WOMENS-HEALTH Messages for November, 1997: Re: ovarian cysts

Re: ovarian cysts

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 15 Nov 1997 23:20:10 -0600 (CST)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Harvey S. Marchbein, M.D.: "Re: depo provera after hysterectomy"
Previous message: Harvey S. Marchbein, M.D.: "Re: Clomid - late ovulation - bad egg??"
In reply to: marie: "ovarian cysts"

At Sat, 15 Nov 1997, marie wrote: >
>Since May'97, I have had episodes of severe pain in my right ovary that
>last for about 40 minutes. My doctor originally termed my condition as
>"Middle Shmerz" without even examining me and perscribed the pill. I
>have been on the pill for a little more than 3 months now and the pain
>continues to occur. A pelvic sonogram indicated a right complex ovarian
>cyst about 4cm and they thought it was possibly a dermoid. I then went
>for a CAT scan. Upon receiving the results of the CAT scan, my doctor
>said that it wasn't likely a dermoid, but possibly follicular and they
>wanted me to be reevaluated after 2 menstral cycles. The day after my
>first menstral cycle ended, I awoke early in the A.M. with severe pain
>again. Because this last episode occured immediately after my period,
>it makes me wonder about it being a follicular cyst. I am concerned.
>Any advise would be greatly appreciated.

A part of the story is missing and I know you are not in possession of this part. If it were Mittelschmerz, the pill would have cleared it. 4cm cysts don't usually cause pain because pain is usually caused by torsion (twisting) and the usually don't twist til 5-6 cm or larger.

Most gyns feel that if the cysts don't shrink by three months, it's unlikely that they will. Remember that there are exceptions to every rule, however.

The diagnostic test would be a diagnostic laparoscopy and then resection of ovarian cyst if necessary.

As far as which test is better, the sonogram is usually more revealing than the CT scan. There are, unfortunately, exceptions here too, but as a rule, the sono is better.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note:  Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: depo provera after hysterectomy"
Previous message: Harvey S. Marchbein, M.D.: "Re: Clomid - late ovulation - bad egg??"
In reply to: marie: "ovarian cysts"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: