Is Laparoscopy Surgery Advisable For An Ovarian Cyst?

Posted on Fri, 9 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 9 Oct 2015 Answered on

Fri, 30 Oct 2015 Last reviewed on

Question : Hello Doctor,
I am 40 yrs. old and trying to conceive. My periods gets delayed sometimes a week days and i observe spotting in between before 10-12 days before my period date. Also there will be moderate bleeding sometimes less. My recent scan report says there is a cyst of 4mm size in my left ovary . My doctor here says that it should be removed using Laparoscopy surgery . I know it is hightime and difficult for me at this age to get pregnant. But I don't want to give up. It's only around 8 months I have been trying to conceive. Please suggest me if it is a problem for me if I donot undergo this surgery? Can medication won't help me. Also please help me out advising me what precaustions do I need to take to get pregnant naturally. Pls.. Pls, help me out.

Answered by Dr. Soumya (2 hours later)

Brief Answer:
Go to IVF immediately

Detailed Answer:
Hi,

I understand you wish to conceive.

Following is my reply:

1) Laparoscopy is not required for you just for 4 mm cyst. This is likely to disappear by itself. Don't undergo laparoscopy.

2) Chances of pregnancy naturally are less at your age.

3) Please get antral follicle count done on day 2 of cycle in an IVF centre and also get AMH blood test done to check egg reserve.

4) You need to go for IVF ( Test tube baby) treatment if eggs are there in above tests. If not you need to get donor egg IVF.

Let me know if you need anymore help.

Regards

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