I am a 35 year old female with 2 kids. For the past 2 months, I have been having excessive flatulence and belching. I have had some issues with constipation off and on for years, but these symtoms are completely new. I had a transabdominal pelvic ultrasound that showed a 2.8 cm complex cyst on my right ovary. The radiologist noted this may represent a hemorrhagic cyst. The gyn does not seem concerned but ordered a CA-125 to reassure me. My CA-125 was 20 which she said was normal. I am having a follow-up pelvic ultrasound ( this time transvaginal) in 2 weeks. In the mean time, I also have an appt with a gastro dr. I understand that cysts are overwhelmingly benign and at my age I am at low risk for ovarian cancer, but the sudden onset of my symptoms along with the cyst has me very alarmed. Also, my grandmother & great grandmother on my father's side died of breast cancer and my dad has prostate cancer, so that worries me about a genetic predisposition. At what point would laparoscopic surgery be warranted as I understand that is the most definitive way to rule out ovarian cancer?
I have two new symptoms that just showed up last night. I am having some mild lower back pain on my right hand side...similar to the feeling I get when I have cramps but slightly different and only on the right. Twice when I urinated I also noticed some blood on the tissue. I can't be positive the blood didn't come from my urinary tract, but since I have no other symptoms of a UTI and haven't had a UTI since I was a kid, I assume this was spotting. Even if it is a UTI, that concerns me since that would be very coincidental. I often have a little spotting before before my period but this is a few days early and in the past I have never had cramps or pain before a period.
Due to the pain, I did have a follow-up ultrasound earlier. Looks like the hemorrhagic cyst ruptured as there was some fluid in the cul-de-sac and only a 1.3 cm simple cyst showed up. The bleeding seems to have been my period although much lighter than normal. Still having some mild pain 3 days later. Docs feel certain this is not cancer, but I still find it to be a huge coincidence that my GI symptoms started 2 months ago and then I discovered a complex cyst that had symptoms when it ruptured for the first time in my life. Should I do any additional follow-up?
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