Symptomatc Ovarian Cyst

[Casey06]

Abdominal discomfort (bloating, pain in left pelvis and under rib-cage, frequent urination, incomplete elimination, acid stomach accompanied by over-all itching sensation, nausea and dizziness, especially prior to ovulation).

Symptoms are worsening each month and have occurred for over a year.

A transvaginal ultrasound results:
"left ovary is enlarged measuring 5 x 3.9 x 3.2 cm. A 4.1 x 3.2 x 2.7 echogenic lesion occupies most of left ovary. The lesion completely fills in with echoes and may represent a solid mass. Could represent a solid ovarian neoplasm or a large hemorrhagic cyst filled with clot."

CA-125 results 400U/ml

What should I do next to get relief?

[Annekathryn Goodman, M.D.]

Dear Casey,

You need to have surgery and have that ovary removed. You should have a gynecologic oncologist participate in your surgery or be the doctor who primarily manages this situation.

While most cysts are benign such as a cyst of endometriosis, a complex cyst in the setting of an elevated CA 125 needs to be removed in the near future (within a month) as there is a risk it could be malignant.
take care

[Casey06]

Thank you so much for the reply!

Why are my 2 Ob/Gyn not the least bit concerned about this? Neither wanted to do a CA-125 and one said there is "nothing seriously wrong here. Your problems are due to too much coffee (2-3 per day) and soda 1-2 per day!) Isn't that outrageous.

I have found a great GP who did order the CA-125 and referred me to A Gyn/Oncoloogist.

Too many symptoms for a "wait and see" approach to this, thanks for confirming this.

Thanks.