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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spottings, Light Bleeding. Pain On Ovary & Back. Ovarian Cysts On Ultrasound. Suggestions?

i have 35 to 37 days cycles.this month a week before my period i started spotting and it continued for 2 weeks then i started to have light red bleeding that i thought its my period now its a week and it still has continued.i have some light pain on my left ovary and also back pain.i did an ultrasound of ovaries and uterus and it came out i have small cysts on both ovaries.what should i do now?
Mon, 29 Apr 2013
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General & Family Physician 's  Response
You havent mentioned the size of the cysts or any information about them, as such I've listed below the most likely steps your doctor might take.

In many cases you can wait and be re-examined to see if the cyst goes away on its own within a few months. This is typically an option — regardless of your age — if you have no symptoms and an ultrasound shows you have a small, fluid-filled cyst. Your doctor will likely recommend that you get follow-up pelvic ultrasounds at periodic intervals to see if your cyst has changed in size.

Your doctor may recommend birth control pills to reduce the chance of new cysts developing in future menstrual cycles. Oral contraceptives offer the added benefit of significantly reducing your risk of ovarian cancer — the risk decreases the longer you take birth control pills.

Your doctor may suggest removal of a cyst if it is large, doesn't look like a functional cyst, is growing, or persists through two or three menstrual cycles.
Some cysts can be removed without removing the ovary in a procedure known as a cystectomy.
If a cystic mass is cancerous, however, your doctor will likely advise a hysterectomy to remove both ovaries and your uterus.

Hope this helped.
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Spottings, Light Bleeding. Pain On Ovary & Back. Ovarian Cysts On Ultrasound. Suggestions?

You havent mentioned the size of the cysts or any information about them, as such I ve listed below the most likely steps your doctor might take. In many cases you can wait and be re-examined to see if the cyst goes away on its own within a few months. This is typically an option — regardless of your age — if you have no symptoms and an ultrasound shows you have a small, fluid-filled cyst. Your doctor will likely recommend that you get follow-up pelvic ultrasounds at periodic intervals to see if your cyst has changed in size. Your doctor may recommend birth control pills to reduce the chance of new cysts developing in future menstrual cycles. Oral contraceptives offer the added benefit of significantly reducing your risk of ovarian cancer — the risk decreases the longer you take birth control pills. Your doctor may suggest removal of a cyst if it is large, doesn t look like a functional cyst, is growing, or persists through two or three menstrual cycles. Some cysts can be removed without removing the ovary in a procedure known as a cystectomy. If a cystic mass is cancerous, however, your doctor will likely advise a hysterectomy to remove both ovaries and your uterus. Hope this helped.