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hemorrhagic cysts and possible endometriosis
My latest ultrasound found complex hemorraghic cysts on left ovary measuring 3.2X2.3X2.8cm. Also found "new small echogenic focus within the left ovary measuring 0.7X0.6X0.4cm. This does not represent fast as there was no fat in this region on the prior CT. This most likely represents a hemorrhagic cyst." Also, found simple folliular cyst 1.1X0.8X1.0cm on right ovary. Uterus measurements were normal. Endometrium measurement 3mm. This ultrasound was done on 2 day of my period.
This follow up ultrasound was done 8 weeks after visit to ER w/severe abdominal pain. I have ultrasound and CT at hospital. Found the complex cysts there and free floating fluid in abdomen. Probably had cyst burst that day. It was around time of ovulation in my cycle.
Had been having abdominal pain about 1 time a month for 5 months before ER visit.
My concerns are:
1. History of ovarian cancer in my family. Paternal grandmother died from it.
2. Cysts are on my left, but I have constant dull pain on right side. Especially during menstrual cycle, painful bowel movements, pain when sitting, and dull ached often from ovulation through menstrual cycle.
3. What happens if I ignore the hemorraghic cysts?
4. Does the ovary need to be removed?
5. What type of doctor should do the surgery? An OB, an OB/fertility specialist?
6. I am not confident in my OB so I have been going to my general doctor. Really want to find someone who I can feel confident with and who communicates well. Any suggestions?
This follow up ultrasound was done 8 weeks after visit to ER w/severe abdominal pain. I have ultrasound and CT at hospital. Found the complex cysts there and free floating fluid in abdomen. Probably had cyst burst that day. It was around time of ovulation in my cycle.
Had been having abdominal pain about 1 time a month for 5 months before ER visit.
My concerns are:
1. History of ovarian cancer in my family. Paternal grandmother died from it.
2. Cysts are on my left, but I have constant dull pain on right side. Especially during menstrual cycle, painful bowel movements, pain when sitting, and dull ached often from ovulation through menstrual cycle.
3. What happens if I ignore the hemorraghic cysts?
4. Does the ovary need to be removed?
5. What type of doctor should do the surgery? An OB, an OB/fertility specialist?
6. I am not confident in my OB so I have been going to my general doctor. Really want to find someone who I can feel confident with and who communicates well. Any suggestions?
Hi there
Welcome to the forum. Hemorrhagic cysts are benign and usually go away on their own. They are cysts which bleed into themselves; they are relatively common but people don't know they have them as not everyone is scanned.
If they rupture it can be quite painful. However, sometimes they don't resolve on their own and they can get large (which can also cause pain) and have to be removed but the size you described is small. They can mimic other things on ultrasound so always good to watch them and make sure they've resolved.
Bottom line - if you left it alone it will likely resolve but may not so follow up u/s are usually recommended assuming the provider is conservative enough and isn't someone who just blows these things off.
I was thought to have one and had u/s every 6wks but when it didn't resolve it was suspected to be an endometrioma (I had extensive endometriosis) and mine were large so had to be removed.
If you had to have surgery the doctor would have to determine at the time of surgery whether or not the ovary can be saved but try not to jump ahead to that (much easier said than done I know).
Where you have the family hx of ovarian ca I would seek another provider w/ whom you'd feel more comfortable - as Trudie suggested a gyn/onc is an excellent choice not because anyone here thinks you have cancer but because of their specialized training. I had surgery from a gyn/onc a month ago and wished I had gone this route 2 yrs ago as the problem would have been taken care of completely then. At least start w/ a gyn that you like or a gyn/onc and go from there would be my recommendation (fertility specialist likely wouldn't do this ).
Keep us posted and good luck
Welcome to the forum. Hemorrhagic cysts are benign and usually go away on their own. They are cysts which bleed into themselves; they are relatively common but people don't know they have them as not everyone is scanned.
If they rupture it can be quite painful. However, sometimes they don't resolve on their own and they can get large (which can also cause pain) and have to be removed but the size you described is small. They can mimic other things on ultrasound so always good to watch them and make sure they've resolved.
Bottom line - if you left it alone it will likely resolve but may not so follow up u/s are usually recommended assuming the provider is conservative enough and isn't someone who just blows these things off.
I was thought to have one and had u/s every 6wks but when it didn't resolve it was suspected to be an endometrioma (I had extensive endometriosis) and mine were large so had to be removed.
If you had to have surgery the doctor would have to determine at the time of surgery whether or not the ovary can be saved but try not to jump ahead to that (much easier said than done I know).
Where you have the family hx of ovarian ca I would seek another provider w/ whom you'd feel more comfortable - as Trudie suggested a gyn/onc is an excellent choice not because anyone here thinks you have cancer but because of their specialized training. I had surgery from a gyn/onc a month ago and wished I had gone this route 2 yrs ago as the problem would have been taken care of completely then. At least start w/ a gyn that you like or a gyn/onc and go from there would be my recommendation (fertility specialist likely wouldn't do this ).
Keep us posted and good luck
With your history you should really get this looked at by a gyn/oncologist. This does not mean you have cancer but they are the best to do your surgery due to the extra training they have received. 95% of cysts are benign. I encourage you to look at the health pages attached to this forum (top right) and there is a posting for cyst information that you might find helpful. Please keep us posted on your progress and please do not ignore.
All the best,
Trudie
All the best,
Trudie
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