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Re: CHRONICPAIN: Ovarian cysts and birth control pills - what are they supposed to do?
From: Wondering (anonymous@obgyn.net)
Tue, 8 Apr 2008 19:21:17 -0500 (CDT)
I guess what worries me is that I am now 5 weeks into taking these BCPs
with one more week to go, and I feel much worse than before I started on
the pill. If anything, the pain has gotten far worse and more diffuse,
and other things such as early satiability and vomiting have started to
occur, when I didn't have those before. I read somewhere that it is
possible that the BCPs won't work for some women, but it didn't say why
or what it would mean if the cysts did not shrink or kept growing while
on BCPs. Does that mean they are something other than functional?
At Tue, 1 Apr 2008, Professor Galal Lotfi wrote:
>
>Usually we get some functional cysts after hysterectomy and leaving the
>ovaries. There is no definitive explanation for the cause, however in
>most of the cases pills will help to shrink it away. Dont worry, as
>long as it appeared that fast after surgery, is functional and will
>reseolve in a couple of months even if you did not take the pills.
>At Thu, 27 Mar 2008, Wondering wrote:
>>
>>I have multiple ovarian cysts confirmed by ultrasound at nearly 5 months
>>after a hysterectomy. My doctor put me on birth control pills for 6
>>weeks, at which point I'll have another ultrasound. I understand that
>>the intention is to have the cysts either shrink or go away or at the
>>very least prevent any more cysts. However, what I don't understand is
>>what happens if after 6 weeks the birth control pills haven't worked.
>>Does that mean that the cysts are not likely to go away without surgery?
>>Does it mean that the cysts are something other than functional cysts?
>>Given that I've had a hysterectomy and obviously don't need them for
>>birth control or menstrual issues and I'm over 40, these high-dose birth
>>control pills are not something I want to continue on for the rest of my
>>life. My fear is that even if the cysts have improved after 6 weeks,
>>what's going to stop them from coming back if I don't continue taking
>>the birth control pills? The fact that I developed some many in just a
>>four months (both ovaries were healthy when they did the hysterectomy),
>>makes me very concerned that without the birth control pills, they will
>>be out of control.
>
>--
>Professor Galal Lotfi, MD. MRCOG
>14A Sherif street.
>Cairo. Egypt
>202-24535597
>
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