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Right Ovarian 'Solid' Cyst

Hi! I am new here, am 42 yrs old and feel rather silly worrying about a cyst on my ovary, especially since I am an RN and should know about things like this. Anyway, my gynecologist felt "something" on a pelvic exam, and through a transvaginal ultrasound found a cyst "in" my R ovary. She said she's concerned because the cyst is "hard" or "solid". I've been on Birth control pills for many years, so I don't ovulate, which causes her more reason for concern, because she says I should not be forming cysts, since I don't ovulate. They drew blood for many things, including a CA-125. I do have a family hx of ovarian CA and other "female" cancers of unknown orgins, according to my mother. Anyway, my doctor has increased my birth control to 2 pills a day for 10 days, then I should have a period, and then will come back for a repeat ultrasound in 3 weeks. I guess, being a nurse, I get a little worried when a doctor says, "I'm concerned". She did say that it could possibly be cancer, and if the pills dont' "shrink it", then we will have to remove it. At first I told myself "I'm not going to worry about this! It's nothing!" but now it's all I think about. If only the cyst was "fluid", I think I'd feel better. But she says it's "hard". Can someone out there give me their honest "un-sugar-coated" thoughts about this? I feel so silly even worrying about!!! Thank you!!! :)
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117289 tn?1391712825
The CA125 is not an accurate test for pre menopausal women.  However it is used as a tumor marker once ovca has been dx.  Many things can elevate the ca125..such as ovarian cysts, infections, etc.
~Tascha
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Avatar universal
Thanks to all of you who have made comments! I appreciate the advise and will not take it lightly! I did find out that my CA-125 is normal, but for some reason, I'm still worried. How accurate is the CA-125?
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Avatar universal
I too would make an appt with a gyn/onc. I didn't think birth control actually shrunk cysts only prevented new ones?? Be proactive and don't wait esp. with your family history. Good luck and try not to worry...I know it's difficult.
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Avatar universal
i have had 2 dermoids and both felt hard, i could palpate them myself and one of them felt like a tennis ball!these are benign, as are 99% of cysts. you are not being silly worrying, i certainly do, i am hoping to get my path results tomorrow, and whilst i know its unlikely to be a problem the fears are still there until you are told otherwise. i am also a RN and i have gained so much knowledge from the ladies on this site and support, it is a totally different experience from a patients perspective. good luck, sharon.
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Avatar universal
I also think your situation warrants a CT scan.  Plus I totally agree that you should be evaluated by a gyn/onc.  If you are to proceed to surgery statistics show that the outcome is overwhemlingy better if performed by a gyn/onc.
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Avatar universal
You are not allowed to feel silly when it comes to being proactive in your health care!
It could possibly be a dermoid, which, depending on what's contained in it, could feel 'hard'. Dermoids can have teeth and hair in them....
A CT scan would give a slightly better idea of the area, what may be in or around it, and would ease your mind a little. :)
Hang in there, and keep us posted!
~Marianne
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117289 tn?1391712825
You would be wise in seeking a 2nd opinion from a gyn/onc.  Not only because of your family history, but also they are specialists in women's gyn issues and have seen it all.  Although 99% of ovarian cysts are benign, please do not ignore your symptoms.
~Tascha
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136849 tn?1327321510
Honestly, I would have a CT scan immediately, and go to a gyn/oncologist who specializes in Cancer and knows what they are looking for, especially with your family history.  Best wishes to you.  Please check back and let us know.
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