Hi there,
I'm sorry to hear you have been having such a time with this and have had no resolution. It sounds to me like the fluid in your abdomen may be from ruptured ovarian cysts, although it is impossible to tell for sure because I have no access to you (ie examination) or your tests. I think it is smart to have the surgery (likely laparoscopy) if you have an elevated CA-125, but I agree that it is unlikely that you have ovarian cancer.
Having a paracentesis would be unnecessary since you should have the surgery anyway, and that will answer any questions paracentesis would. Also, you may not have enough fluid to be able to extract some through a paracentesis.
If it were me, I would go through with the laparscopy (endometriosis is likely I think). I would be very surprised if you had ovarian cancer, so try not to lose too much sleep over that in the meantime (easier said than done I know).
Best of luck. I hope you get some answers and are feeling better soon.
JMK MD
A related discussion,
smelly brown discharge was started.
I agree with the earlier post. A laprascopy is the only definete way to tell if it is ovarian cancer but the ultrasound is pretty accurate! I am a nurse and schedule gyn surgeries we recently had a pt with a ca125 of 300 and it was endometriosis. Very unlikely this is cancer. Good Luck
Thank you for your response. It, along with my gyn's speculation, makes me feel a little better, but I was hoping to avoid surgery if possible. I'm freaked at the anesthesia. I am only 24 and feel like an old woman. I have complex migraine with auras and am on Topomax, which conflicts with my birth control pills. I have PCOS. And now I have all these things going on inside me (abdominal pain, nausea, bloating, elevated ca-125, ascites). I'm tired and scared.