WOMENS-HEALTH Messages for September, 1999: Re: follicle cyst

Re: follicle cyst

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 29 Sep 1999 20:43:07 -0500 (CDT)

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In reply to: Tommie: "follicle cyst"

At Wed, 29 Sep 1999, Tommie wrote: >
>I am 42 and in excellent health. I began light bleeding 3 months that
>didn't stop. Through a transvaginal sonogram a GLYN diagnosed follicle
>cysts. He prescribed Lo-Ovral and within 2 months all cysts have
>dissolved with the exception of one...the larger. It appears to have
>increased slightly in size each month (use of measurement is sonogram).
>The GYN has changed the prescription for this month to Ovral to see if
>we can get a reduction. However, he is preparing me for a laporoscopy
>proceedure for drainage and biopsy. He still feels the cyst is fluid
>filled. Why would the other follicle cysts react to the hormone but not
>one?

The literature states that what was once believed (that birth control pills shrink cysts) is not true. The smaller ones shrunk by themselves.

>And at what size do you feel it is necessary to remove, drain, or
>biopsy?

The literature states that a simple cyst (clear without inner walls or septations) under 5 centimeters can frequently be watched. Above 6 centimeters, they are more likely to break (rupture) or twist on its blood vessel supply (torsion). These are usually removed to allow pathological evaluation (cancer or not). If it is not a simple cyst, the criteria change depending upon the appearance.

>Would a longer use of hormone than 3 months be benefical before
>surgery?

Not according to the literature. It may clear spontaneously but not because of the hormones.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Kelley: "Miscarriage and Thyroid disease"
Previous message: Harvey S. Marchbein, M.D.: "Re: mammography"
In reply to: Tommie: "follicle cyst"

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