What causes ovarian cyst? - Online Doctor Chats
Hi, My cousin is having a problem of pain in back from about 1 month. She is newly married about 1 month back. On getting a ultrasound done the report said Right ovarian complex cyst of size 3.4 X2 cm in right ovary of hyper echoic contents. Is this problem get solved with oral medications or you suggest anything else to be done. I can attach the reports if you let me know how I can do that.
The term right ovarian complex cyst is quite descriptive
Now she has just started family life
The treatment is surgical
why does this happen in first place?
There is no specific cause
It may have grown out of no reason
The question should be that what is the best time to do surgery
The approach nowadays is conservative that is to save the ovary and take out the cyst
Since ovaries are needed to make ova and get pregnant
ok can this happen due to intercourse?
Otherwise she can always wait and get the surgery done after completing the family
is it possible for the cyst to be there from months or years?
what are the general symptoms of this?
can there be pain in stomach as well as in back?
yes it is possible
In fact the size is so small
that she can forget about it and repeat the ultrasound again in 1 year
The only issue is that is it is complex
so some chance is there that it may be ominous
as per report the cyst is about 3.4 X2 cms while her ovary is about 3.4X2.3.Is it not big in medical terms almost close to ovary size?
Did she get the CA125 levels done?
no what is CA125 levels ? and what is ominous?
Rather than size I would be more worried about the symptoms she is having
There are some chances that it may be cancerous
though the chances are very less
CA 123 is raised in some of the ovarian cancers
I am sorry to be using these terms
can a cyst of about 3.4 X2 cm grow in 1 month time of it takes several months for it to develop?
Being a doctor I would rule out ominous causes of complex cyst
It depends on the type of cyst
If that grows more than 7 cm in sze it is taken out surgically
Complex cyst usually requires immediate surgical evaluation
can this be resolved though oral medication?
Surgery is the best option
It is mostly done with a laparoscope
ok since she is having problem from only 1 month would suggest to first have oral medicine and after period of time go for surgery?
whats your suggestion if its detected recetly
Which medicine are you thinking of?
I would suggest that she goes for surgical evaluation
can i share with you the report with medicine prescription she is having?
how can i share with you?
You can send these at YYYY@YYYY
shall i send it right away,you will get it in seconds
or you can just write the name of the medicine here
sent you may get it any moment
what are the general symptoms of this?
so that i can ask her if she is having those issues as well
Firstly a complex cyst means that the cyst has both solid elements and fluid in it
If a cyst is present, mostly the symptoms are related to its size
Even this fluid will result in pain
If it is cancerous than symptoms of cancer will be present
for a child birth birth both ovaries are required or one is also sufficient?
meanwhile if you have got my email it has blood report,prescription she is taking,ultrasound report
I am still waiting for reports
you can have a check and let me know what you prescribe
One is also sufficient
should health care magic guys should forward it to you or you have access to email id you sent me?
Got the reports
Give me a minute to go through them
ok sure go in detail and suggest me
Went through the reports
In hemorrhagic cyst it can be monitored every 2 - 3 months with an ultrasound
so you suggest another medicine or should we continue for same
I would just suggest a pain-killer
if so for how long more
that too occasionaly only when she has back pain
I think she may continue to have some back pain till the cyst is taken out
will the cyst self heal if she continues with this medicine or how will it heal
No it will not heal with this medicine
Pain0killer is for pain
I dont know why antibiotic was prescribed
and multivitamins can always be taken
then why wait for 2-3 month and monitor
if the issue does not get fixed through oral medicine
It is the patients call
It is not urgent to get it out
It can be watched for upto 5 cm size
Do you have any question here?
yes will it keep growing?
if she is having pain how will she be able to have baby
It may grow
Is the pain severe?
yes sometimes when it happens it happens with acute pain
Then the treatment can be surgical
She can consult a gynecologist and know the risks and benefits of the treatment
I have seen many patients living with the symptoms for a long time
Thanks for consulting
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