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Re: Ovarian cysts, confused when told 1 had stripes. Need suggestions for ?'s to ask doc. before surgery

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 6 Feb 2002 11:17:22 -0600 (CST)


At Tue, 5 Feb 2002, Wynona wrote: >
>4 months ago my cramps began to worsen monthly. I don't normally cramp
>during my cycle but the week before, usually every other month. In Oct.
>my period was 2 days, Nov. 3-4dys, Dec was maybe 5 days. January was 3
>wks of severe pmdd, also the worst pain I have had since my cone-ization
>in '96. My period was 2 weeks late and it normally is only 3dys to 1
>week late. I noticed the pain was different beginning around Nov, and
>when I had intercourse with my husband the pain was real bad
>afterwards(position/tilted uteris?)
>
>I went to my GYN and felt as though they were humoring me about the
>pain. My doc said that maybe I just FEEL the cycle more than other
>women, and that's probobly all that was causing my pain, my cycle
>beginning! My doctor ordered 2 types of ultrasounds, and found I had 2
>cysts in/on my right ovary. She didn't say what kind of cysts, she kept
>asking if endometriosis was in my family. One cyst had fluid and
>stripes.? The cysts weren't positioned like mickey mouse ears, but it
>was the ovary itself. What does that mean?
>
>An hour later her PA called to say that my culture results showed I had
>an over growth of bacteria, Gardneralia? I've never heard of that.
>
>My doctor wants to schedule surgery ASAP to remove partial/all of my
>ovary. Is this necessary? She said that these cysts are common and
>surgery happens a lot. I will meet with her Friday. Any suggestions
>for questions I should be asking? Affraid all of this is what has
>prevented me from becoming pregnant.
>
>THANKS!

Unless the cysts are quite large, >5cms or better, there is no urgency to rushing off to surgery for simple cysts. Complex cysts, those that have internal "stuff" going on can be a different matter. Your doctor will need to make your situation clear to you before going to the OR.

Gardnerella is the old name for the bacteria that causes bacterial vaginosis, and lives in the vagina in small numbers all the time. It can cause irritation and a smelly discharge if it overgrows.

--
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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