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Suggest Treatment For Chocolate Cysts In The Ovaries

Posted on Mon, 25 Jul 2016

Question: I had USG done on 1st january 2016, that time there was no cyst in my ovaries, but this month i got USG done and it sayd both the ovaries have cyst, chocolate cyst and doctor also got a CA125 test done. The result is 53 I am sending the reports, can you please tell is there anything to worry.

Answered by Dr. Aarti Abraham (10 hours later)

Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Please let me know a few details -
Why did you get your ultrasound scan done recently ?
Are you having symptoms - pain, bleeding, spotting etc ?
Are your cycles regular ?
Can you please send me the ultrasound scan images also ?
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 hours later)

For check up i got the usg done, i have pain during first 2 days of my periods, but this pain has been there for many years, yes i had spotting when i took contraceptives pills to prepone my periods, bleeding is normal durig my periods. Cycles are regular, comes every month. Iam sending u the ultrasound images.

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
As below

Detailed Answer:
Are you married ?
Have you ever been pregnant ?
Do you have pain during intercourse ?
THese do not look like chocolate cysts to me, they are like hemorrhagic cysts.
I think you can wait for 3 months and take contraceptive pills, as they resolve cysts, and go for repeat ultrasound scan after 3 months.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (10 minutes later)

No i am not married but i am sexually active. i have never been pregnant, i dont have pain during intercourse. i have done a CA-125 test done and the report shows 52.41. is there anything to worry? whc pills do u suggest?

Answered by Dr. Aarti Abraham (6 hours later)

Brief Answer:
As below

Detailed Answer:
Hello again.
Do not worry about the report, it is normal while you are having ovarian cyst.
I suggest Femilon contraceptive pills.
Start a new pack from the 3rd day of your cycle.
Take 21 pills, and when you stop, you will get your period after 3 - 4 days.
Once you get your period, start a new pack from the 3rd day of your cycle.
Take 3 such packs - 3 cycles .
Get a repeat ultrasound scan done after 3 months.
Please do not worry, and feel free to contact me at any point.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (3 minutes later)

Thank you so much, i got pretty worried about the CA125 test. i will contact you in further progress.

Answered by Dr. Aarti Abraham (10 hours later)

Brief Answer:
As below

Detailed Answer:
CA 125 test is done to rule out the possibility of ovarian cancer, and your report is normal, please forget about that test right now.
Just let me know your repeat scan after 3 months of taking birth control pills.
Wish you all the best.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar