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Suggest Treatment For Severe Pain When Diagnosed With Ovarian Cyst
Question: I have a complex Ovarian cyst on my right ovary that is hypoechoic with thin internal septation (it has doubled this size of the ovary. There is also free fluid in the Cul-de-sac. Im experiencing a great deal of pain, I see the surgeon tomorrow. I'm 41 and I'm concerned that this maybe cancer, my health care providers are moving at a slow pace. The growth was there in January of this year but has grown quickly. Is this enough information to get them to move quicker to figure out what this is? Or am over reacting?
Brief Answer:
There is no reason to suspect cancer from your findings
Detailed Answer:
Hello, and I hope I can help you today. I reviewed your ultrasound report and hope that I can provide you some reassurance.
First of all, I want to let you know that ovarian cysts are actually completely normal in women of reproductive age. When you ovulate, your egg grows in liquid which appears as a cyst on an ultrasound. When you ovulate, that cyst bursts, and new ones grow to replace it. Sometimes the ovary bleeds when you ovulate, which can remain within the ovary a a blood clot, which appears as a complex or hemorrhagic cyst.
Ovarian cancer is very rare in reproductive age women. The average age of diagnosis of ovarian cancer is age 62.
Secondly, your cysts are really too small to be concerning for malignancy. It is very unusual to see ovarian cancer in a cyst that is less than 5cm is size. I do not know how big your cyst was in January, but cysts up to 4 centimeters can be produced during normal ovulation.
The ultrasound mentions also that you have an IUD. If you have a hormonal IUD like the Mirena, it is normal to develop ovarian cysts as a side effect, which is usually disappear after 6 months of use.
The free fluid they see in your pelvis probably means that one of the cysts burst (which can happen from ovulation) and that can be the explanation for your pain.
So at this time, there is nothing on your ultrasound findings that are concerning for cancer, and surgery is also not indicated in your situation. Most cysts like this typically disappear by themselves within one or two menstrual cycles. This is why it was recommended to you to try to control your pain with medication and repeat your ultrasound in 6-8 weeks.
I hope my explanation helps you to understand why your doctors are recommending expectant management (waiting and seeing) for your cysts. There is absolutely no reason to suspect ovarian cancer given your findings, and the majority of the time, these types of cysts go away by themselves, but it can take 6-8 weeks for that to happen.
If you need any further clarification, please do not hesitate to contact me.
Best wishes,
Dr. Brown
There is no reason to suspect cancer from your findings
Detailed Answer:
Hello, and I hope I can help you today. I reviewed your ultrasound report and hope that I can provide you some reassurance.
First of all, I want to let you know that ovarian cysts are actually completely normal in women of reproductive age. When you ovulate, your egg grows in liquid which appears as a cyst on an ultrasound. When you ovulate, that cyst bursts, and new ones grow to replace it. Sometimes the ovary bleeds when you ovulate, which can remain within the ovary a a blood clot, which appears as a complex or hemorrhagic cyst.
Ovarian cancer is very rare in reproductive age women. The average age of diagnosis of ovarian cancer is age 62.
Secondly, your cysts are really too small to be concerning for malignancy. It is very unusual to see ovarian cancer in a cyst that is less than 5cm is size. I do not know how big your cyst was in January, but cysts up to 4 centimeters can be produced during normal ovulation.
The ultrasound mentions also that you have an IUD. If you have a hormonal IUD like the Mirena, it is normal to develop ovarian cysts as a side effect, which is usually disappear after 6 months of use.
The free fluid they see in your pelvis probably means that one of the cysts burst (which can happen from ovulation) and that can be the explanation for your pain.
So at this time, there is nothing on your ultrasound findings that are concerning for cancer, and surgery is also not indicated in your situation. Most cysts like this typically disappear by themselves within one or two menstrual cycles. This is why it was recommended to you to try to control your pain with medication and repeat your ultrasound in 6-8 weeks.
I hope my explanation helps you to understand why your doctors are recommending expectant management (waiting and seeing) for your cysts. There is absolutely no reason to suspect ovarian cancer given your findings, and the majority of the time, these types of cysts go away by themselves, but it can take 6-8 weeks for that to happen.
If you need any further clarification, please do not hesitate to contact me.
Best wishes,
Dr. Brown
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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