Thanks! He is repeating the CA 125 test in December and, yes, the waiting is hell...
The hemorrhagic cyst has been there since August 2006. My gyn said way back then it should go away in a few cycles. Over a year later I find myself confused and worried. I never thought in a million years I would be referred to an oncologist - and it is so hard to wait any longer. I really appreciate your help and want everyone to know how great it is to have these boards to learn and support each other!!! I go back December 12 and have my next U/S a the end of November.
First some basic definitions:
Corpus Luteal Cyst or Simple Cyst: Normal Glandular mass in the ovary that forms when the egg is released by the follicle during the menstrual cycle. If the egg is fertilized, then it stays around and produces progesterone. If the egg is not fertilized, then it dissolves. If it doesn't dissolve when it's supposed to, it forms a cyst, which often dissolves or goes away on its own.
Hemorrhagic corpus luteal cyst: A blood filled cyst that has hung around too long. If premenopausal, then it's most likely benign but can get infected if it bursts. If postmenopausal (becuase you are not supposedly ovulating), then a it is more suspicious and it may need to be biopsied (through surgery).
Our ovaries can have various stages of curpus luteum or eggs getting ready for ovulation, so that may explain the multiple cysts, some which are follicular or normal ovulation related.
Fluid in the cul de sac (or behind the uterus) could be from a ruptured or dissappearing cyst.
You largest cyst although growing is still small. It is good that your gyn/onc is monitoring it to see if it continues to grow (although the waiting is hell).
Ask him to also repeat the CA-125 to see if it is increasing (have blood drawn same time as next US).
If CA-125 rises, it could also be an indicator of a more suspicious cyst or more serious condition.
Discuss this with the Gyn/Onc.
Hang in there, you are doing the right thing in getting it followed up.
For now, things look benign so don't get panicky.