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Complex ovarian cyst - OBGYN apointment


A few weeks back I had a pelvic ultrasound and they found a complex ovarian cyst (4cm) that is possibly hemorrhagic or endometrioma. My primary doc referred me to an OBGYN and I am not sure what to expect from the appointment or what to ask. My primary said the cyst was likely caused from endometriosis but it will need further diagnosis.
What tests should I ask for and questions will be most beneficial and what is normally done in these types of appointments?

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Did you obtain a copy of the ultrasound report? It can help to review that and have a basic understanding of its contents when you talk to the ob/gyn. And you can share that here if you'd like. Hopefully, the report was forwarded to the ob/gyn.

Oftentimes, cysts just need to be monitored via periodic ultrasounds since most resolve on their own, no intervention needed. You don't want to undergo surgery unless it's necessary. If the cyst continues to grow and has to be surgically removed, it's best to make sure you have a surgeon who will remove just the cyst (cystectomy) and leave the ovary or enough of it for normal hormone production. This is important regardless of a woman's age since the ovaries produce health promoting hormones our entire lives. This site is helpful - http://ovaryresearch.com/ovarian_cysts.htm.  

Please keep us posted on what you find out.
Hi, thanks for the response.  The report didn't say anything other than the info I gave, just size and that it had mass not just fluid giving it qualities of a complex cyst.  

My biggest concerns are that it could be endometriosis and that my symptoms and pain will be ignored and I will  be offered minimal treatment options or just told birth control is the best option. And of course cancer, it's a medium sized complex cyst and I am a worrier. :)
I know our minds tend to think the worst. But ovarian cancer is rare - less than 2 women per 100 (1.3 per 100 per govt. statistics) get it in their lifetime. The large majority of all ovarian cysts, including complex ones, are benign. Hemorrhagic and endometriomas are benign. This is indicative of imaging - it typically cannot tell the exact type of cyst.

Why does your doctor suspect endometriosis? Have you had pelvic pain since shortly after your periods started (menarche)? That seems to be common for women who have endometriosis.
I have all the symptoms of endometriosis (pain all the time, bloating, heavy bleeding etc) but they are all similar symptoms of having a cyst as well. I also have high DHEA-s which they suspected was PCOS but it's now ruled out. My doctor had a tendency to just pick the first thing it might be without really looking into it.  
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