First, thank you for your answer. 52 years old, no peroids since 06/06, diagnosed by blood tests as menopausal in 10/06, and repeat tests in 06/07 showed defenite menopause.Long history of ovarian cysts and had a 12 cm. cyst and right ovary removed in 06. all pathology OK.
Now I have been having ovarian cysts being followed since 10/06 with repeat ultrasounds every 3 months. Doctor said there was one, then a couple of them and they were small so he continued watching. Since Octorber 06 I have had all the symptoms that I know are related to the cysts, but now have had bleeding. a couple of times just spotting for a couple of days, and last months 10 days of a lighter period type bleeding. 3 weeks after this bleeding doctor did an endometrial biopsy and said my lining was very thin. But the cyst was about the size of a golf ball. He suggested still watching, and repeat the ultrasound in 2 or 3 months.
Does this sound OK, or should I get another opinion. I am tired of the symptoms. But don't I still need that other ovary? I do not care to take any HRT. I am small and lean. doesn't that ovary still help with a little estrogen production? or am a I better off with out it.
At age 52 the amount of estrogen an ovary produces is typically small. But the ovaries do also continue to make androgens which can help with libido and some of the androgens are converted into estrogen. If your cysts are small and coming and going, it is likely that these cysts are "functional" cysts meaning they are less typical cysts from a normal ovary rather than tumors (either benign or malignant) that must come out. However, If you are being troubled by constant observation with ultrasounds and symptoms, and the worry creates stress for you, it is a reasonable consideration to discuss removing the remaining ovary with your doctor. It could likely be done by laparoscopy and your recovery would be much shorter than if done by a bigger operation. You would have to see how many symptoms you have and decide if you in fact want to or do not want to take estrogen at that time. Hopefully, your estrogen level being low, you might not experience many symptoms and not need treatment for hot flashes. You still might want to have a bone density done and a colonoscopy to evaluate risk for osteoporosis and colon cancer. Getting a second opinion would make sense if your current doctor does not want to discuss these options with you.
Machelle M. Seibel, MD
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.