21 yrs old diagnosed with complex cyst...chances of it being cancerous?

[Slr2749]

Hello everyone,

I’m 21 years old and I’ve just been diagnosed with a left side complex ovarian cyst 3.6 cm. I went to the doctor after having achy cramps on the left side, “period” cramps in the middle of my cycle, pressure/fullness in left abdomen, and pressure trying to use the bathroom. I have been on a high dosage BC (sprintec) for 6 years. They didn’t tell me anything about the composition of the cyst other than that it “looks like it might just be a hemorrhagic cyst but the radiologist wants to look at it again in 6 weeks”. They’ve told me that it’s likely benign, but the word “likely” has sent me into a crying spell for the last 3 days. It feels like waves crashing onto the beach that just keep hitting me any time I try to think positively. I’m so terrified and my boyfriend is trying to be strong for me but he’s scared too. My parents are very supportive too but they think I’m fine since I’m so young. My doctor told me they want me to come back in 6 weeks for a second transvaginal ultrasound and want me to do a Pap smear in 2 weeks since I’ve never had one before. Is 6 weeks a normal time frame to check on a cysts development? What are the chances of it being cancerous? If it’s already cancerous, is 6 weeks enough time for it to get worse and spread?  Sorry if this seems a little scattered...I haven’t been able to sleep properly for days.

[old_before_my_time]

Ovarian cancer is rare (less than 2 women in 100 get it) so the odds are very much in your favor that the cyst is benign. Most cysts resolve on their own within 3 months or so, no intervention / surgery needed. Hopefully, that will get he case for yours. So try not to worry.

Let us know what the next u/s shows or any updates in the interim.