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cyst or something else?
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cyst or something else?

Hi,
I am 42 years old and had a benign ovarian cyst a couple of years ago. I had discovered it becuase
I was having irregular spotting a week before my period started. My OBGYN put me on the ortho evra
patch and it went away within 2 months. I have been on the patch for about 2 years now. For the last
couple of months I have gotten the very same symptoms again, exactly as before. Spotting 1 week before my period starts, very light. The difference now is that I am on the patch, and was not before.
Is it possible to have developed another similar cyst as before even though I am on the contraceptive
patch? My doctor thought it was a funtional cyst the first time, could I have gotten another funcional
cyst while on the patch? Or maybe the first one was another kind of cyst that went away too?
Thanks for any ideas, I will be making a doctor's appointment tomorrow morning to check it out.
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242604_tn?1328124825
Dear Dloy,
thank you for your question. Irregular hormone cycles can caused irregular spotting. This can happen for women who do not ovulate every month or who have a shorter than normal post-ovulation phase which is when the ovary produces progesterone. Trying a contraceptive pill can stabilize the lining of the uterus.

However at age 42, it is possible that irregular bleeding is unrelated to hormones.

Other possible reasons for abnormal bleeding include:
              -lesions  such as cancers in the vagina or cervix
              - benign polyps inside the lining of the uterus (the endometrium)
               -precancerous growth in the endometrium
               -endometrial cancer

It is important that you get:
         - a pelvic exam to look for other possible sources of bleeding (vulva, vagina, cervix
         -you need a pap smear
         -you need a biopsy of the lining of the uterus (endometrial biopsy or D&C (dilation and curettage))
         -a pelvic ultrasound can also be helpful to look for thickening in the lining of the uterus or ovarian cysts but an ultrasound does not replace the need for a biopsy of the endometrial lining

you should bring these issues back to your doctor for discussion
best wishes
15 Comments
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Avatar_n_tn
Hello and thank you for your detailed response. I have been worried about the possibity of
ovarian cancer becuase of this bleeding while on the bith control patch. It seems here that you
would be more enclined to suggest a possible problem with the uterus correct? I did have
my anual pap test 2 months ago with all normal results.
Could you comment one more time on this? :)
Will be going to see my Coc tomorrow>
Thanks a buch,
Donna
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Avatar_n_tn
Whoops! Meant to say I am going to see my DOC tomorrow, bad typo!
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Avatar_n_tn
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Avatar_n_tn
  hi i just want u to tell mwhat my results i had for ct scan mean
there's a cystic lesion within the right adnexum which measures appropriately 4.5cm in diameter.this is presumably ovarian in origin. there is a moderate amount of adjacent free fluid extending into the pouch of douglas suggestive of some recent partial rupture.
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242604_tn?1328124825
Dear Dloy
-don't worry about the typos (you should see mine!)
-yes, I worry more about a problem inside the uterus. So My focus would be on checking a endometrial biopsy and and ultrasound. i hope all went well with yur appointment


Tayba
It sounds like you have what is called a hemorrhagic cyst which is a cyst that develops after ovulation.  However if that does not makes sense based on your menstrual cycle or age, you need to have that cyst removed. If it does make sense based on age (under 50) or cycle ( period 1-2 weeks before the ultrasound), then I would suggest a repeat ultrasound after your next period
best wishes
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Avatar_n_tn
hello i have gone to my gynecologist and she did a blood test and said to make an appointment with her after i have a ultrasound which is after my periods. do u really think think i need to remove the cyst  like there's no other way it can disappear please tell me if there's another way!!!
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Avatar_n_tn
i am 22 years of age
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242604_tn?1328124825
Hi there most cysts at 22 will disappear.
Lets see what your next ultrasound shows
take care
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Avatar_n_tn
hi i got my blood test results back and they indicate i am anemic and my hormone levels are up i am going to do a ultrasound next week. i  have a question that does a cyst cause you to go to the toilet more often like for me if i have a drink after a few minutes i am rushing to the toilet plz answer this 4 me..
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242604_tn?1328124825
Hi There,
Unless a cyst is very big (larger than 10 cm) it does not usually give a person bladder symptoms. I would wonder about an unrelated bladder infection
take care
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Avatar_n_tn
hi i am sorry to bother you again but i have been checked for a infection twice before but it's negative so is there any medication which i can take to solve this problem
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Avatar_n_tn
another thing wat preparation is needed for the ultrasound of the pelvis for right ovarian cyst
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Avatar_n_tn
I had a pelvic ultrasound done. My cyst is only 1.5 but my doctors are talking about surgery already. I am 29 years old.  My period is around 28 days-32 days. Last month I had 39 day cycle in October  2007 and wondering if it was cause of the cyst. This week I started spotting early period 11-15-2007 and counted that cycle end up being a  27 day cycle. My doctor wants to wait until two cycle of my period is done and if the cyst is the same size. Or even a little bigger surgery will be order. My question  is can a cyst have  make your period spot.
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242604_tn?1328124825
Hi there
For little concern,
you should ask your doctor what kind of cyst it is. I am wondering it is a dermoid cyst. that has a particular look on the ultrasound. We usually like to surgically remove them when they get to be about 4 cm in size. This is done to preserve the ovary. If the cyst gets too big, it is harder to do that.

Tayba
it sounds like you are being well cared for and getting good follow up. You should call your doctor's office to get specific instructions for your test. instructions can vary depending on the type of exam
best wishes
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