How Can Nausea, Fatigue, Pelvic Pressure, Appetite Loss. Abnormal Uterine Bleeding With Menstrual Cycles Of 12-42 Days Be Treated?

Posted on Wed, 24 Apr 2024

Question: 45yrs, pre-menopause. Symptoms since September 2017. weight loss (almost 20 lbs in 2 months as of November 2017. Haven’t lost more weight since then, maintaining with very high caloric foods) nausea, fatigue, pelvic pressure, appetite loss. abnormal uterine bleeding with menstrual cycles of 12-42 days. Multiple TVUS showing 2 unchanged complex ovarian cysts, around 3 cm, with internal echoes and septations. Also diagnosed with probable fibroadenoma in left breast. Neg fibroids. MD has suggested wait and see, MRI, or laparoscopy. I don’t really know what to do.

Answered by Dr. Deepti Verma (44 minutes later)

Brief Answer:
MRI followed by laparoscopy

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
For abnormal uterine bleeding, and complex adenexal cysts, I will suggest you to undergo MRI followed by endometrial biopsy and laparoscopy, if indicated, to confirm the cause of abnormal uterine bleeding and nature and type of complex cysts.
A proper evaluation and diagnosis will help alleviate your anxiety and proper treatment can be done.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepti Verma (17 hours later)

Is there any connection between the “probable”fibroadenoma in my left breast and the fact that the ovarian cysts are on the left?

Do I need to pursue any kind of endocrine work up?

Answered by Dr. Deepti Verma (19 hours later)

Brief Answer:
Increased estrogen levels

Detailed Answer:
Hi dear, increased estrogens levels is the likely cause for both fibroadenoma and ovarian cyst.
So, a serum estrogen levels can be tested.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepti Verma (5 hours later)

If it turns out that an mri/laparoscopy doesn’t show anything what else should I do? What else could be causing the problems?

Answered by Dr. Deepti Verma (11 hours later)

Brief Answer:
Nothing to worry

Detailed Answer:
Hi dear, if the reports are normal, then it is due to age related hormonal changes, and hence will resolve after menopause.
So, there is nothing to worry in this situation.
Regards
Dr Deepti Verma

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Kampana