OT Ovarian Cyst Question For A Friend

10 Replies
kellens mom - January 29

My dear friend just called to tell me that at her gyn appt, the found an ovarian cyst. She went in because she has been have 3 week long periods off and on for 6 months now. I know nothing about O. cysts or about abnormal bleeding. I do know that her gyn did not think that the two (cyst and bleeding) were related. The gyn put her on the ring (nuvaring?) and said they would see if a change in birthcontrol will help with the bleeding. She is to come back in a month to see if the cyst has grown. It is 4 cms now. My friend's husband just got snipped because my friend wanted to be off of birth control (FYI-they have two beautiful children and don't want more). I really don't think they addressed the bleeding problem...Do you have thoughts on this that I can share with her? Is the gyn being too lax on the cyst issue? What do you think about the birthcontrol to control bleeding? I feel like it is a bandaid approach that may mask an underlying problem. She is like a sister to me, so I have to take care of her...

 

aurorabunny - January 29

Hey Kellensmom---I was just last week diagnosed with Polycystic Ovarian Syndrome. I have cysts on my ovaries, too. The disease completely affects your hormones and your cycles (I only get a period every 3 months right now) so I would say I think they could be related. I'm going to the doctor tomorrow for a pelvic ultrasound to see how big my cysts are and have to get medication tomorrow, I will let you know what they do for me.

 

sahmof3 - January 29

I was like aurorabuny and had the opposite problem as your friend. My periods were really few and far between, but it is hormonal and I wouldn't doubt it could affect someone that way. I did have some abnormal bleeding b/w periods, though, that was accompanied by pain and I think it was cysts bursting (I had this happen after using the fertility drug Clomid... didn't get pregnant while on it, but did the next month after going off of it after having abnormal bleeding. Well, on my early u/s's the largest cyst was gone. I think the stimulation from the Clomid helped to burst it.). Anyway, I foget the particulars, but people with PCOS can have blood sugar and insulin issues, so her doc should at least be talking to her about getting on to a diabetic diet and/or possibly the drug Metformin.

 

mcatherine - January 29

If they only found one cyst then she's probably fine. It'll bust on its own - especially if she on hormonal bc now. A lot of women get them every month and never even know it. The bc will regulate her cycle - which will help with the bleeding. It may take a couple of weeks though. I'd have to say its a pretty typical approach - it doesn't sound lax to me. I'm in the boat with aurorabunny with pcos, but my ovaires are both covered with cysts.

 

kellens mom - January 29

I would really appreciate knowing more so that I can provide her guidance about second opinions, surgery, etc. This same friend when in for a scan last year to investigate inner ear problems (vertigo) and they accidentally discovered a tumer growing in the lining of her brain. All went well with her surgery to remove it, but right now I know that she is feeling overwhelmed thinking about what she should do next. The doc seemed really low-key about it. With her health history (it has been long!), I prefer to lean towards the cautious side of things.

 

Rabbits07 - January 29

I have had ovarian cysts in the past (not pcos though). Most of mine were usually noticed while having routine u/s during pregnancy. Only once did I have a cyst that I was actually having trouble and pain that caused me to go to th doctor. It was rather large (I don't remember the exact measurements, but the u/s tech's exact words were, "Yep, you've got a cyst and it's a big one, too!") It ended up rupturing on it's own. On one other occa__sion I had some abnormal bleeding that I was told was probably due to a cyst rupturing. I've never had an ongoing problem that I had constant bleeding however.

 

kellens mom - January 29

This is all new to me. She has some pain on the side that has the cyst. What happens if it bursts? More pain? Bleeding? Is a cyst bursting a bit of a concern or is it common? (it sounds common).

 

mcatherine - January 29

Its common. It might cause pain - it might not. They don't always cause pain - but sometimes they are what causes that unexplained pain a woman gets on one side or the other. I developed pcos a few years ago, but before that it seemed like I always had a cyst once a year or so. No doctor ever really did anything other than say they would keep an eye on it, but it always seemed like it was gone by the next visit. I can tell you that they won't even consider surgery. They do ovary drilling - but that is for women with pcos that are trying to get pregnant. I promise it is So nothing to be overly worried about. Since she obviously had a pap to check for cancers and other concerns and if her periods normalize, then I bet they give her a clean bill of health.

 

kellens mom - January 29

Thanks for putting my mind at ease. I will visit with her tonight to rea__sure her. Sometimes the unknown can be difficult.

 

mcatherine - January 29

I agree. Hearing the word cyst is enough to scare anyone, but as long as its on the ovary - I'll bet she's just fine! You're a good friend!!!

 

christa0120 - January 30

OK I'll give a brief inservice...Women who ovolate or have the potential to ovulate make cycts every month. As a woman begins her cycle an egg gets ready...it is in a follicular cyst. The egg pops out when it is ripe and begins it's journey. The follicular cyct inturn begins progesterone production incase of pregnancy and supplies the progesterone until the placenta is mature enough to take over. If no pregnancy occurs...poof cyst reabsorbs. Now...occasionally a cyct will linger and grow and pop on it's own eventually...Probably due to hormones being slightly out of whack ( or perhaps she missed a pill or 2 or the pill may have failed if she was on the pill) or any number of physical stressors. Some cysts become very bothersome in that they can cause discomfort, pain or become twisted with the ovary and need to be surgically addressed BUT usually an adjustment of hormones (such as your friends Dr did) are the first lines of attack. Most will clear up. I have had 3 surgeries to remove cycts (in the last 22 years) 1st one was huge, grapefruit sized and an incomplete rupture. 2nd was twisted and bleeding, 3rd became so large and was there for so long that it would not respond to hormones and was needle aspirated and then eventually cut out. They also removed cysts from my ovaries during my csections...I had 4 cycts the last time. PCOS is a disorder that the ovaries are covered in small cysts that produce hormones and hinder normal ovulation because of this hormone production. ...Hope this BRIEF inservice was helpful...there is much more to the story bit that is the basics...

 

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