Complex cyst and free pelvic fluid

[happyholly]

I am so thankful for this forum! I have 2 complex cysts: one in each ovary, measuring 4.2 cm and 4.1 cm, and there is free pelvic fluid in the posterior cul-de-sac.

The doctor said these could be enlarged corpus luteum cysts, but that he can't be certain (especially because of their size and because there are two of them -- corpus luteums are typically solo cysts), so I am scheduled to have a 2nd ultrasound in 1 week from now (the 1st ultrasound was 2 months ago).

My questions are:

* What is the significance of finding free pelvic fluid? What does it mean, and why do doctors make a note of this finding?  

* Is it common to have cysts on both ovaries?

* What are the chances this could be cancer?  

Thanks so much!

Holly

[MickeyVicki]

A small amound free fluid could be due to the cysts hemorrhaging into your abdomen.  If this is the case, then this type of free fluid is a normal part of the process of cyst resolution and the cysts should be smaller in the following ultrasound.  Otherwise, there are "complications" of the process, including cysts that are not going to resolve naturally and which will require removal.    Substantial amounts of free fluid can indicate serious conditions such as liver disease or cancer.

It is not uncommon for both ovaries to have cysts if the patient has health conditions that cause these cysts to form or fail to resolve.  These conditions could include PCOS or other hormonally related disorders.  

Statistically speaking, the cysts are not likely be cancerous.    Don't quote me on this since it has been some time since I read the chart, but I think I recall the statistic being 92 or 95 percent of the cysts found to be benign.  Still, you cannot relax your guard and fail to follow through with more imaging and even surgery if necessary. The fact that you do have a cyst on each ovary, and that one cyst is complex, does increase the statistic towards the side of cancer, by a few points, I think.

[happyholly]

Thanks, MickeyVickie! I have my ultrasound on August 21, and though it's just a week away, the waiting can be so hard. I really appreciated reading your take on it. Thank you!

[kris1125]

Im alittle confused and need some information..i recently was sent to have a sonogram done do to the fact for 3mnths i have had my period twice a month with cramping, clotting, basically feeling like a gold ball has to fall out my vagina as horrible as it sounds...so i went for a sonogram transvag..and came back with a fibroid on my uterus as well as my endomitrium is 8cm and my uterus is 8.9 cm and a septated cysts on my left ovary with minimal free fluid and a cysts on my right ovary...can anyone please give me some information as to what this all means especially MINIMAL FREE FLUID...im 26 years old, and also have a appt. aug.23rd with a oncologist...THANK YOU ALL!!