8 weeks into her first pregnancy, my 39 year old wife had a miscarriage. My wife's ob/gyn advised that she undergo a D&C, performed on 2/23/07. All tissue tests came back normal. However, the bleeding did not subside after a few days. A month after the D&C, the bleeding had not abated, and an ultrasound revealed an abnormal mass in the uterus and small ovarian cysts -- which caused the ob/gyn to suspect a partial molar pregnancy. However, tissue tests and an HCG test did not confirm this; the diagnosis was a large uterine clot. My wife's ob/gyn suggested a second D&C, but we decided to wait.
Nearly 2 months after the D&C, my wife was still bleeding on and off. A second ob/gyn recommended another D&C because she observed a closed cervix, and a uterus that had not returned to its pre-pregnancy size.
Last Friday (4/27), we spoke with my wife's ob/gyn, and he again suggested that we scheduled a D&C. No mention of ovarian cysts were made, but a pre-2nd D&C ultrasound showed a clear uterus, and also a large ovarian cyst. Our ob/gyn ordered a CT scan (why not a MRI?), which revealed a large hemorrhagic ovarian cyst, 7cm x 8cm x 10cm.
My wife is not in any pain, but still bleeds slightly on and off, and has had no menses since December, but her ob/gyn now recommends laporoscopic surgery to remove the cyst, which otherwise "will not go away on its own." However, some research stresses that corpus luteum cysts DO go away by themselves, and that "Unfortunately, this [laporoscopy] is one of the most common reason for surgical removal of ovaries and ovarian cysts in premenopausal women."
Questions: 1) Should we wait or should we go through with the laporoscopy? 2) Should we get another opinion?