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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain, Cramping. Diagnosed As Cyst Ruptured, Blood Work Shows Imbalanced Hormones. Anything Serious?

I am a 42 year-old female in relatively good shape (5'3", 135 pounds). I have been having some lower abdominal pain and cramping, so I went to my OBGYN who did a transvaginal ultrasound and found clear fluid behind my uterus. She suggested that I had most likely had an ovarian cyst that ruptured and suggested that I retune in 6-8 weeks if the pain persisted. Other than the light cramping that I experience occassionally, I feel fine. I also had quite a bit of bloodwork done (liver function, hormone check, CBC) and everything was fine other than a few imbalanced hormones. Could this be something more serious?
Mon, 29 Jul 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
You mentioned that cyst rupture and there is collection of blood behind uterus .
This is normal.
As you mentioned that there is hormonal imbalance , but what type of imbalance , please mention it.
Ratio of F S H/L H is very important in cyst cases.
Level of androgen ( testosterone/ androgen ) is an important factor as well as level of estradiol.
Please get in one more ultrasound , so that exact nature of ovarian cyst could be found.
Good luck.
Dr. HET
Fluid in abdomen will re absorb , so don't worry about that.
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Lower Abdominal Pain, Cramping. Diagnosed As Cyst Ruptured, Blood Work Shows Imbalanced Hormones. Anything Serious?

Hello, Thanks for the query to H.C.M. Forum. You mentioned that cyst rupture and there is collection of blood behind uterus . This is normal. As you mentioned that there is hormonal imbalance , but what type of imbalance , please mention it. Ratio of F S H/L H is very important in cyst cases. Level of androgen ( testosterone/ androgen ) is an important factor as well as level of estradiol. Please get in one more ultrasound , so that exact nature of ovarian cyst could be found. Good luck. Dr. HET Fluid in abdomen will re absorb , so don t worry about that.