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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index


Have your doctor schedule another ultrasound to ensure that the cyst that was resolving has indeed resolved and is no longer an issue. I sympatize with the pain during ovulation. I have an 8 cm simple cyst on my left ovary which after a year has not resolved. I am keeping an eye on it with regular ultrasounds. I know EXACTLY when I am ovulating because of the pain and general discomfort. This sometimes occurs for only a day or two and sometime for a little longer. Things do quieten down eventually though so I know that this is caused by ovulation (my period is usually 14 days later .. almost to the day). I am also certain that the pain is due to the cyst because before going on the pill I never had ovulation pain (I am now not on the pill).

The birth control pill does nothing to prevent cysts nor to hasten their disappearance. It used to be thought that because the pill is an anti ovulant that it would prevent cysts from occurring but now they have studies that show that this is not the case. These boards are full of women who developed cysts while on the pill. Today's birth control pills are so low in hormones that women are still developing follicles on their ovaries. Birth control is still maintained because the progesterone in the pill ensures a thin endometrial stripe and because the pill messes around with the hormonal surge that occurs during ovulation (ie. when the egg burst out of the follicular cyst).

In your case, you may simply be starting to be prone to developing larger than normal cysts. If the symptoms you describe go away in a few days then you know that they are related to ovulation. I would still insist on having another ultrasound though, just to be sure that you don't either have more cysts or that the resolving cyst has perhaps not resolved after all and is causing problems.

There are a lot of us that have problems with ovarian cysts and this is an extremely common issue, especially for premenopausal women (even menopausal women have this problem but a little less so). Keep an eye on your situation and don't be afraid to insist that you go for regular ultrasounds to be sure that everything is OK in there.

Your bleeding issue may or may not be related to the cyst and an ultrasound can shed light on this as well. An ultrasound can tell you how thick your endometrial lining is. If it is very thick, this may be causing the irregular bleeding and spotting and you may want to discuss options such as a D & C in order to clean things out and stop the irregular bleeding. Your doctor may also want to do an endometrial biopsy which is a simple procedure performed in your doctor's office where they take a tissue sample of your uterine lining to make sure that there are no abnormal cells (like the pap smear). If you do go for this, take an Advil about an hour before so that you will avoid cramping (some women are prone to this). The procedure takes about 5 minutes and although uncomfortable, it is relatively painless.

I hope you find a resolution to your problem. Take care and all the best.


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