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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Growing Ovarian Cyst, Mild Degree Of Free Fluid In Cul De Sac After Being On Birth Control Indicate?

I have a right ovarian cyst that has grown for 0.8 cm in August to 4.8 cm in December 2013. ALso there is a mild degree of free fluid in the cul-de-sac. I have recently been taking birth control since October 2013.... With some improvement of my symptoms. I have consulted my OB-GYN but I am anxious to understand what this may mean...
Mon, 6 Jan 2014
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OBGYN 's  Response
Hi,
Thanks for the query.
According to your description, there is rapid increase in the size of the ovarian cyst.
If the increase slowed down after starting hormonal pills, possibly the size of the cyst will regress after few weeks.
If the size persisted or increased even after taking the pills, you may need to undergo further evaluation.
Free fluid in pouch of douglas can be seen in conditions like after ovulation, pelvic inflammatory disease.
Usually ovulation will not occur while being on hormonal pills.
So, if you are having symptoms like vaginal discharge, pain abdomen etc, get evaluated for pelvic infection.
And take treatment accordingly.
Take care.
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What Does Growing Ovarian Cyst, Mild Degree Of Free Fluid In Cul De Sac After Being On Birth Control Indicate?

Hi, Thanks for the query. According to your description, there is rapid increase in the size of the ovarian cyst. If the increase slowed down after starting hormonal pills, possibly the size of the cyst will regress after few weeks. If the size persisted or increased even after taking the pills, you may need to undergo further evaluation. Free fluid in pouch of douglas can be seen in conditions like after ovulation, pelvic inflammatory disease. Usually ovulation will not occur while being on hormonal pills. So, if you are having symptoms like vaginal discharge, pain abdomen etc, get evaluated for pelvic infection. And take treatment accordingly. Take care.