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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Benign Ovarian Cyst Be Treated?

Hi, My wife has like 1.5 cm cyst in ovary. Previously she undergone surgery to get rid of the cyst, but it recurred. The cyst is stable and not growing for last 6-7 years and its benign. Now, we are planning to go on a trip and she needs to delay period for 8-10 days. My relative who is a general physician prescribed norethisterone 5mg tds for 2 week, starting 3-4 days before expected date of period. My question is, does norethisterone have negative effect on ovarian cyst? Is this safe to take? My relaative who prescribed the drug wanted us to discuss with a gynaecologist. So here i am.
Wed, 21 Nov 2018
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General Surgeon,  's  Response
Hi,

This is indicating ovarian cysts which are common and may be single, multiple or may occur as a part of the polycystic ovarian syndrome. At this point, there is no need to be worried but further steps are required to rule out malignancy completely. It means that CT scan or diagnostic laparoscopy should be done to evaluate it more accurately.

Generally, cysts should be managed surgically I cysts are larger than 5 cm, bleeding cysts, torsioned or ruptured and it means that cysts became complicated and may cause specific pain.

Also, if there is polycystic syndrome as the underlying cause then hormonal therapy is indicated. Pain is usually placed deep in the pelvis on the affected side and may be associated with nausea and fever.

I am sure that this will be just a benign cyst at the end but these further steps are required to ease your minds.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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How Can A Benign Ovarian Cyst Be Treated?

Hi, This is indicating ovarian cysts which are common and may be single, multiple or may occur as a part of the polycystic ovarian syndrome. At this point, there is no need to be worried but further steps are required to rule out malignancy completely. It means that CT scan or diagnostic laparoscopy should be done to evaluate it more accurately. Generally, cysts should be managed surgically I cysts are larger than 5 cm, bleeding cysts, torsioned or ruptured and it means that cysts became complicated and may cause specific pain. Also, if there is polycystic syndrome as the underlying cause then hormonal therapy is indicated. Pain is usually placed deep in the pelvis on the affected side and may be associated with nausea and fever. I am sure that this will be just a benign cyst at the end but these further steps are required to ease your minds. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon