need an opinion about complex ovarian cyst

[momto2]

Hello everyone, I am hoping someone can help me decide what might be the best course of action for me. Here is my short history. About 3 months ago started having probelms with nausea, bloating etc. Mild discomfort in right groin area. I went to my GYN doc who ordered a transvaginal US. It showed a 1.7cm right complex ovarian cyst. They ordered a followup US in 6 weeks. I had that done and it said "interim resolution of right complex cyst. small amt free fluid in cul-de-sac, probably physiologic in nature" The weird thing is I continued having this bloating feeing so I opted for an Abd CT. I had that a week after the followup US. It showed a complex cyst on the right ovary that was thick walled and recommended followup. I thought the thing had resolved! I talked to my Gyn doc and she wasn't concerned. She said I just got another one and at my age (41) I would have these things and she would not order any more followup ultrasounds.She also said CT scans were not as reliable for Ovaian cyst diagnosis.Incidentally, the CT also showed 2 things on my liver. They don't think it's cancer but they want to take them out. What do you guys think I should do about this cyst? Should I take the Drs. advice and forget about it?

[hatgal]

I don't think a doctor should ignore a complex cyst especially with free fluid and things on your liver.  No matter the size, I believe they most always remove complex cysts b/c they don't know exactly what they are filled with until they remove and biopsy them. I had one removed and it was only about 2.5 cm, but my doctor had me go through one cycle and when it was still there, he removed it (totally benign, thank goodness). The pain is also telling you something is not right (not as in cancer, but probably some other gyno related issue). Having the same issues, very severe, and am currently pursuing all the follow up testing now. I know the frustration you must be having. Best of luck to you!

[cirella]

Hi...I'd get another opinion.  It can't hurt and it would put your mind at ease.  My complex cyst was found by an MRI (for back issues) and after seeing the GYN and waiting through a cycle, 2 VUS's showed it had grown and a laparoscopy was done.  It turned out to be endometriosis.  Also, if they are going to go in for the things on your liver, why can't they take a look at your ovaries/cysts?

[momto2]

Hi! Thanks for your input. I kind of thought I should get some sort of followup but I didn't want to seem like a hyperchondriac. I feel like the Drs. already think I worry too much. I just want to make sure the initial cyst actually went away and it wasn't an over sight by the radiologist. Who knows maybe I get these kinds of cysts all the time and just didn't know it. I know someone who has ovarian cancer and it spread to her liver (she's OK now) so I worry about that quite a bit. All my liver labwork has been normal. I went ahead and scheduled another US to check on this latest cyst but I wonder at what point do I quit having all these US and just assume everything is OK. When they let me know more about my liver I might have them check on the cyst during surgery if it is still there. Thanks!