Suggest Treatment For Fluid Filled Cyst In The Ovary

Posted on Wed, 25 Feb 2015

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

Wed, 25 Feb 2015 Answered on

Wed, 18 Mar 2015 Last reviewed on

Question : I am 3 years post menopausal and I use estridol 3x a week 1/2 gram, I had a D&C 3 months ago after complaining about uterine pain the Trans Vag showed debris... D&C biopsy came out neg, recently blood with intercourse another Trans Vag, now I have a fluid filled cyst on left ovary 1.18 cm Dr. has recommended a total Hysterectomy and removal of both ovaries.... do you agree that this major surgery is necessary?
XXXX

Answered by Dr. Aarti Abraham (10 minutes later)

Brief Answer:
I dont think a hysterectomy is justified.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Is this the first time you had blood with intercourse ( technically called post coital bleeding ) ?
Well, a 1.18 cm fluid filled cyst is not at all an indication for a total hysterectomy and bilateral oophrectomy ( removal of both ovaries ).
The D and C with biopsy was negative as I gather 3 months back.
When did you last have a Pap smear ?
Also, I need to have a copy of the ultrasound scan report.
If you could upload the images and report, that would be a great help.
It might help me understand better why such a major surgery has been recommended.
Do you have an ominous personal / family history of cancers ?
All the best
Please feel free to discuss further.

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

Follow up: Dr. Aarti Abraham (50 minutes later)

I have had bleeding with intercourse before about 5 years ago, really just spotting at that time and post menopausal I have had it 2 times in a row the last time being quite a bit of blood.
My last pap, was with in the last year, I have never had an abnormal pap. I do not have any history of ovarian cancer in my family, my dad had non Hodgkins lymphoma.
I really don't have a way to send you the ultra sound report, as I do not have it. My doctor is a personal friend and seems to want to eliminate any risk at all of cancer.

Answered by Dr. Aarti Abraham (9 minutes later)

Brief Answer:
I see no risk of a cancer, but I need to see the report.

Detailed Answer:
HI.
With a negative biopsy, a normal Pap smear, and a near - normal ultrasound scan, there is absolute no risk of a cancer !
Since the doctor is a friend, can you ask for a copy of the report please ?
That is the only way I can be sure .

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. Chakravarthy Mazumdar