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Is surgery needed for a 6 cm simple cyst?

I am 46 yrs old.  I went to the ER this past weekend in BAD pain!!  I found out I have a 6 cm simple cysts.  I went to the Dr. today and he wants to see my back in 3 weeks after my cycle.  He wants to see if it will decrease in size. He said if it has not, he will schedule a laproscopy to remove it.  Has anyone had a 6 cm symple cyst to dissolve on its own?  Just trying to find out what my odds are for having surgery.
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Avatar universal
I was having spotting week before my periods, which was not normal for me. My period also got light, and I usually have heavy periods. Finally wend to OB/GYN and after a scan found that I have 6cm simple cyst on my ovary. Doctor said if on the next scan it appears to be growing they will perform a laparoscopic surgery to remove it.  

Surprisingly on the next scan after more than a month (before my next cycle), the cyst is all gone. My periods are though late, hopefully this will all be fine too.  
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1 Comments
Glad to hear the cyst resolved as most do! It would have been a shame to undergo surgery unnecessarily. And far too often, the ovary is removed along with the cyst when all that should be removed is the cyst itself (cystectomy).

Removal of any part of the "reproductive" system can permanently impair ovarian function and long-term health. The uterus, ovaries and tubes have LIFELONG non-reproductive functions. Removal of any part is proven to typically do more harm than good.
Avatar universal
In 2010 I had two large 6 & 7cm cysts surrounding my right ovary that caused excrutiating pain, I was diagnosed with Endometriosis. My doctor recommended laproscopy to remove the cysts. During surgery it was found that the cysts were wrapped around my right ovary and fallopian tube, which both inevitably had to be removed along with the cysts. My surgeon who is also my GYN noted then that I had a cyst on my left ovary as well that should dissolve on its own as most cysts do. I experienced the same pain today 2 years later and was rushd to the emergency room, the physician there, determined after looking at my ultrasounds, said the cyst is 6cm my potassium was also very low. I have to schedule a follow-up with my Gyn Monday as bad as the last surgery was for me I will be opting to remove this cyst as well.
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Avatar universal
Hi dear im 23 yrs and have a cysts at my left ovary of 6cm and i have consulted gyn and he have have me to do lepscropy and then i have even consulted another doctr and she instructed me that it can be cured by medicine. please advice me wht will work.
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Avatar universal
Hi: thanks for this, I really appreciate this!
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Avatar universal
I had the laparoscopic surgery. For me, I couldn't do much the first two days after. I was in pain and walked kinda bent over and slow. I was able to do light cooking, but I also made meals ahead of time and heated them up in the microwave. All I really wanted to do was lay on the couch, sleep, and watch tv. I felt a little guilty laying around, so I tried to do a little light housework. I felt extremely fatigued for the rest of the day. I started feeling better the third day and everyday got better. A week later, I was feeling pretty good, went out to lunch, walked, but was still recovering. Forget about driving the first week. You put yourself and others in danger. If you had to, you probably could drive the third or fourth day, but my doctor did not want me driving for at least a week and a half. I cheated and started driving (short trip) a week later to get some milk. I saw my doctor today and he told me no vigorous exercise for another month. While the recovery time is pretty fast, it feels like you had major surgery for the first couple of days after. I was in pain those days and tired easily. Then it gets better. That was my experience anyway.
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thank God. Well of course once he gets in there, who knows what he will find and we are staying open to that.

My caregiving mostly involves orchestrating the household, and doing a lot of things that he can't remember to do so there is a lot of dishes, meal prep, phoning, errands, phone calls, laundry, etc. He would remember or be able to do some but not much, he also may be away at brain rehab as he is starting a program that is full-time.
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Avatar universal
No, I was answering an inquiry about laparotomy recovery for wannasmile63.

Your 2 week recovery s about right, although you are still going to need to take it easy a bit longer than that for internal healing.  If caregiving on your part requires lifting another person's body weight, I do not think you will be able to do so after a mere two weeks of recovery.
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Avatar universal
is this recovery time after a lap surgery, I am told by the Doctors that it is no big deal and that in 2 weeks, I should feel good. I have no one to take care of me, my husband is disabled and is mentally ill and I don't mind lining up help for a couple weeks but it would be hard to caregive him after that point and recover, any suggestions?

This is optional surgery and I have ultrasounds being done again in November, surgery is December 1, robotic surgery. By an Oncologist/GYN.
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Avatar universal
I'd say about 2 months to be able to do many of the things independently that you did prior to surgery and maybe 3 or 4 months until it seems like surgery never happened.  

The first two weeks are the toughest and if you can have someone stay home with you those two weeks, it will be very helpful.  

After that (week 3), you should be able to manage around the house (carefully) during the day on your own (not doing much but reading, sitting at the computer, watching TV, light walking, bathing, light food preparation, and napping), with relatives helping with the more serious cooking, cleaning, and errands during their non-working hours.  

How soon you are feeling fit enough to venture out of the house in the car (strictly as a passenger at first), I'd say about 3 weeks.  Maybe by the 4th or 5th week you'll feel well enough to drive yourself, but only short trips and still nothing that leads to heavy lifting (like groceries).

Many attempt to return to work by the 6th week.  For some, it works out well.  For others, they find they still need a bit more recovery time.  I wasn't feeling well enough for a full day of work (office job) until the 8th week.
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1046985 tn?1305117048
I know I probably sound like a sook, but I've made the desicion, and went to my GP today, to get him to organise to get in contact with my GYN (public hospital system) to move this surgery along. I feel I can't move forward with my life until this op is over, and the pain is consuming all aspects of my life. Does anyone know what would be a expected recovery time for the removal of both ovaries through laparotomy. Apparently it will be very complicated due to adhesions and gortex mesh having to be removed from my abdomen as well??? I realise everyone heals differently, but would really appreciate a guesstimate.
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Avatar universal
Some cysts are fluid filled, either all of part of them.  When cysts rupture or resolve on their own, the fluid can be disbursed into the pelvic area and then has to be absorbed over time by the body.  This fluid can be seen on an ultrasound and it is a clue that a cyst was recently present.
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Avatar universal
hi: could you tell us what "free fluid" means?

Jane
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Avatar universal
if you do have surgery, would you consider having an Oncologist/GYN do it, I didn't know if this was important if you are still having cycles, I am post menopausal and will be having the above take out my simple cyst and ovary in December. We only know that I've had these all year and I will be another ultrasound in November to see how it is.
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Avatar universal
My doctor did do an ultrasound and showed me the picture of it.  He said it was only fluid, however did not mention anything about free fluid.  My cycle is on now, so I can't wait to go back to see if it has gone down in size.  I am on pain meds so the pain is not that bad as of right now.
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Avatar universal
I am so sorry to hear you are in that much pain.  Your story, though, proves that it truly is what the patient feels and wants that outweighs any doctor's recommendation to wait.  Only people that have cysts know how badly they can impact your quality of life.

Best wishes to you and I hope you get the earlier surgery date you want
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1046985 tn?1305117048
Wow, i also am 46 yr old with 6cm simple cyst on right ovary, and 4cm cyst on left ovary. All I can say if this is SIMPLE, theres no way I could go through a complicated one. I have now had these cysts for 5 months, and the pain I'm experiencing is excrutiating. My gyn has recommended a laparotomy surgery, with the removal of both ovaries, as I've already had hysterectomy 9 yrs ago. I feel they may think these cysts aren't quite as simple as they are making out. I am now in constant pain, and only get occasional relief between meds. The pain has now spread to both hips, lower back and right across pelvic area. I swear I'm putting on at least a kilo a week. I was trying to wait until December to book surgery, but have decided that I can no longer stand my life revolving around pain and medication, so am going to my gp next week, so he can contact my GYN, who I can't contact directly, as I am going through the public hospital.
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Avatar universal
I've read others' stories where a cyst even that size went away on its own.  Simple is the least worrisome type of cyst to have.  If you had that much pain, I have to wonder if it might have already started to rupture.  Of course, it can hurt that badly just by the pressure it can cause, too.  Did your doctor do an ultrasound of it?  If he saw any free fluid, that would be one clue of a cyst that is breaking down.  If it's the type that will go away on its own, your doctor is correct in thinking it would occur shortly after a menstrual cycle, although it may actually take two cycles depending on which ovary is ovulating that month.
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