I am sorry you are faced with this decision! I understand your concern with having surgery in a teaching hospital. It did not work out well for me. And I know some women with similar stories. I had a 9.5cm cyst and instead of removing just the cyst, my long-time gynecologist and residents did a "gut" job - removed both ovaries, uterus, and tubes even though the frozen section done while I was in the operating room showed that the cyst was benign. I did not even know the hospital was a teaching hospital because it is not associated with any university.
Unnecessary removal of female organs (uterus and/or ovary/ies) is more the norm than the exception so it is critical to protect yourself via the surgical consent form by stating what can and cannot be removed and under what conditions (e.g., cancer versus no cancer). Make sure any revisions are signed off on by the surgeon and make a copy for yourself.
Why is this gynecologist saying this needs to be done in the next two weeks? Is it because of the size of the one cyst (10cm)? Typically a 4cm cyst would be monitored if it doesn't look suspicious but I suppose it makes sense to remove it since the 10cm one needs to come out.
As far as the 18mm endometrial stripe - At what point in your cycle was the u/s done? The lining can get up to 16mm in the second half of the cycle so 18mm is not that thick. It is best to have a u/s done 1 or 2 days after your cycle ends to see if the lining is thinning out properly. Also, if a thick lining hasn't been an ongoing problem, I am surprised a doctor would do a D&C since it has risks. An in-office endometrial biopsy can check for abnormal cells if that is a concern. And hormonal meds can be prescribed to thin out the lining and even treat hyperplasia if it is determined you have that (from the biopsy).
And last but not least, the uterus and ovaries comprise a system and have lifelong non-reproductive functions. The removal of any part of this system can cause permanent problems putting us at increased risk for a number of long-term health problems.
I hope this helps as you navigate the medical maze to find the best possible care - care that restores your body's health versus crippling it. Please keep us posted as you get more info.
When I went for the ultrasound my period started 2 days after. My new obgyn suspects it was at 18mm because of that. But them again it has been 16mm for two years. He told me he could check and do a D and C of he thought I needed it. My right complex cyst will be removed only because he thinks simce my left one grew there is a possibility the right one will as well and later on ot will require surgery as well. I am a little stressed out because I have an appointment with the gyn Oncologist next week. Which I was originally referred to by my original obgyn. But I found out she lost her privileges to practice at the clinic and hospital! Which kind of threw me off because O thought she was good and all. But thanks to me not being happy with her I looked for my new obgyn and he will be doing my surgery. Im just scared I was being misdiagnosed or something.