WOMENS-HEALTH Messages for October, 1998: Re: Do cysts cause infertility!!

Re: Do cysts cause infertility!!

From: Lynn D. Montgomery, M.D. (anonymous@obgyn.net)
Wed, 28 Oct 1998 14:37:19 -0600 (CST)

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In reply to: Tina: "Do cysts cause infertility!!"

At Wed, 28 Oct 1998, Tina wrote: >
>Hi,
>Iam 26 yrs married for almost 2yrs,Iam on Bcp Alesse-28
>My concern is my doc did pelvic ultrasound to determine the cause of
>irregular periods which were 35-48 when I left my Bcp for few months.My
>periods are regular now 28 on Bcp. .Then results show my uterus is
>antiverted measuring
>68x37x52 mm.Endometrial stripe measures maximally 8 mm on
>tranvaginal imaging. The left Ovary measures 32x13x18 mm
>and contains several cysts the largest of which measures 15x9 mm.The
>right Ovary measures 19x23x17 mm.No free fluid is seen in them.My doc
>also did Blood test--
>
>TSH--2.4
>Glucose--84
>WBC--7.5
>RBC--4.19
>Hemoglubin---12.4
>etc,
>
>My question is how long can I continue pills to suppress
>my cysts before conceiving.I were planning to get Pg next
>Year.Are there any difficulty in conceiving due to these cysts.Your
>respond is appreciated.Thanks..
>
>__Tina

Tina, The cysts that you describe now are not unusual. Were the cysts noted while you were off the pill larger. Given the irregular nature of your cycle when you were off the ocp's, it is likely that you were not ovulating at that point. This could be explained by a variety of things. First, it is not unusual to not ovulate for a period of 2-4 months after discontinuing the ocp's. Second, it is not unusual for a patient who is anovulatory to have ovarian cysts-ovulation occurs by a cyst forming that contains the egg, when it gets to 2cm, it ruptures -> ovulation. If ovulation does not occur, the cyst can continue to grow and hang around for awhile. Often times, patients with anovulation/oligoovulation are diagnosed as polycystic ovarian disease. Whether or not this is your case is really academic. The bottom line is that when you decide to pursue pregnancy, your physician can provide a very mild ovulatory induction agent that will aid in ovulation and thus conception. When you are not pursuing pregnancy, it is a good idea to stay on the ocp's-it will keep the cysts supressed and regulate your menses.

--
Lynn D. Montgomery, M.D.
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana
lmontgomery@communitymed.org

Next message: Marquita: "PROM"
Previous message: Lynn D. Montgomery, M.D.: "Re: Fluid around my ovary? -- Second Request -- Please Help!!!!!!!!!!!"
In reply to: Tina: "Do cysts cause infertility!!"

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