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What Causes Multiple Small Cysts Along With Spotting?

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Posted on Tue, 21 Apr 2015
Question: Hi, I have been spotting from over a month now! I did ultrasound scan. And the result came out to be multiple cyst 5mm -8mm. I am worried. I have no stomach pain. I am sexually active. Do I have cancer? Y am I still spotting? I took pause. Didn't work out. Please give me some advice
doctor
Answered by Dr. Sameer Kumar (32 minutes later)
Brief Answer:
anovulatory bleed...

Detailed Answer:
Hello,
thanks for the query,
As you have been spotting for a month now and the ultrasound shows that there are multiple small cysts 5-8mm which are actually normal follicles in the ovary indicating that you have not ovulated in this cycle and this bleed is an anovulatory bleed or irregular shedding due to oestrogen excess and unstable endometrium. This happens when corpus lute is not formed and progesterone is not produced in the bargain. So the treatment is progesterone.
It is advised that you should take TAB PRIMOLUT-N 5mg twice a day for next 10 days. Your spotting shall stop in 2 days. Continue the medication for 10 days and then on finishing it , you shall get your normal menses. In the next cycle , get a progesterone test done on day 21 to confirm the progesterone deficiency and then you have to be placed on progesterones from day 15-25 of your cycle for next 6 months as a treatment.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (51 minutes later)
Thank u so much Dr XXXXXXX i was really worried with what was happening to me. What about the cyst? will it go?
doctor
Answered by Dr. Sameer Kumar (6 minutes later)
Brief Answer:
answered

Detailed Answer:
please don't worry , they are not cysts, they are normal ovarian follicles ( future eggs/ova) which line the periphery of the ovaries and give a cystic appearance on ultrasound.
you may close the query with a remark if you have no further queries.
Regards
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Causes Multiple Small Cysts Along With Spotting?

Brief Answer: anovulatory bleed... Detailed Answer: Hello, thanks for the query, As you have been spotting for a month now and the ultrasound shows that there are multiple small cysts 5-8mm which are actually normal follicles in the ovary indicating that you have not ovulated in this cycle and this bleed is an anovulatory bleed or irregular shedding due to oestrogen excess and unstable endometrium. This happens when corpus lute is not formed and progesterone is not produced in the bargain. So the treatment is progesterone. It is advised that you should take TAB PRIMOLUT-N 5mg twice a day for next 10 days. Your spotting shall stop in 2 days. Continue the medication for 10 days and then on finishing it , you shall get your normal menses. In the next cycle , get a progesterone test done on day 21 to confirm the progesterone deficiency and then you have to be placed on progesterones from day 15-25 of your cycle for next 6 months as a treatment. Regards