WOMENS-HEALTH Messages for August, 2000: Re: Ovarian Cysts

Re: Ovarian Cysts

From: anonymous@obgyn.net
Wed, 23 Aug 2000 11:12:26 -0500 (CDT)

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In reply to: C: "Re: Ovarian Cysts"

At Tue, 22 Aug 2000, C wrote: >
>Dr. McIntosh,
>Although these Cysts may be benign they are causing chronic pain. I
>failed to mention that endometriomas and hemmoragic Cysts are suspect.
>With the knowledge that this pain has gradually gotten worse over the
>past 6-8 months, should I demand a laperoscopy. The pain is not only
>during cycles, but daily a chronic problem (pressure of any kind on my
>lower abdomen causes discomfort) I am extremely tired all the time (may
>be a result of broken and uncomfortable sleep) Could you explain what
>you mean by:
>
>"Bilateral complex cysts of that size are probably benign in nature and
>hormonal in origin, but there are enough exceptions that you will need
>to be very cautious."
>
>Before the most recent Norplant insertion I tried Birth Control pills
>and Depoprovera. The first time I had Norplant after the first 3-4
>months I had no cycle (which is expected), after 2 1/2 years of Norplant
>I should not have the long heavy cycles that I have had over the past
>8-10 months. I believe that the Norplant is contributing to the
>problems, but as a women who knows her own body, I am feeling very
>stongly that something is "Not Right" and should be addressed as opposed
>to the "watch and wait" concept of Functional Cysts. Because these
>cysts have been identified as complex and are causing extreme
>discomfort, doesn't it make sense to look at them in a short period of
>time? After everything I have read, it sounds like the only way to know
>what these complex masses are is to "go in" and find out. Am I way off
>here?

The clinical appearance and circumstances suggest strongly that the cysts are hormonal in origin (the fact that they are bilateral for one), and therefor are not likely to be cancerous. However, this is not a guarantee, as there are cancers that are bilateral, so it is important that this be followed to its conclusion to make sure that there is no long term fall out.

I would tend to agree with you that a laparoscopy is going to be necessary, either now or in the future, but I don't know what your doctor's plan is, so I am not sure that now is necessarily better than later.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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In reply to: C: "Re: Ovarian Cysts"

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