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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ovarian Cyst

Good evening doc, im 30 years old and Ihave been ttc for13 months now. My cycle regular with 28days at times 29days. Ever since I started my period I usually have painful heavy period with moderate clots so I took felvin. But in 2013 dec a week after my weddin I had a very painful extremely heavy with excessive clots and it was like that throughout 2014 except that in the pains reduced from july so I was only taking paracetamol every 4hours for the first 3 days of menstruation. In may last year I told d doc I wasn't ovulating so he told me to do some test. The test showed dt my prolactin was a bit high and the scan showed a right ovarian cyst measuring 81mm by 34 mm and a normal sized uterus. The doc prescribed parlodel which I took for a month and stopped cause of the terrible side effect. In october last year I did another scan and it revealed normal size uterus but a right ovarian cyst measuring 59mm by 44mm. In january this year my period came on the 3rd and it was light with no clot I have never experienced that before. On the 12th day of my cycle I did opk test and it was negative but the testwas positive on 13th 14th and 15th day of my cycle and i bedded during those days. On the 19th day of my cycle I did a scan again but it is showing a bulky uterus with a fibriod measuring 49mm by 47mm and a right ovarian cyst measuring 13mm by 3mm.Pls I need help cause I want to get pregnant. Thanks
Wed, 3 Jun 2015
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OBGYN, Maternal and Fetal Medicine 's  Response
Hu, I have gone through your question and understand your concerns. The ultrasound report showing bulky uterus with a fibroid and a small cyst of size13 mm in ovary. The cyst has regressed in size and hence do not need any intervention.
Fibroid decreases the fertility only when it is located submucosally.
I would suggest you to consult an infertility specialist to get properly examined, investigated and treated accordingly. You can undergo diagnostic laparoscopy and hysteroscopy to confirm the cause of infertility, and take further management accordingly.
Hope you found the answer helpful.
Wishing you good health.
Dr Deepti Verma
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Suggest Treatment For Ovarian Cyst

Hu, I have gone through your question and understand your concerns. The ultrasound report showing bulky uterus with a fibroid and a small cyst of size13 mm in ovary. The cyst has regressed in size and hence do not need any intervention. Fibroid decreases the fertility only when it is located submucosally. I would suggest you to consult an infertility specialist to get properly examined, investigated and treated accordingly. You can undergo diagnostic laparoscopy and hysteroscopy to confirm the cause of infertility, and take further management accordingly. Hope you found the answer helpful. Wishing you good health. Dr Deepti Verma