Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Abdominal Bloating When Diagnosed With Small Ovarian Cysts
Posted on
Sat, 10 Dec 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 10 Dec 2016
Answered on
Fri, 30 Dec 2016
Last reviewed on
Question : I have been diagnosed with a small (3cm) ovarian cyst which my gp said we just have to wait and see if it goes away on its own. But I have now missed a second period and having mild cramping and bloating similar to period pain on and off. I see my gp on tuesday and imagine i will have to get another scan to see whats happening. I have a history of primary dismenhorrea - disabling pain. A laparoscopy when i was 22 found several small spots of endometriosus and have had cysts before that caused excessive bleeding and pain. This little bugger is different From my research i think it may be a "corpeus leutum" cyst? Its distressing because i went off the pill 5 months ago to prepare my body so that my husband and i could start trying for our 3rd baby. I have absolutely no pcos symptoms.this is the first time in my life ive missed a period off the pill first period age 13, im 34 now.
Any suggestions as to what i could do diet/supplement wise in next couple of days to try and bring on a period?? Any suggestions as to questions to ask or referrals to request from my doctor on tuesday? Im seeing a new doctor since we moved interstate and hes not very proactive.
Any suggestions as to what i could do diet/supplement wise in next couple of days to try and bring on a period?? Any suggestions as to questions to ask or referrals to request from my doctor on tuesday? Im seeing a new doctor since we moved interstate and hes not very proactive.
Brief Answer:
can try metformin
Detailed Answer:
Dear Ma'm, hi and welcome to HCM!
i could understand from history that you have 2 children, you were on OCP as a method of contraception. now you are planning your third baby so you have stopped taking ocps.
so far if i am correct, then it is not very distressing to miss a cycle. Once you are off OCP s it might take a while for normal hormonal milieu to establish.
cyst as you have described can be very rightly a luteal cyst. so nothing to be done for that actually. wait and watch is the right policy. do not take progesterone to induce bleeding else hormonal imbalance might push your normal endogenous response further away.
you may take metformin 500 mg thrice a day and build up to 2.5 g per day to sensitize the ovaries or reduce insulin resistance. diet and exercise to continue.
regards!
can try metformin
Detailed Answer:
Dear Ma'm, hi and welcome to HCM!
i could understand from history that you have 2 children, you were on OCP as a method of contraception. now you are planning your third baby so you have stopped taking ocps.
so far if i am correct, then it is not very distressing to miss a cycle. Once you are off OCP s it might take a while for normal hormonal milieu to establish.
cyst as you have described can be very rightly a luteal cyst. so nothing to be done for that actually. wait and watch is the right policy. do not take progesterone to induce bleeding else hormonal imbalance might push your normal endogenous response further away.
you may take metformin 500 mg thrice a day and build up to 2.5 g per day to sensitize the ovaries or reduce insulin resistance. diet and exercise to continue.
regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thankyou i will look into metformin. Have never heard of it before?
As someone who never missed a period even when ive come off the pill before it is quite frustrating to miss 2 in a row and to have a cyst making me feel unwell and unable to do anything about it is distressing.For me anyway.
I used the ocp primarily as treatment for painful heavy periods. I have heard that it is not desirable to stay on it long term so we made the decision to try for our 3rd baby now and then look at long term contraceptive options and possibly see an endocrinologist or obgyn to get help for my pain. I found that both times ive had a baby it took a good 2.5 years for severe pain in periods to return. Hopefully it will work the same 3rd time if we are lucky enough to conceive :)Could you explain further why metformin could help in this case?? After looking it up, i do not gave any symptoms of type 2 diabetes, im not overweight and dont have pcos??
As someone who never missed a period even when ive come off the pill before it is quite frustrating to miss 2 in a row and to have a cyst making me feel unwell and unable to do anything about it is distressing.For me anyway.
I used the ocp primarily as treatment for painful heavy periods. I have heard that it is not desirable to stay on it long term so we made the decision to try for our 3rd baby now and then look at long term contraceptive options and possibly see an endocrinologist or obgyn to get help for my pain. I found that both times ive had a baby it took a good 2.5 years for severe pain in periods to return. Hopefully it will work the same 3rd time if we are lucky enough to conceive :)Could you explain further why metformin could help in this case?? After looking it up, i do not gave any symptoms of type 2 diabetes, im not overweight and dont have pcos??
Brief Answer:
insulin resistance might still exist.
Detailed Answer:
Dear ma'm, sorry to hear that you have gone through so much pain.
1. OCP does help in dysmenorrhea. but yes it is not advisable in the long run. you can go for IUD. Tubal ligation will help in contraception but not much in dysmenorrhea.
2. going for third baby to avoid OCP or dysmenorrhea is something not suggestible again. because this will be a temporary solution. after this baby what will you go for ?
3. dysmenorrhea might respond to myoinositol, carnitine, vitamin D, anti spasmodics, etc.
4. metformin might help you in restoring normal cycles without interfering with your hormonal profile. you may be lean, may have normal blood glucose, and may have no feature suggestive of PCOS, insulin resistance might still exist, and OCP induced hyperinsulinemia might be there.
I am not promising it will work, it might but.
regards!
insulin resistance might still exist.
Detailed Answer:
Dear ma'm, sorry to hear that you have gone through so much pain.
1. OCP does help in dysmenorrhea. but yes it is not advisable in the long run. you can go for IUD. Tubal ligation will help in contraception but not much in dysmenorrhea.
2. going for third baby to avoid OCP or dysmenorrhea is something not suggestible again. because this will be a temporary solution. after this baby what will you go for ?
3. dysmenorrhea might respond to myoinositol, carnitine, vitamin D, anti spasmodics, etc.
4. metformin might help you in restoring normal cycles without interfering with your hormonal profile. you may be lean, may have normal blood glucose, and may have no feature suggestive of PCOS, insulin resistance might still exist, and OCP induced hyperinsulinemia might be there.
I am not promising it will work, it might but.
regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thankyou so mych for that extra info, its really helpful and i will discuss with my doctor :))
3 children has always been the plan, now that i am 34 and our youngest is 5 years old, it feels like the right time. Post baby, my long term plan is likely an IUD. (I wanted to wait until i was done having babies. probably wouldve been fine but a friend had a bad experience and ended up not able to have babies)
Thankyou again from Jess in NSW AUSTRALIA :))
3 children has always been the plan, now that i am 34 and our youngest is 5 years old, it feels like the right time. Post baby, my long term plan is likely an IUD. (I wanted to wait until i was done having babies. probably wouldve been fine but a friend had a bad experience and ended up not able to have babies)
Thankyou again from Jess in NSW AUSTRALIA :))
Brief Answer:
you are welcome!
Detailed Answer:
Dear ma'm, thank you so much and all the best.
you are welcome!
Detailed Answer:
Dear ma'm, thank you so much and all the best.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
