I am 38 years old, pre-menopausal and I had put off my annual gyn exam for almost two full years and finally decided I needed to go since in my early 20's I had hpv and I know I should not put these things off. In late 2008 I had a breast lump removed and it turned out to be a benign fibroadenoma. Yay! Anyway, since my doc has an US machine in his office, as soon as he felt my enlarged right ovary he whisked me off to get a TVUS. He then showed me what a normal or simple cyst looks like (there were several and expected to be there) and then he showed me the cyst that was his cause for concern. It had "junk" in it, to quote the doc. He then ordered a CA-125 and explained to me that even if the blood test comes back elevated it could be caused by many numerous conditions and only if it was really high would he be suspicious of cancer. I'm supposed to find out Mon or Tues the test results. He also said that he would want me to come back in six weeks to do another TVUS. I have no family history of breast cancer, ovarian cancer or cervical cancer. My biological grandmother is spunky and active at 93 and my mom is spunky and really active at 70.
Questions:
If the CA 125 comes back as normal or only slightly elevated, are there any other tests I should do, such as hormone levels?
Should I request a series of CA 125 to monitor the levels over a period of time?
Any advice and input is greatly appreciated!