Hello, I have a hemorrhagic cyst on my right ovary that has caused me to bleed a week prior to my period every time there is pressure on my abdomen, during sexual intercourse and if I strain during a bowel movement. I have been told this is caused because my hormones are affected therefore my uterine lining is unstable. I live in a foreign country where birth control pills are sold over the counter so I am trying to decide which one to use in order to "rest" my ovary and allow the cyst to heal. I am 44 years old, have normal periods and slightly overweight and smoke 1-2 packages of cigarettes socially per week.
Should I try progesterone only or a combination pill? Should I try one at all?