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What Does My Lab Test Report Indicate?

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Posted on Mon, 23 Nov 2015
Question: Question for Dr. XXXXXXX Brown
Dr. Brown I had pelvic and transvaginal ultrasound today. Good news in that the cyst is Simple and all other organs looked good. The tech who was very good at showing me things suggested I ask the doctor about treating the cyst with hormones to reduce it.
Assuming the Blood test shows no cancerous markers, would hormones be an option? Assuming the answer is no, is the ovary removed with the cyst?

I see the GYB/OB Tuesday, but value your opinion.

Thanks very much
doctor
Answered by Dr. Jacqueline Brown (3 hours later)
Brief Answer:
The tech was incorrect in her recommendation

Detailed Answer:
Hello again!

I'm glad to hear that it looks like a simple cyst.

However, it's actually a pet peeve of mine when ultrasound technicians start talking about gynecologic treatments, because unfortunately they usually are misinformed.

It is true that birth control pills can reduce the formation of ovarian cysts, but the only type of cyst that responds this way are cysts related to ovulation in reproductive age women.

The risks of having ovarian cysts if they are known to be benign are only related to their size. If your cyst is bigger than 5 cm in size, it can flip around inside you and twist around your Fallopian tube and cut off its own blood supply, which is called a torsion. This can cause severe pain and internal bleeding when the cyst ruptures.

So if the cyst is bigger than 5 cm it really is safest to remove it. It will never go away by itself and can only grow bigger with time.

Your doctor may recommend removing both your ovaries if you have surgery because they have really no hormonal function at your age and it will prevent you from ever having to worry about ovarian cancer.

So I do think that removing the cyst is still the best thing to do... if it is done laparoscopically your recovery takes about 2 weeks... and you usually go home the same day.

Let me know what you think, and I'm glad they think it's a simple cyst

Take care, Dr. B
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Jacqueline Brown (1 hour later)
Your answer sounds very logical to me and I really did not have much, if any hope, that the tech was correct about that. I will probably post again after I see the doctor, but will go ahead and close this for now. Thanks very much. You have been so very helpful throughout this scary process.
doctor
Answered by Dr. Jacqueline Brown (3 minutes later)
Brief Answer:
No problem

Detailed Answer:
I am just so glad that this turned out to be something benign!!

Take care, and good luck with the surgery if that is the way you decide to go

Dr. B
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Jacqueline Brown

OBGYN

Practicing since :1996

Answered : 1425 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: The tech was incorrect in her recommendation Detailed Answer: Hello again! I'm glad to hear that it looks like a simple cyst. However, it's actually a pet peeve of mine when ultrasound technicians start talking about gynecologic treatments, because unfortunately they usually are misinformed. It is true that birth control pills can reduce the formation of ovarian cysts, but the only type of cyst that responds this way are cysts related to ovulation in reproductive age women. The risks of having ovarian cysts if they are known to be benign are only related to their size. If your cyst is bigger than 5 cm in size, it can flip around inside you and twist around your Fallopian tube and cut off its own blood supply, which is called a torsion. This can cause severe pain and internal bleeding when the cyst ruptures. So if the cyst is bigger than 5 cm it really is safest to remove it. It will never go away by itself and can only grow bigger with time. Your doctor may recommend removing both your ovaries if you have surgery because they have really no hormonal function at your age and it will prevent you from ever having to worry about ovarian cancer. So I do think that removing the cyst is still the best thing to do... if it is done laparoscopically your recovery takes about 2 weeks... and you usually go home the same day. Let me know what you think, and I'm glad they think it's a simple cyst Take care, Dr. B