Irregular Periods. Pelvis USG Showing Ovarian Cyst. Given Gynaset. Advice?

Posted on Fri, 28 Sep 2012

Question: dear Dr. - My daughter is having regular periods for the last 10 years with an intervel of 27 days. Now she is 24 yrs old unmarried. She has missed her period this month by 12 days. We have been advised to go for USG pelvis. The report states 'right ovarian cyst'. Advise by the gynic was to use tabs(Gynaset) for 3 days. We are worried a lot .
Basically we are worried about:
- why this happened now
- will she have period after using 'Gynaset'.
Extract of the ULTRA SONOGRAPHY PELVIS:(not able to load report)
UTERUS ANTEVERTED. NORMAL IN ECHO TEXTURE MEASURES: 6.1 * 3.1 * 3.7cms
NO E/O FOCAL LESIONS NOTED. ENDOMETRIAL CAVITY MEASURING : 7 MM.
OVARIES LT: 3.0 * 1.8 CMS—NORMAL
RT: E/O ANECHOIC SOL NOTED IN RIGHT. ADNEXAL REGION MEASURING: 5.1 * 4.5 CMS.
NO E/O SEPTA OR CALCIFICATION NOTED.
BLADDER NORMAL
P O D FREE
IMPRESSION RIGHT OVARIAN CYST
please advise.
XXXXXXX

Answered by Dr. Gowri Kulkarni (1 hour later)

Hi,

Thank you for posting in your query.

I can understand your concern and worry related to your daughter's health.

I gather from your query that your daughter has had delayed periods and her Ultra-sonography shows Right Ovarian Cyst.

Let me answer your questions:

1. Why this happened now?

Cysts in the ovary can happen any time. The Functional ovarian cysts are most common in the reproductive age group.

Common symptoms of cystic lesions of ovary are menstrual cycle disturbances, weight changes, increase in facial hair, weakness and dizziness, pelvic pain, back pain, some times nausea and vomiting, infertility, anemia, excessive thirst or urination, any associated hormonal disturbances like thyroid problems.

Besides Ultrasound, it would be a good idea to do certain blood tests like Serum LH (Leutenising hormone), FSH (Follicular stimulating hormone), Estrogen, Progesterone, Testosterone, Thyroid function tests, Sugar levels and a Complete blood count.

2. Will she have periods after taking Gynaset?

Gynaset is a Progesterone pill containing Norethisterone 5 mg. It is usually prescribed for 3 days. Usually this pill causes withdrawal bleeding 2-4 days.

My suggestion would be to get a thorough blood examination done and to re visit your Gynecologist who would be able to help you better with the line of treatment depending on the results.

Hope I have answered your query. Please accept my answer in case you have no follow up queries.

Regards,

Dr Gowri

Above answer was peer-reviewed by : Dr. Jyoti Patil

Follow up: Dr. Gowri Kulkarni (1 hour later)

Thanks Dr. XXXXXXX Madam. We have started the tab-Gynaset, yesterday night only. So she has taken one dose on 27/12 night and second dose to-day morning (28/12). Second point is that this delay happened for the first time in the last 10 years. So we will certainly proceed further as suggested -:
However Permit me further clarification:
1. is it curable with medicines and how long ( we have just started looking alliances for marrying my daughter and we are upset due to this).
2. In case the period starts now after taking medicines, are we to go ahead with blood tests suggested.
3. The gynic suggested that we should go for one more scanning after one week. What will be the expected development.
I will be greatful for your valuable suggestion.
regards

Answered by Dr. Gowri Kulkarni (15 minutes later)

Hi,

Thank you for your follow up question.

It is good to know that you have started the medication.

Coming to your questions:

1. Is it curable with medicines and how long?

The curability depends on the diagnosis. Hence, it is vital that you get the tests done. Kindly get in touch with your Gynecologist who would be able to help you with the tests and the results.

2. In case the period starts now after taking medicines, are we to go ahead with blood tests suggested.

Ideally you should do the tests so that we could find if there is any hormonal abnormality and treat the same at the earliest.

3. What will be the expected development?

Your Gynecologist has advised you right. It is important to get the scan done to see if the cyst size has changed following medication.

Hope I have answered your query. Please accept my answer in case you have no follow up queries.

Wish your daughter a speedy recovery.

Regards,

Dr Gowri

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Jyoti Patil