27 May 2008, jcha wrote: >
>i am a 41 y/o woman. i have had pcos for 3-4 years, that i know of. at
>the moment i have a nonfunctional, 4 cm, mildly complicated, right cyst.
>over the past 6-9 mos., i have menstruated every 3 mos., and when i do,
>it is much more painful than it used to be, but only on right side. i
>often times suffer from severe rlq pain even when i'm not menstruating.
>(my older sister is 2 years older and continues to menstrate regularly,
>every 3 weeks for her.) my mother had a total hysterectomy in her 30's
>due to a fibrous uterus and died at 54 t/o of metastatic breast ca. my
>paternal grandmother had bone ca when she died, i believe she was in her
>late 70's. i am 0 grata, morbidly obese with a family history of adult
>onset dm (my father also has cad and renal disease due to dm), have
>metabolic syndrome and smoke 1/2 ppd.
>
>my ob/gyn is taking a wait and see attitude, in part due to the
>increased risk of heart disease after an oophorectomy. i can understand
>this approach, but do not agree with it, as i have developed several
>cysts through the years. even if this current cyst dissipates on its
>own, i will only develop more cysts. as i have begun doing more
>research on pcos, as i understand it, having nonfunctional cysts give me
>an increased risk of ca, something i already have due to both my family
>hx and being a smoker. to further complicate matters, my husband and i
>are planning a move to tombstone, az. we currently live ~1 hr from
>boston, ma, where there are some of the best doctors and hospitals in
>the world. my current ob/gyn is in a smaller town. i have begun
>looking into a 2nd opinion in boston. however in the meantime, i was
>hoping to get a medical opinion on line.
>
>--
>thank you
>
>jcha
>

Dr.Futterweit, The cyst is likely benign, but I would suggest the opinion of an excellent OB_GYN oncologist. Careful review of data by the latter may indicate the need for laporoscopic surgery, but this is only a thought on reading your note. Best wishes, Dr.Futterweit

--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716

Next message: Walter Futterweit, MD, FACE,FACP: "Re: PCOS: Infertility - PCOS correct diagnosis????"
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In reply to: jcha: "PCOS: nonfunctional ovarian cysts"

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