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Ovarian Cysts Community
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Avatar universal

Diagnosed with large cyst, given little information. Worried?

After months of hounding the doctor about my pelvic pain and being told it was a "pulled muscle". I was finally diagnosed with a Right ovarian cyst. Roughly 8cm "the size of an orange".
I am 20 years old and the whole appointment felt rushed.
I had a abdomen ultrasound, followed by a transvaginal ultrasound.
The tech told me that it was quite large and "not a simple cyst" and that she was urgently referring me to a gynaecologist.
After the transvaginal scan I immediately experienced fresh bleeding and I still am spotting on and off now one week later. (Haven't had periods in 4 years due to pill). I mentioned this to the tech before I left and she said she would just note it down.

The scan it's self showed a large round black mass with the lower 1/4 of the cyst appearing to be white ? What does this mean.
I am getting quite worried as a lot of my symptoms seem to be matching that of Cancer.

Thanks.
2 Responses
Avatar universal
COMMUNITY LEADER
Welcome to the community. I am sorry you are dealing with this. The ultrasound techs generally don't say much because the doctor is supposed to explain to the patient. At least that is how it typically works here in the U.S.

The odds are very much in your favor because most ovarian cysts are benign (non-cancerous). Functional / simple cysts resolve on their own, typically in 2 to 3 cycles. And some complex cysts do too. Of course with this one being 8cm and "not a simple cyst" that probably won't happen. The characteristics that are more concerning for malignancy are multiple and/or thick septations and irregular borders. There are a number of ovarian cysts that are not simple that are always benign and appear black on imaging (and can have some white or gray areas) such as hemorrhagic (blood-filled), dermoid (mature teratoma), and endometrioma.

If surgery is needed, it is best to have just the cyst removed (cystectomy) and not the ovary. Not all surgeons have good cystectomy skills so you will want to make sure the surgeon does a lot of cystectomies. I don't know about where you live, but here in the U.S. far too many women lose an ovary or ovaries when it is unnecessary. Removal of even one ovary (or any part of the "reproductive" system) can impair fertility as well as negatively impact long-term health. The ovaries of women who have all their parts (uterus, both ovaries and tubes) produce hormones their whole lives which are essential to every aspect of health and well-being.

I hope this helps. Please keep us posted.
2 Comments
Oh no this has really concerned me as I have had a scan done and I have 3 small cysts with irregular borders and thick walls with blood flow,so I am very concerned now xxx
Oh no this has really concerned me as I have had a scan done and I have 3 small cysts with irregular borders and thick walls with blood flow,so I am very concerned now xxx
Avatar universal
Thanks old_before_my_time.
I received a call from my Gp today I am due for the CA125 test tomorrow and also a MRI scan in 2 weeks so they can get a better look, for what I presume may be surgery?

Thanks for you answer.
1 Comments
I also was told it is a complex cyst measuring 7x6x5 cm
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