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Re: OVARIANCYST/FIBROID: After ultrasound ob/gyn isn't sure if I have an ovarian cyst or uterine fibroid

From: Professor Galal Lotfi (anonymous@obgyn.net)
Sat, 22 Nov 2008 03:38:39 -0600 (CST)


Breakthrough bleeding could occur due to physiological reasons like ovulation bleeding that occcurs in the midcycle. Or it occurs due to patho0logical reasons. Polycystic ovary, because ot the weak and irregular hormonal support' Endomtrial or cervical polyps Cervical erosion or ectopy. For a fibroid to cause breakthrough, it should be or reasonale size and pressing on the cavity of the uterus At Wed, 19 Nov 2008, JTR wrote: >
>I am 25 years old with a history of ovarian cysts. In April of 2008,
>after experiencing irregular periods and breakthrough bleeding for over
>six months, my ob/gyn recommended that I stop taking my birth control
>pills. The breakthrough bleeding did not stop but was never consistent.
>I would usually have normal discharge the week after my period but then
>the breakthrough bleeding would start until I had heavier bleeding,
>which I considered to be my normal period. After taking some pills
>prescribed by my ob/gyn to "reset" my period in September, I still have
>breakthrough bleeding. At this point, my ob/gyn does not feel that the
>breakthrough bleeding could have been caused by the birth control pills
>and recommended an ultrasound (pelvic and transvaginal) to see if I had
>any uterine fibroids.
>
>When I called to get my ultrasound results this week, the nurse told me
>that there is "something" on the right side of my uterus but the doctor
>cannot tell if it is a cyst or something else. I was told to schedule a
>follow up ultrasound in six weeks to see if the "cyst" has resolved
>itself. I'm wondering if I should get a second opinion. If whatever
>they saw is the cause of the breakthrough bleeding I have been
>experiencing for almost a year, I feel like I shouldn't wait two more
>months to see if it goes away. I'm worried that it might be something
>more serious than an ovarian cyst that I should have taken care of
>sooner rather than later.
>
>Any advice?
>
>--
>Thanks,
>
>Jen
>

--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597



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