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Pelvic inflammation, stress and anxiety - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hello
Doctor :   HI
Doctor :   how can i help youy
User :   I under went a physical annual exam and basically found that I hada cyst on my RHSD
User :   RHS
User :   I have been expereincing severe stress, anger and unexplianed anxiety
User :   do u think I need a hormone check done?
Doctor :   what is RHS
Doctor :   you are saying
User :   right hand side
User :   I have PMS, fatigue, anger, stress, anxiety, heaviness in breast but all my reports are normal
Doctor :   Shall we discuss first about the cyst of the anger
User :   cyst
Doctor :   ok
Doctor :   Where exactly is the cyst on the right hand side
User :   above right ovary..
Doctor :   k
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   I am 39 years
User :   married, xxxxxx(yes married)
User :   Bangalore
Doctor :   Ok
Doctor :   do you have any symptoms for the cyst
Doctor :   like pain or irregular periods?
User :   no until last month I had regular periods but last month delay of 5 days. I have pain but the doc felt it was pelvic inflammation
Doctor :   ok
Doctor :   what is the size of the cyst?
Doctor :   on scan
User :   8.5 X 6.1 cms
User :   noted in right adnexa
Doctor :   ok
Doctor :   anything particular did the doctor mention
User :   she said we can watch for 3 more months repeat U/S and recheck but the cyst has been around for 2.5 years now. It hasnt grown since last year
Doctor :   ok did you mentin that to her
User :   yes
User :   she said if it doesnt bother you then its fine
Doctor :   Yes
User :   but I beg to differ
Doctor :   Functional ovarian cysts are the most common type of ovarian cyst
Doctor :   They usually disappear by themselves and seldom require treatment.
User :   I am having way too many symptoms that indicate something is wron
Doctor :   if they become abnormally large and cause symptoms then they are worth dealing
User :   but its been 2.5 years
Doctor :   ok
Doctor :   (I can understand that
Doctor :   ones last longer than a few months should be removed or examined to determine if they are in fact something more harmful.
User :   ok I agree
User :   what sort of exam
User :   laproscopic?
Doctor :   endovaginal ultrasound and then CT
User :   ok
Doctor :   some times it is worth to check for a blood test
User :   is there a name for this test
Doctor :   called Serum CA 125 assay
User :   ok grt
Doctor :   however the hormone levels like FSH, LH
Doctor :   are good that can eb done
Doctor :   What was the size of it when previously
Doctor :   done
User :   I DID a lot of blood tests
User :   will check that
Doctor :   do you now?
User :   y
Doctor :   I am confirming just
User :   8.3 X 5.9 X 6.5 cms
Doctor :   If there is a change in the size
User :   i have all the reports in front of me
Doctor :   so there is only a marginal increase in the size
User :   It has grown
User :   yes
Doctor :   more imp is the symptoms
Doctor :   than the growth
User :   yes thats why I am concerned. I am not able to handle these symptoms and can't explain them either
Doctor :   There are medicines which can bve tried to regress the growth and monitoring them
Doctor :   sorry the cyst regression
User :   ok
Doctor :   usually they are the oral contraceptive pills
Doctor :   of different dose
Doctor :   if not regressed surgery is the answer with a laparoscopy
User :   ok I need to meet a Obgyn for this
Doctor :   Yes
User :   ok will do.
Doctor :   You can use the search a doctor/hospital feature on our homepage to find a doctor in your area if in Bangalore. If you wish, we can fix up your appointment with a doctor in your area.
User :   so these other symtoms
User :   Ok I will look it up
Doctor :   Which area do you live in?
User :   Close toxxxxx
Doctor :   ok
Doctor :   Do you wish to refer you to some one
User :   Shall we talk about the other problem
User :   sure pls do tell me
Doctor :   Please confirm your details and One of our doctors will get back to you soon with all the relevant details
Doctor :   YYYY@YYYY Mobile : 0000
User :   yes the better number is u guys have ahospital?
Doctor :   We refer to the hospital that has best reviews given by other patients on our portal
User :   ok grt
User :   do u have any idea why I would have all these other symptoms I tlaked abt
Doctor :   When did they start?
User :   I think they started a while back but in the last 2-3 months it has increased dramatically
User :   due to stress
Doctor :   ok
User :   increased work etc
Doctor :   ok
User :   in fact my cholestrol which was 133 last year shot up to 213
Doctor :   Ok
Doctor :   I guess you are taking necessary precautions then
Doctor :   with diet and exercise and supplements
User :   yes I feel things are not normal with me
Doctor :   k
User :   yes I have started exercise since 2 weeks and doc has given me vitamins plus antibiotics for the pelvic inflammation
Doctor :   thats ok
User :   but I am suspecting hormones
Doctor :   you said you have premenstrual syndrome too
User :   yeah
Doctor :   that can bother the mood disturbances
User :   definitely... ask my husband
Doctor :   ok
Doctor :   Premenstrual disturbances are difficult to be cured
Doctor :   only can be treated with some supplements like Evening Primrose Oil
User :   where do u get those?
User :   in a pharmacy?
Doctor :   www.xxxxx.xxxxx
Doctor :   you can get the details of the shop
Doctor :   in Bangalore
User :   ok
User :   but the blood test wont verify imbalances?
Doctor :   yes it verifies
User :   ok may be I shd get that done?
Doctor :   you said you have got them some done
User :   they did the general blood tests for sugar etc dont know if that included hormonal
Doctor :   LH, FSH serum oestradiol, RBS etc are to be done
Doctor :   I think it is better to advice on the specific tests on phone
User :   ok
Doctor :   I shall do one thing I shall ask my doctor to call you
Doctor :   and advice yu the tests
Doctor :   relevant
User :   what would this doctor's back ground be? As in which dept?
Doctor :   please give him the details of the last tests
User :   sure
Doctor :   He is a GP
Doctor :   General Practitioner
Doctor :   ok
User :   ok
Doctor :   Please fill this Feed back form I send, while I type the necessary information, say done when done.
User :   done
Doctor :   Ok
Doctor :   anything else
User :   no thank you for your help
Doctor :   bye
User :   bye
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