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Am Writing To You Because About Four Weeks Ago I
Question: am writing to you because about four weeks ago I started to have sysmtoms of unexplained tiredness,
Changes in appetite, such as a loss of appetite or feeling full sooner.
nausea
Pressure in the pelvis and pain lower back.
A more frequent or urgent need to urinate and/or constipation.
So I went to my doctor on XXXXXXX 19th 2019 and they did a urine sample and he said I don't have a urinary infection but it did indicate blood in the urine. I explained my symptoms and he said that he would give me medication for nausea and a shot for my back pain. Said to come back if my symptoms got worse or did not get better. So I went to weeks later and my symptoms are still the same. I went back and he ordered a pelvic exam and x rays . I got my results and he said to come back in 8 to 10 weeks. as of today XXXXXXX 28th 2019 my symptoms are still same and nothing as change. But i made an appointment for July 1st. I also did have a menstrual period on XXXXXXX 14th and lasted three days. Today XXXXXXX 28th I had to go to the bathroom and as i wiped i noticed a bloody discharged. could it be possible that my period is starting again? should i get a second opinion. please help
Changes in appetite, such as a loss of appetite or feeling full sooner.
nausea
Pressure in the pelvis and pain lower back.
A more frequent or urgent need to urinate and/or constipation.
So I went to my doctor on XXXXXXX 19th 2019 and they did a urine sample and he said I don't have a urinary infection but it did indicate blood in the urine. I explained my symptoms and he said that he would give me medication for nausea and a shot for my back pain. Said to come back if my symptoms got worse or did not get better. So I went to weeks later and my symptoms are still the same. I went back and he ordered a pelvic exam and x rays . I got my results and he said to come back in 8 to 10 weeks. as of today XXXXXXX 28th 2019 my symptoms are still same and nothing as change. But i made an appointment for July 1st. I also did have a menstrual period on XXXXXXX 14th and lasted three days. Today XXXXXXX 28th I had to go to the bathroom and as i wiped i noticed a bloody discharged. could it be possible that my period is starting again? should i get a second opinion. please help
Brief Answer:
Detailed below.
Detailed Answer:
Hello,
Thanks for sharing your health concern with us.
I have gone through your query and also the attached reports.
I would like to know if you have regular menstrual cycles, if there was any history of pelvic infection and if you are on any medication. Also, I would like to know if you are sexually active and use any contraception.
As per the reports, there is a cyst in the ovary, of significant size. The texture is not mentioned. A better view can be obtained through a trans-vaginal sonogram. This cyst could be causing the symptoms due to pressure effects especially if you have a retroverted uterus. Further effects depend on the nature of the cyst.
If blood was noted in the urinalysis, further evaluation through culture test and assessment of the renal profile gives clarity and helps plan further management.
Since you have an appointment soon, please go ahead and discuss with your doctor. I do not think that the discharge you noticed is due to another period, especially when the blood flow in your previous period was normal. It is more likely to be a breakthrough bleeding resulting from hormone imbalance.
Considering the size of the cyst, observation has been suggested. A repeat sonogram should help detect changes.
You can decide about getting a second opinion after your consultation.
Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Detailed below.
Detailed Answer:
Hello,
Thanks for sharing your health concern with us.
I have gone through your query and also the attached reports.
I would like to know if you have regular menstrual cycles, if there was any history of pelvic infection and if you are on any medication. Also, I would like to know if you are sexually active and use any contraception.
As per the reports, there is a cyst in the ovary, of significant size. The texture is not mentioned. A better view can be obtained through a trans-vaginal sonogram. This cyst could be causing the symptoms due to pressure effects especially if you have a retroverted uterus. Further effects depend on the nature of the cyst.
If blood was noted in the urinalysis, further evaluation through culture test and assessment of the renal profile gives clarity and helps plan further management.
Since you have an appointment soon, please go ahead and discuss with your doctor. I do not think that the discharge you noticed is due to another period, especially when the blood flow in your previous period was normal. It is more likely to be a breakthrough bleeding resulting from hormone imbalance.
Considering the size of the cyst, observation has been suggested. A repeat sonogram should help detect changes.
You can decide about getting a second opinion after your consultation.
Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much for answering my question , I am not sexually active at all. I did have child that is now 4 years old and i am single parent. I not on any birth control as of right now. I do have hypothyroidism, and currently on propanolo10mg and levo thyroxine 125.
Normally my period cycles are irregular,
My other question is How would i know if the cyst is cancerous or not. is it possible that a cyst can turn into cancer? because the Doctor i am seeing is my physician , and hes the one who told me to come back a month later in July. But my concerns are that the symptoms that i am experiencing have been more than three weeks.
Brief Answer:
Further evaluation helps to detect the nature of the cyst.
Detailed Answer:
Hi,
Thanks for writing back.
To know whether the cyst is cancerous or not, there are certain tests to be done, including tumor marker tests. You have to see a gynecologist/gynecological oncologist for a proper appraisal of the situation.
Most often, the cysts have spontaneous regression and if they are producing hormones, you are likely to experience menstrual aberrations.
Family history, genetic makeup are important factors in the cause. As your symptoms are not relieved, please proceed to see a gynecologist for further evaluation and management.
Hope this helps. Please let me know if I can assist you further.
regards,
Shanti.V.
Further evaluation helps to detect the nature of the cyst.
Detailed Answer:
Hi,
Thanks for writing back.
To know whether the cyst is cancerous or not, there are certain tests to be done, including tumor marker tests. You have to see a gynecologist/gynecological oncologist for a proper appraisal of the situation.
Most often, the cysts have spontaneous regression and if they are producing hormones, you are likely to experience menstrual aberrations.
Family history, genetic makeup are important factors in the cause. As your symptoms are not relieved, please proceed to see a gynecologist for further evaluation and management.
Hope this helps. Please let me know if I can assist you further.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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