
Abdominal Pain, Lower Back Pain, Clear And Odorless Discharge. Ultrasound Showed Ovarian Cyst. What Should I Do Next?

Thanks for consulting us.
This cystic structure is most likely to be arising from your ovaries or tubes ( as I guessed from your history that your ovaries were not removed ).
Now the question that need to be answered is about the nature of this cyst. We need to know if it is a benign cyst or a cancerous one? and how much is this bothering you? The blood work suggested by your doctor can give a hint about the nature of the cyst. As with cancerous cysts the Ca125 levels are usually very high.
As far as your menopausal status is concerned you may confirm this by doing a blood test called serum FSH. This will tell you about your need for menopause has reached.
CT or MRI scan can surely help, to tell us the details & origin of the cyst & will be of great help if a repeat surgery is being planned.
Let me tell you one thing, with the given history if your initial diagnosis was Endometriosis then a repeat surgery is likely to be a difficult one & may result in complications. So, get yourself fully investigated & also take a second opinion before making anything final.
In my opinion if your initial tests do not indicate a serious problem then trying medical treatment first could be a safer option for you. However your Consultant Gynecologist knows the most about you & is in a better position to give you an appropriate advise.
Hope I have addressed the relevant issues with you. Please write back if you want to discuss this further.
Hope you get well soon.
Best Regards.

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