Golf ball sized cyst with blood in it on left ovary...remove or wait? I'm 25.
For quite some time, I have been having pain and cramping before and during bowel movements. The pain usually is between a 5-7 on a scale of 1-10, however, during my period I am doubled over in extreme pain before bowel movements. During the bowel movements feels more like a pressure than a pain, but before the BM there is extreme pain and cramping. In an ultrasound, the doctor found a cyst on my left ovary the size of a golf ball with some "blood in it." She thinks it's either a hemorrhagic cyst or an endometrioid cyst.
She recommends to repeat the ultrasound in 3 months and have it removed if it's still there, or offers the option to remove it right away. Given my symptoms, I would like to remove it right away and see what's going on in there...However, she claims it's up to me but then keeps advocating for waiting while saying "I don't want to over-treat you" even though the surgery is minimally invasive (a laparoscopy) and would be able to check for endometriosis at the same time. Anyone have any suggestions or similar experience? Much appreciated...IT is all quite frustrating not knowing what causes these symptoms.
Okay, first of all... Have you ever had a laproscooic procedure? It's *not* simple. It hurts like a b*itch to recover from. The first cyst I ever had, OMG I thoughtI was going to die. It was hemorrhaging into my abdominal cavity. I could barely walk. It felt like I was giving birth to a serrated blade. That one was slightly larger than a grape. Anyway, my point... It dissolved on its own after 2-3 months. I think surgery IS over treating unless it's cancerous... Bit they can give you a CA125 to test for that. It's not worth the scar tissue for something so common. It hurts but have faith, avoid lemon juice/lime juice/acidic things. Try & let it dissolve if you can.
Thank you for your response and for sharing your experience. I can't imagine having it hemorrhage...I heard CA 125 tests are quite unreliable, especially for younger people. It apparently can become elevated from noncancerous conditions, such as endometriosis, as well. I also don't understand why my doctor wants to wait 3 months to repeat the ultrasound. If it is indeed a functional cyst, it should begin disappearing during the menstrual cycle. I understand it may not ENTIRELY dissolve until 3 months, but I'd imagine they'd be able to see if it was shrinking sooner than 3 months. Just my thoughts. It can be frustrating and confusing...
That's true about the ca 125, but I don't have diagnosed endometriosis, so mine was negative. My OB also had me wait to get another ultrasound which I didn't mind at all... I'm not a fan of the transvaginal wands... Especially when there's a cyst in there and they're applying pressure. No fun. Lol Mine hurt a bit while it was dissolving, but I also refused to take the lortab they gave me. I just tried to keep hydrated so I didn't get constipated. Gas & constipation always hurt me when I have a cyst. I suppose because of the pressure. I had my laparoscopic surgery when I was 19, a week before freshman year of college started. I couldn't do rigorous exercises or lift more than like 20 pounds which sucked when I was moving into an upstairs dorm. I walked around with a pillow pressed to my abdomen. Lol I'm almost 29 now and I still have gross scars from the surgery 10 yrs ago.
Hi there, I've had two cysts removed laparascopically and I had the opposite issue - I recovered very quickly. My cysts were smaller than a golfball though. I was given an even weirder set of options by my GYN at the time of my second cyst.
She said "Well, we have two options, we can wait and see or we can do surgery in two hours"
Needless to say I panicked, I was due for a meeting at work in an hour LOL! I had my priorities all messed up. I ended up having the surgery and I'm glad I did because they also removed the appendix at the same time and it seems that was also causing me chronic grief.
Do what you feel is best. You know your body better than we do!
Thank you! I'm surprised they actually were so willing to do the surgery right away. I even got a 2nd opinion, and both doctors are leaning more on the side of waiting. However, the 2nd doctor I saw stated that he would be willing to do the ultrasound in a month, which gives me more peace of mind than waiting 3 months for the next ultrasound to see if it's still there! So, I will be repeating the ultrasound in a month, and if it's still there, I will have it removed. My doctor also found a nodule on the "right fornix, either on the uterosacral ligament or the cul de sac (she's not sure)" but said it would be addressed at the time of surgery, though she thinks it's most likely endometriosis. Blah!
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.