I have a uterus with large fibroids which cause horrific periods every 25 to 27 day cycles. Very regular on my cycles. Never miss a period. I have annual ultrasounds, and the one in June, 2016 showed an enlarged uterus, two large fibroids, but the ovaries were normal. I have been experiencing constant lower back pain and lower abdominal pain for years now. This last year, it got worse. The last month it was constant, and I lived on ibuprofen which stopped helping and a heating pad. I got my period a couple of days ago (26 day cycle) and this time the blood loss was horrendous and I had snap abdominal pain. Went to the ER. They Did an ultrasound both transvaginal and regular. The findings showed an enlarged uterus with multiple fibroids and a thick lining. However, it also showed my left ovary enlarged with a complex cyst measuring 3.4x1.7 by 1.6. The right ovary is normal. It also states there is vascular flow seen within bilateral ovaries and no free fluid. I had sharp stabbing pains in my pelvic area while n the ER, low grade fever and slightly elevated white cell blood count. I am 48, almost 49, and scared out of my mind. I was also shown to have anemia, even though iron was high as I take iron supplements for the horrific periods. I am BRACA and Lynch Syndrome negative. Do have Breast cancer and pancreatic cancer on mom's side of family, although no personal history of cancer so far. Seeing my gyno tomorrow, but scared about the cyst. It formed within the past 11 months, as not visible on ultrasound from June 2016. Also, uterine biopsy was negative last year. What are the chances I got overian cancer? I was never pregnant. I never took hormones. I have been battling fibroids since my 30s and had a maymectomy over a scare ago. The fibroids returned with a vengeance, and I am ready to do a hysterectomy, because I have no life quality with the horrific bleeding every 25 days on average, and the constant pelvic and lower back pain that now has been going on for more than a year. But, I was hoping to keep the ovaries, and have a partial hysterectomy. Now, with this complex ovarian cyst, I think I will need full hysterectomy, and I am pat rifled of cancer.
I guess I'd ask the doc a couple of things, or would ask for a referral to a specialist. My first question is why did you never have an MRI of your uterus and ovaries? Ultrasounds only show so much. It makes me think you have been getting only ho-hum medical treatment.
And the other question would be, if the ob says you need to have your uterus removed to get rid of the painful cycles and to remove the ovary in order to get rid of the complex cyst (I would of course ask if the cyst can be removed without removing the ovary), anyway if it looks like you need to lose the ovary and the uterus, it doesn't sound like you need to lose the other ovary. If this doctor shrugs that off and says "it will go anyway after your uterus goes," seek a reproductive endocrinologist for a second opinion.
I don't associate fibroids in the uterus with complex cysts in the ovary, meaning if I were you I would think these two things are unrelated, and you just got unlucky. A friend of mine had a very messed-up uterus, with I don't know what and adhesions reaching elsewhere into her abdomen and a lotta lotta pain in the lower back. But it was not cancer. In short, the uterus can have a lot going on without it being because of having a cancer, and also without the ovary being the cause. I will say, of course an ovarian cyst will hurt. It's possible you have a lot of scar tissue in the general area, too, and that can pull and hurt.
But I think you need to talk to your ob-gyn and not take advice on the Internet. You are totally within your rights to insist (and go so far as to put it in writing) that even if they decide to remove the one ovary, they not go after the other just because you are knocked out and 48 and they just may as well because they are there. There is no rule that one ovary coming out automatically means the other has to, especially without any kind of biopsy or bloodwork or anything that indicates a positive finding of cancer. Get it through your doc's head that you want to be certain removing the other ovary is necessary, you don't want them to be casual about it.
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