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Recent Laparoscopy questions

I've had menstrual issues ever since my periods started. I

I've had menstrual issues ever since my periods started. I have heavy bleeding, clotting, extreme pain and nausea and I have to take two ferrous sulphate tablets daily, on a permanent basis, because I am constantly low in iron, due to the amount of blood lost. Years ago, I was diagnosed with a dermoid cyst on my right ovary but it was decided to leave it and it was never linked to my periods. I have been on various types of contraceptive pills and have had to come off them, due to adverse side-effects. Over the last two years, I have also experienced bleeding in between my periods-usually just spotting but sometimes a more. This usually happens a week after I have stopped my period and can also be accompanied by an achy feeling and like something is pushing or moving inside. I went to have another scan last year and it was confirmed that the dermoid was still there. My gynaecologist thought that it was likely that my symptoms were due to endometriosis, rather than the cyst, so I had a laparoscopy to see if there was any endometriosis and to treat it, if it was found. We also discussed removal of the cyst, if no other cause was found. When I came round from the surgery (which seemed a bit rushed-I was only in there for less than 20 mins and had a hysteroscopy and laparoscopy in that time) I knew that the cyst was still there, as I could still feel it. The surgeon confirmed that he had decided not to remove it, as he was unsure it was causing my symptoms and did not want to risk damaging my ovary (I am 37 and have decided I do not want to have children, so this was not really an issue for me). No endometriosis was found and therefore nothing was done to relieve my symptoms. The only suggestion I've had is to have the mirena coil fitted but I am dubious of doing this, as I find intercourse and even a smear test excruciating, so the thought of having a coil fitted worries me. Having also had negative reactions to the pill (raised blood pressure, leading to temporary vision loss and also changes in my mood), this also makes me worried about the coil. I have also heard that they may cause more cysts to grow! The surgeon said that if my cyst was 1 cm bigger (it is 4cm) or if I was 5 years older, he would have removed it! I'm just interested to hear whether another gynaecologist would give the same advice or whether you have any other suggestions. I was kept awake with the pain and aching in my right side last night and then have bled quite a bit today, even though my period finished a week ago and I worry it may be turning into something more serious. I would be very grateful for any advice. Many thanks.

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Dr Ted Manos

Self Employed

MD

1,192 satisfied customers
I have this severe stability pain in my pelvic area. I was

Hi, I have this severe stability pain in my pelvic area. I was diagnosed with an ovarian cyst but the doctor said it was very tiny so, I wasn't placed on any medication. Also I have been trying to get pregnant for about a year now. My periods ranges from 26_28 days. Sometimes it flows normal but most recently its been much more painful and liver like clothes.JA: Have you been keeping a personal medical record?Customer: Not reallyJA: Anything else in your medical history you think the doctor should know?Customer: I had an abortion years ago

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Dr. Norm S.

Doctoral Degree

12,026 satisfied customers
2 weeks ago I sent Dr Arun a question about ovarian cysts..

2 weeks ago I sent Dr Arun a question about ovarian cysts.. Firstly I have a huge fear of cancer hence the reason here. I do not want to wait another 2 weeks to find answers. I am just going to type out part of my ultrasound result.. Ovaries: Both ovaries are identified and both are enlarged by cystic structures. The nature of these is uncertain as thy could be mutiple simple cysts however the appearance is more in keeping with bilateral large loculated cyst on the right approx 5.5 I have cysts on both ovaries .There are numerous septations bilaterally however there does not appear to be any significant vascularity in either side.I have had the CA 125 which was normal ... I have also had my first appointment with the gynacologist where he spoke very fast and i had trouble understanding...He is sent me for more blood tests CA125, CEA, CA19.9,CA 15.3, ESR,CRP, inhibin,HE4, Roma Index ... You can understand my fear looking at all of this.I did hear him say that I had free flowing fluid, and that the cysts were soft, and that maybe low risk .. but he wants to be certain what he's dealing with to acetone what he's going to do e.g. big operation, small operation laparoscopy.. I don't want to wait for 2 weeks to find out can you shed some more light on this please

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,672 satisfied customers
I have been trying to conceive with artificial insemination

Hello,I have been trying to conceive with artificial insemination (ICI and IUI) for 15 cycles (I'm in a same-sex relationship). I had an ectopic pregnancy last year and one tube was removed because of it. Today I had an ultrasound to prepare for another IUI and my RE told me that she thinks I may have an arcuate uterus. She said she didn't see it last time, but today she could see it. She said she recommends a hysteroscopy to see if there is adequate blood flow (and to rule out that this may be the reason why I haven't conceived yet). She said she may do a cut in this area to fix it. I'm really not fond of any cuts and surgery, so I'm wondering if this is standard procedure. Is this something I should be worried about? My RE said she thinks I should have this procedure before the next IUI or possible IVF. Is there a chance that this might negatively affect my fertility?

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Dr. Tim, MD

Board-Certified OB/GYN

1,346 satisfied customers
I had an ectopic pregnancy (most likely caused by clomiphene

Hello,I had an ectopic pregnancy (most likely caused by clomiphene citrate and the trigger shot) last year in May. One of my tubes was removed (even though it wasn't ruptured yet). Now I'm in the process of doing IUIs again at my RE's clinic. My RE told me that she would recommend a second-look laparoscopy to see if the other tube looks good and didn't suffer any damage from the ectopic pregnancy that was in the other tube. I'm wondering if this surgery is necessary, considering that this tube was checked by the surgeon during the removal of the other tube. It looked fine back then. I also don't have any ectopic pregnancy risk factors (no other prior surgeries or infections or anything like that).

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Dr Ted Manos

Self Employed

MD

1,192 satisfied customers
I recently had my gallbladder removed and while doing an

I recently had my gallbladder removed and while doing an ultrasound the Dr. saw a cyst on my right ovary and the report showed it was about 2.5cm, I am in extreme pain still and feel like there is something floating in my.stomach. would a hysterectomy be considered?JA: How long have you had the pain? What seems to make the pain better or worse?Customer: Its been about a year, when I had the really bad pain but it came aJA: Anything else in your medical history you think the doctor should know?Customer: And went within 20 minutes, my pelvic area hurts really bad at the time of my monthly... I had a cyst when I was 13

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28,822 satisfied customers
I am a 48 YO woman with PCOD and perimenopause. My period

I am a 48 YO woman with PCOD and perimenopause. My period has been going now for 21 days. Went to my doctor and was diagnosed with ovarian cyst via ultrasound. Prescribed birth control pills. Should I be worried?

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Dr. Vakul Aren

Consultant Physician

Post graduation (Liverpool, U.K.)

3,412 satisfied customers
I just found out that I have a 13 x 13 x 6 corpus luteum

I just found out that I have a 13 x 13 x 6 corpus luteum cyst on my right ovary. I have been experiencing multiple symptoms and am eagerly awaiting a referral to my OB/GYN. After researching online it seems that many have to have this removed surgically due to size, instead of by laparoscopy like my first one. Is this true?

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28,822 satisfied customers
I would appreciate a response from a FEMALE gynecologist who

I would appreciate a response from a FEMALE gynecologist who keeps current on new information and studies related to oophorectomies to answer the question below. Thank you!I am a 52 yr old woman who has finally - after complaining of abdominal pain for several years - been diagnosed with a 6cm septated cyst that has grown 2cm over the past year on my left ovary. It is causing significant symptoms including pelvic pain, pressure on my bladder which I think is the reason I'm having a little urinary incontinence when I sneeze, etc. (Could it also be the reason I am constipated a lot nowadays, or cause back pain?) I am experiencing extremely heavy, long periods with much worse cramps than I ever got before. My doctor recommends removing the cyst along with my left ovary via laparoscopy.I am really tired of the pain, but I don't want to take out the ovary for fear of more depression, fatigue, and weight gain than I already suffer. I am also undergoing a significant amount of personal stress at this time and feel like I'm managing as much as I reasonably can without getting more depressed, anxious, fatigued, etc. (I am on an antidepressant) I sometimes get really hot and sweaty when others are comfortable with the temperature, and my sleep is poor, which I recognize as peri-menopausal symptoms.I have asked the MD to remove the cyst without taking the ovary unless there is evidence of cancer or something else dangerous related to the ovary, but he is saying that because I'm 52 he should take out the ovary with it to reduce ovarian cancer risk. The research I've seen shows that there are increased health risks associated with taking out ovaries including heart disease, osteoporosis, dementia, etc. that overshadow the risk of ovarian cancer. As well as my concerns about losing a feminine appearance. Also, does ovary removal reduce libido?My mother was still having regular periods at age 54 when she died in an accident, so I'm wondering if I'm producing more hormone than average at this age.The MD tells me that the other ovary will compensate for this one being removed and make more, but that doesn't make sense to me. Is this backed up by research?I'd like an opinion about whether I'm being reasonable or unwise to try to retain this ovary. Thank you for responding.

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Dr. K.

Staff physician

6,306 satisfied customers
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