HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Cysts On Ovaries After Hysterectomy

default
Posted on Sat, 25 Oct 2014
Question: Hi I'm 32 years old with history of endometriosis and pcos. I had a hysterectomy' last November due to these issues and now I'm experiencing pain again! The dr left my ovaries and I now have cysts on each ovary and a definite 19mm one on my right. IS it normal to get cysts so soon after a hysterectomy?
doctor
Answered by Dr. Dr. Soumen Patra (42 minutes later)
Brief Answer:
Yes, cyst may be formed after hysterectomy.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) In general, hysterectomy DOESN'T directly cause ovarian cysts, but it has some indirect relation.

Following hysterectomy, a functional ovarian cyst forms on the surface of an ovary during each monthly cycle. At the time of ovulation, the cyst opens and releases the matured egg. If the cyst DOESN'T open to release the egg, it can fill with fluid forming a follicular cyst.

A corpus luteum cyst may be formed if the egg has been released but the cyst closes again. It contains a small amount of blood.

2) For some women, hysterectomy may be stimulus to regenerate ovarian cyst due to following reasons.

a) Interruption of blood supply to ovary during hysterectomy, which can cause the ovaries to malfunction and create hormonal imbalance and more cysts.

b) Using hormonal treatment prior to hysterectomy that stopped ovulation, this could have stopped the cysts from forming as well.

When those hormonal treatments are discontinued following hysterectomy, the ovaries should return to their normal cycle of ovulation and form functional cysts (pain less).

3) Most cysts are harmless and resolve by their own, but some cause symptoms and pain. In that case, you may require medical or surgical intervention.

Your ovarian cyst size is very small (19 mm) and it can be treated medically. I suggest you to consult with your gynecologist for complete prescription.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Dr. Soumen Patra (9 minutes later)
My ultrasound said i have multiple follicular cysts on each ovary does that mean my pcos has come back. My cysts are veey painful!!! So bad i just want to lay down ans curl up in a ball thats why i had thw hysterectomy. Is it possible to juat keep onw ovary? Most of my pain ia always on mg right side
doctor
Answered by Dr. Dr. Soumen Patra (21 minutes later)
Brief Answer:
PCOS. Start medical treatment after consultation.

Detailed Answer:
Hello,

Thanks for follow up query.

1) Yes, it is MOSTLY suggestive of Poly Cystic Ovary (as per ultrasound scan). Initially, hormonal treatment can be started with painkiller to reduce abdominal pain and discomfort.

Alternate hot bag or ice-pack compression will also be useful. Conservative T/t can be tried at this stage.

2) If abdominal or cystic pain becomes more severe and persists continuously, then Laparoscopic ovarian drilling (Surgical) can be done to eliminate ovarian cyst and its related complication. Kindly, consult with your treating doctor.

Hope, I have answered your queries. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4058 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Cysts On Ovaries After Hysterectomy

Brief Answer: Yes, cyst may be formed after hysterectomy. Detailed Answer: Hello, Thanks for writing to us. Followings are my comments: 1) In general, hysterectomy DOESN'T directly cause ovarian cysts, but it has some indirect relation. Following hysterectomy, a functional ovarian cyst forms on the surface of an ovary during each monthly cycle. At the time of ovulation, the cyst opens and releases the matured egg. If the cyst DOESN'T open to release the egg, it can fill with fluid forming a follicular cyst. A corpus luteum cyst may be formed if the egg has been released but the cyst closes again. It contains a small amount of blood. 2) For some women, hysterectomy may be stimulus to regenerate ovarian cyst due to following reasons. a) Interruption of blood supply to ovary during hysterectomy, which can cause the ovaries to malfunction and create hormonal imbalance and more cysts. b) Using hormonal treatment prior to hysterectomy that stopped ovulation, this could have stopped the cysts from forming as well. When those hormonal treatments are discontinued following hysterectomy, the ovaries should return to their normal cycle of ovulation and form functional cysts (pain less). 3) Most cysts are harmless and resolve by their own, but some cause symptoms and pain. In that case, you may require medical or surgical intervention. Your ovarian cyst size is very small (19 mm) and it can be treated medically. I suggest you to consult with your gynecologist for complete prescription. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326