Dr.Shanahan and Dr.Marchbein???ovarian cyst-corpus luteum?

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To answer both your questions I was 7.5 weeks LMP pregnant at the time of my laparoscopy and D&C. I had normal BhCG levels up until 6 weeks LMP when I was given methotrexate to treat what was thought to be a tubal ectopic pregnancy. (the MTX didn't work) At the laparoscopy it turned out to be a possible pregnancy on a 2.5 cm cyst on my right ovary. I say "possible" because the surgeons never found any evidence of fetal or placental tissues on my ovary or in my uterus. However, 1 week after the surgery I "passed" some tissue (not a clot) and was told that it may have been "decidual cast". As you can imagine, this situation has been unbelievably difficult and getting answers almost impossible. That's why I really appreciate this site and have gotten some helpful answers to my numerous questions.

At Sat, 1 Apr 2000, Harvey S. Marchbein, M.D. wrote: >
>At Fri, 31 Mar 2000, anonymous wrote:
>>
>>I had an ultrasound this morning and was told by the technician that I
>>have a 4 cm cyst on my left ovary. Could this be a corpus luteum cyst
>>even though I know for a fact that I am not pregnant?
>
>A corpus luteum cyst is the cyst caused by ovulation. One develops
>every month you ovulate. They persist usually during pregnancy but may
>persisit even when not pregnant.
>
>>Do these cysts
>>always occur after ovulation? Is 4 cm a "normal" size for this type of
>>cyst?
>
>It's not unusual.
>
>>I have had some pain for a week now, and was diagnosed with
>>possible endometritis and am being treated for it. Could this cyst be
>>the source of my pain rather than endometritis?
>
>Impossible to tell without an exam.
>
>>What is the usual
>>treatment for a cyst of this size?
>
>If it's a corpus luteum, observation for one to two months.
>
>>Will it go away on its own?
>
>If a c.l., most do.
>
>>I really
>>don't want to have to go through another laparoscopy (4 weeks ago they
>>removed a 3 cm cyst on my RIGHT ovary - it had been mistaken for a tubal
>>ectopic pregnancy on ultrasound).
>
>That's rather unusual unless you had a positive pregnancy test also.
>
>>Please help me figure this out, 'cause I'm confused!!!
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**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 emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>

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