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Menopause (Expert Forum)
Complex ovarian cyst and depo-provera
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
Complex ovarian cyst and depo-provera
by emgscot, Jan 16, 2007 12:00AM
55 years old and postmenopausal. I was diagnosed with complex ovarian cyst. Gynocologist decided to try Depo-provera to shrink it. After 3 months, ultrasound showed no ovaries but very swollen Fallopian tubes (without fluid). Gyno says no treatment required. Why are my tubes swollen and where did my ovaries go? Gyno avoided question.
Doctor's Answer
by Machelle Seibel, MD, Jan 17, 2007 12:00AM
, Jan 17, 2007 12:00AM
A. Your ovaries are still there, but the Depo-Provera shrank them and makes them harder to see on ultrasound. If they are not seen, that is good and means that the cyst has likely disappeared and the ovaries are normal.
I am not sure why your tubes are swollen. It is possible that the “complex ovarian cyst” was in fact your tubes which looked like a complex cyst. That can happen and you can request the ultrasound films and have another doctor read them. Swollen tubes without fluid can be hard to see on ultrasound so there could be some confusion. To be sure, you can request another ultrasound in 3 to 6 months from now as a follow up on both your ovary and your tubes.
Machelle M. Seibel, MD
I am not sure why your tubes are swollen. It is possible that the “complex ovarian cyst” was in fact your tubes which looked like a complex cyst. That can happen and you can request the ultrasound films and have another doctor read them. Swollen tubes without fluid can be hard to see on ultrasound so there could be some confusion. To be sure, you can request another ultrasound in 3 to 6 months from now as a follow up on both your ovary and your tubes.
Machelle M. Seibel, MD
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I was concerned about the"missing" ovaries because the overy with the cyst was not found in the first ultrasound. The same overy, complete with cyst, showed up on the second ultrasound.