YOUNG-WOMEN Messages for January, 2001: Re: depo-provera and ovarian cysts

Re: depo-provera and ovarian cysts

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 31 Jan 2001 08:43:00 -0600 (CST)

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At Wed, 31 Jan 2001, A wrote: >
>I'm in my ealry twenties and was on depo-provera for seven years, but
>have been off for two and a half years now. however, the side effects
>(no sex drive whatsoever, several erratic and sometimes heavy periods a
>month) have no gone away and last week i had an ovarian cyst rupture.
>they now want me on the pill or more depo to prevent another cyst. my
>questions are:
>-some women on the web said they thought depo caused their ovarian
>cysts. is this possible?
>-would a certain kind of pill (estrogen based or whatever) help
>counteract the stuff depo seems to have done to me?
>-what hormonal tests do i even ask the ob-gyn to run? (i live in a
>really small farming area and the docs are good but not specialists)
>-could it hurt that i was on depo so long and so young (age 15-22?)
>-is there a sort of med to ask about as regards the sex drive? this is
>not a psychological issue or ignorance about my body.
>-is there anything other than the pill or depo i can take to prevent the
>cyst?
>i really appreciate any information or appropriate medical terminology i
>can take to my doctor.
>thank you!

Boy, you like to ask the tough ones. You can get transient small ovarian cysts due to the Depo-Provera, but not generally clinically significant ones. Typically, Depo suppressed ovarian cyst formation, as does the pill. Given that the Depo causes you to have unacceptable side effects, if you take anything, the pill might be a better choice, but it is not clear to me that you need anything at this time. You make an ovarian cyst every month, and they rupture to release the egg. Apparently this was symptomatic, but that has nothing to do with next cycle, so unless this becomes a recurrent problem, I don't see that it needs treatment.

There are treatments for decreased sex drive, and you should talk with your doctor about them. Testosterone has been touted for this purpose, and I have had some limited success in my own practice, but it is not the panacea that you might suppose from watching Oprah.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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