Aa
Not sure what to do???
I have been reading in the community for a few weeks now and have decided to dive in. So about 2 month ago I started having breast tenderness which I thought oh I am ovulating. No big deal. BTW I should mention I had a partial hysterectomy back in 03. Then I started having this awful pain in my left side, bloating, awful nausea my upper thighs ach, I can't eat much during a meal becuase I feel like there is no room so fter a couple of weeks I decided to go to my dr.
She did a exam and decided to order blood work and an ultrasound and refer me to my Gyn. All the blood work including the CA-125 was normal but the ultrasound found a complex mass 4cm on my left ovary. Becuase of adhesians and scaring I have from birth and various surgeries the doctor doesn't want to rush into surgery and can't do a laparoscopy for biopsy for fear of me ending up with a colostomy. So the doctor decided to go conservative and prescribe birth controll pills to stop ovulation and hope the mass shrinks and wait 2 months and do a repeat ultrasound.
So since then about a week the pain is getting worse. It is under my ribs and my hip hurts and around to my back and sometimes it feels like it is burning like when I was preg and stretching. I don't know if I should call the dr or wait until the appointment which isn't until May. I should mention I don't have Ovarian Cancer in my family but there are other cancers in the family.
She did a exam and decided to order blood work and an ultrasound and refer me to my Gyn. All the blood work including the CA-125 was normal but the ultrasound found a complex mass 4cm on my left ovary. Becuase of adhesians and scaring I have from birth and various surgeries the doctor doesn't want to rush into surgery and can't do a laparoscopy for biopsy for fear of me ending up with a colostomy. So the doctor decided to go conservative and prescribe birth controll pills to stop ovulation and hope the mass shrinks and wait 2 months and do a repeat ultrasound.
So since then about a week the pain is getting worse. It is under my ribs and my hip hurts and around to my back and sometimes it feels like it is burning like when I was preg and stretching. I don't know if I should call the dr or wait until the appointment which isn't until May. I should mention I don't have Ovarian Cancer in my family but there are other cancers in the family.
Your health comes first. I wouldn't be shy about ruffling feathers. See that gyn/onc. You'll be glad you did. They have more medical education than gyn's. And given the choice, I wouldn't trust any other specialist for surgery.
When I say partial they told me they took my uterus and cervix. I still have my ovaries. The endo was only on the uterus and tubes from what the report said and it was mild. I do have an gyn/oncolgist that I can see. I have been told that they would be better at suregery when there is adhesians. Becuase this gyn/oncolgist is part of the same hospital and works with my gyn I don't want to ruffle any feathers. But I don't want to keep dealing with this pain and all the other issues.
There have been others that posted here that had confused test results. It seems that once you have scar tissue, adhesions, endo and/or cysts present at the same time they have a much harder time understanding what they see. I would think endo should have been removed with the uterus. When you say partial, do you mean some portion of the uterus remains, such as the lower portion by the cervix? Some endo-prone women can get a regrowth of endo even after a hysterectomy if not a total one. The doctors need to figure this out.
If the option is available to you, your best bet is a referral to a gynecologist/oncologist. They are much better at distinguishing what these things are and are also much more adept surgeons if the need arises.
If the option is available to you, your best bet is a referral to a gynecologist/oncologist. They are much better at distinguishing what these things are and are also much more adept surgeons if the need arises.
See thats why I'm confussed....The report said a complex 4cm cyst with septations....Then when I saw my GYN who did part of one of my surgerys said that the report from my hysterectomy stated mild endometriosis but not on my ovaries...So he thinks that is a possible cause...I don't understand!! I guess I feel that the report from the ultrasound says more than a feeling the dr has...I only says this becuase there was mild endometriosis and it was not on my ovaries. Any input would be greatly appreciated.
Endometriosis is a whole different matter. I can also look complex but it is not the same as a complex cyst. It's not great to have either, but it's better than a real complex cyst.
Thanks MarieMichele, I hope surgery is not necessary. I hate the idea of more pain but, surgery would be worse. I also am worried about the "complex" part being cancer. But I do not have ovarian cancer in the family that I know of. I know that the cyst was 4cm at the ultrasound which was about 1 month ago. I will monitor my temp just to make sure. I have always had problems with cysts but never like this. The dr says he thinks endometriosis is likely the cause.
If the BCP is doing anything to cause the cyst to break down (possible) then it is going to hurt if it starts leaking fluids. Your body must reabsorb this and treats it like a foreign object in the meantime. Sometimes resolving cysts can lead to pelvic infections, then leading to a need for antibiotics. This is all just guesswork, of course. That is why follow up is necessary. If you start running an abnormal body temperature, I would suspect infection.
If it does come down to surgery (I pray not), then you are probably going to be facing open surgery (laparotomy) to get to it. Let's be optimistic it resolves and that won't be necessary.
If it does come down to surgery (I pray not), then you are probably going to be facing open surgery (laparotomy) to get to it. Let's be optimistic it resolves and that won't be necessary.
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