Ovarian Complex Cyst

[GLB37]

History
Age 51; (2) vaginal births at age 23 & 27.  Height 5’-6”, Weight 125 (normally 117) small frame.
Menstruation began at age 11.  Monthly heavy, painful periods lasting 7-10 days with large blood clots.  Anemic due to the loss of blood.  One of my daughters had surgery at age 17 to remove endometriosis, which I assume I have also.

Currently in premenopausal stage. .In the last 12 months, 2 periods have been 3 weeks late, with spotting for 3 to 4 days in between periods.  My last (2) periods for Feb. & March have been lighter (5 days) with little clotting, but extreme back pain.
Symptoms: For the (15) months I have been bloated with pressure and pain in my lower abdomen, back pain and not feeling my best, just thinking it’s a part of menopause, but still having my painful monthly periods.

Oct. 2013 - My pap smear came back abnormal for pre-cancerous cells, which I was told was normal for my age.  Still not feeling my best and just dealing with the pain and bloating.

Dec. 2013 -Pain getting worse and not going away after my period ends.  Have all the symptoms for uterine fibroids, ovarian cysts, endometriosis and uterine cancer.

Feb. 2014 made an appointment with my GP; unfortunately I had my period so I wasn’t examined, my blood pressure was high, I assume from the pain.  My doctor gave me a shot to relieve the pain (it didn’t help) and pain medication (also not much relief) and referred me to have an ultrasound.

March 2014 - Ultrasound US Pelvic (non OB) Transabdominal 1 results:

INDICATION: Dysmenorrhea, rule out fibroids.

FINDINGS: The uterus measures 11.7 x 4.3 cm in size and the endometrium measures 7mm in thickness.  No free fluid is seen in cul-de-sac.
The right ovary measures 5.0 x 3.4 x 2.1 cm and the left measures 5.4 x 1.8 x1.4 cm.  There is a follicle in the right ovary, with an additional complex cyst measuring up to 2.2 x1.5 cm.  The possibility of a hemorrhagic cyst is raised.  No other ovarian cysts or masses are seen and no adnexal abnormalities are identified.  There is no free fluid in the cul-de-sac.

No uterine fibroids or other uterine abnormalities are seen.

IMPRESSION:
1. Small 2.2cm complex cyst in the right ovary, which may reflect a small hemorrhagic cyst.  If clinically indicate, follow-up imaging in approximately six months may be helpful to exclude the unlikely possibility of an ovarian lesion of other etiology.  Additional small right ovarian follicle is noted incidentally.
2. No uterine fibroids or other masse, or other pelvic masses, cysts, or fluid collections are seen.

My GP has referred me to a Gynecologist and the next available appointment is for April 17, 2014, which I wish was much sooner.  I’m so uncomfortable and in pain every day.  The quality of my life has especially suffered in the last year, I don’t even want to go on walks or exercise, and I feel like I need to protect my pelvic area, or it will burst. My questions for you are the following:

1. Do to my age, the abnormal pap smear for per-cancerous cells, a complex cyst, enlarged Uterus (which I can feel all the way up to my belly button and I look 3 months pregnant),and Uterine thickness of 7mm, should a red flag be raised for cancer?

2. If I was your patient what would you recommend?

Thank you for your time and expertise.

[HVAC]

I second seeing an GYN/Oncologist they not only deal with Cancer but Ovarian Cysts. I am sorry you are in pain. I hope you get relief soon.

Alex

[JJovcaSurvivor]

Hi, Did you get any answers?  I am not a doctor or anything, but am an ovarian cancer survivor.  Your weight gain, bloating, pain, protruding belly, heaviness reminds me so much of my symptoms before surgery.  There is one type of specialist that deals properly with all this, and has the training - an Gynecologist/Oncologist.  Please try to seek one out; not just a regular gynecologist (if you have surgery).  Good luck.