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Unread 09-27-2003, 11:07 PM
need your wisdom

Hi - I need your wisdom about a new situation in my hyst recovery. I had a LSH in Nov, 2003. All was great- a few headaches which we handled with hormones.
At my annual check up in June, dr found a 19mm cyst on left ovary. He said it looked like I was mid-cycle and to come back in 3 months for a re-check. Over the summer, I started having some vague and weird symptoms. I had increasing difficulties with excretion(sorry to be so graphic). If I go to urinate, it seems tender and lots of times everything doesn't come out. As soon as I stand up or walk around, I get the urge to go again and I do. With defecation, everything seems to be in slow motion - I don't have near as much and what is there doesn't seem to want to come out - very sluggish bowel. Strange sensations in my lower abdominal area - it's like I can "feel" the stuff moving through the pipes down there. The cyst was in the back of my mind this whole time.
Went back last Thurs. for my re-check. My reg dr had to go to surgery and his staff told me his new nurse prac and new partner would see me. The nurse prac. came and started the exam. She answererd all my ?'s thoroughly and came back and said the new dr was still with other patients so she did the transvag ultrasound. She found a 32 mm cyst on the right side. Said it looked like I was mid-cycle. She was perplexed about the note in my chart showing the first cyst on the left. Said it could have resolved and this could be a new one; OR, this could be the same one. Told me to come back in 2 weeks for a re-check and if it doesn't resolve the dr will likely do a lap to take a look.
My main ? is would my dr make me wait 2 more weeks if HE had been there and seen this? I haven't slept well with all the avalanche of thoughts going through my mind. Do you think it's reasonable to call and ask to have the dr who knows my history look over my chart and call or see me asap to get his opinion? I appreciate any insight you all can share.

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Unread 09-28-2003, 08:52 AM
need your wisdom


It's always reasonable to talk to your doctor to get the information straight from him. I went for several months with cyst problems, and I did ask a lot of questions and here's my interpretation of what I learned:

Every month, an ovary forms a follicle (cyst) in preparation to ovulate. This cyst can be up to 4-6 cm in size (40-60 mm). The ovaries typical rotate month to month. So it would make sense that you would have a cyst on the other side. If it was on the left 3 months ago, then it would be right, left, and now right. If you happened to go at the same point in your cycle both times, then it would make sense. Then once you've ovulated, the cyst resolves. My doc said there should be no evidence of it within a couple of days after you've started your period. So now it's really tough for us, because since we don't have periods, it can be difficult to tell when we're ovulating. So, if they did catch you midcycle, it would make sense to go back in 2 weeks, because if it's a typical ovulation cyst, it should be resolved by then. Mine was watched over a period of several months and since it kept getting smaller, we felt comfortable that it was just a cyst and nothing more. We also ran a CA125 (one marker for ovarian cancer) just for extra information--it came back normal.

I would still call your doctor though. It sounds like you're having urinary symptoms--did they check you for a UTI? And you should mention changes in your bowel pattern as well. Just so all of the pieces are known. Your doctor can then give you the information you need to make informed choices about your medical care and what you want to have done.

Good luck! Please keep us posted on how you are doing.

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