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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Laparotomy For An Ovarian Cyst. Enlarged Ovary With Cyst Formation. What Can Be Done Now?

I had a laprotomy for ovarian cyst on on my right ovary last year in June 2012. However this year in March i had a full abdomen ultrasound and a pelvic ultrasound along with a CA-125 blood test done.

The results were that again on my right ovary i have a cyst measuring 4.cm and the CA-125 is 19. However the report even said my right ovary is enlarged

My gynac told me to go for a diagaonistic laproscopy which i am not very ready. Is there no other way to cure the cysts?
Sat, 6 Jul 2013
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General & Family Physician 's  Response
Hi,

CA-125 is used to assay for ovarian cancer. The good news is that you dont have ovarian cancer because the expected level for ovarian cancer ahould be more than 35. So that part is clear. What you need to figure out now is what the cause is. IT seems like you have a benign condition of the ovary. What you can do instead of this is to get an FNAC done. This is where a needle is injected into your belly and cells drawn out to see what it is. Once you know what it is, they will know how to treat it. good luck.

Dr Vineet
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Poly Cystic Ovarian Disorder ( PCOD) is a most common disorder in young females.
One cyst was removed one year back .
Now again , so few things , you should know about this disease.
There is increase in level of testosterone and androgen level in blood.
Alteration in F S H / L H levels,
Decrease level of estrogen .
Conservative treatment is available so get in ultrasound of whole abdomen.
After report consult one more Gynaecologist and get his opinion( 2nd ) and there after take treatment accordingly.
Hope I have answered your question.
If further any question I will help.
Good luck.
Dr. HET
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Had Laparotomy For An Ovarian Cyst. Enlarged Ovary With Cyst Formation. What Can Be Done Now?

Hi, CA-125 is used to assay for ovarian cancer. The good news is that you dont have ovarian cancer because the expected level for ovarian cancer ahould be more than 35. So that part is clear. What you need to figure out now is what the cause is. IT seems like you have a benign condition of the ovary. What you can do instead of this is to get an FNAC done. This is where a needle is injected into your belly and cells drawn out to see what it is. Once you know what it is, they will know how to treat it. good luck. Dr Vineet