WOMENS-HEALTH Messages for April, 2002: Re: Polymenorrhea & Hemorrhagic Cystic Mass

Re: Polymenorrhea & Hemorrhagic Cystic Mass - long

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 30 Apr 2002 21:55:46 -0500 (CDT)

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In reply to: Michele: "Polymenorrhea & Hemorrhagic Cystic Mass - long"

At Tue, 30 Apr 2002, Michele wrote: >
>1)WOW! what a wonderful resource this is!
>
>2) About me. 29, overweight (size 20/22ish), diagnosed with cystic
>ovaries when I was 18, put on Orthos, was on those until I was 27.
>
>3)Situation. After stopping the pill (June of 97) my periods were
>clockwork. I noticed weight gain (up 4 sizes without any behaviour
>changes)and acne. In April 01 my period was late and didn't stop. Went
>to a GYN in May 01 "one off period in 10 years don't worry". 2 months
>later I went to my GP who said "Monitor it". I got back in March 02. My
>GP sent me to get an ultrasound.
>
>The U/S reported "a 3.5 cm hemorrahgic cystic mass on left ovary" and
>the GP sent me to a GYN since I have had only 7 "off" days since
>January.
>
>GYN put prescibed 10 days of Provera 10 mg to "pull everything together"
>then Lo/Orval, and an U/S for end of May.
>
>The 10 days on Provera were fantastic. But it didn't stop my period. 5
>days with no hormones. I've been on Lo/Orval 9 days now and my period
>still hasn't stopped.
>
>4)When I was 18 I got very used to seeing "cyst" on my U/S reports. The
>"hemorrhagic" and "mass" on this one has me a bit freaked. Am I
>overreacting?
>
>Upon reexamining my teen records I dicovered that I was diagnosed PCOS
>and Estrogen Dominant. I'm beginning to wonder if the Lo/Orval is
>really the right since it's a relatively low progetin dose (.3 mg
>norgestril). Should I be looking for something with a higher progestin
>activity level and lower androgenic activity to battle the acne and hair
>growth like desogestrel?

A 3.5 cm hemorrhagic cyst is not as big a deal as it sounds like, and should resolve eventually on the pill. Lo-Ovral is the best of the mainline pills for stopping bleeding, and I am sure that is what it was chosen to do. Later, a change might be in order, but it should stop the bleeding faster than the other potential choices.

-- 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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