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Ovarian cyst too small to cause pain? Ovarian cyst too small to cause pain?

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Unread 01-24-2008, 03:20 PM
Ovarian cyst too small to cause pain?

Well the nurse called me this afternoon and said that the only thing found on my ultrasound was a tiny cyst on my left ovary... which should not be the cause of my pain. The obgyn wants me back in the office on Monday to discuss other reasons for my pain.. My sister asked a good question and so I will ask it here.. can adhesions be the cause of pain and if so wouldn't that show up on an ultrasound? I am frustrated because i have no clue why my left side hurts so much and why my scar is beyond painful..
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Unread 01-24-2008, 03:46 PM
Ovarian cyst too small to cause pain?

(((Yankeesfan))) Unfortunately, adhesions don't show up on ultrasounds, MRIs or any other type of non-invasive test. The only way to diagnose them is to have surgery (laparotomy, typically) and physically see them. The problem with that is that having surgery often causes more adhesions.

Let us know what the obgyn says about other possible reasons for the pain, OK?

Unread 01-24-2008, 04:13 PM
Ovarian cyst too small to cause pain?

Thanks! I called back the ob office… I did ask them about adhesions and they agreed that it would be a cause for pain. The Ob wants to talk to me about exploratory surgery. I have had three laparoscopy surgeries over the last four years.. Plus the hysterectomy. I have always had endometriosis as well. So the only way to know if one has adhesions, is to do surgery (which can cause more adhesions)… what do they do when you have adhesions????
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Unread 01-24-2008, 05:02 PM
Ovarian cyst too small to cause pain?

I am sorry you are continuing to have pain since your hysterectomy.

I have had pain off and on since my hysterectomy for endometriosis seven years ago. Starting in 2005, the pain was much greater but not deemed great enough to warrant the risk of surgery. Then a complex cyst and blood in my urine led me through another round of doctor's appointments and landed me in the office of an endometriosis specialist. My local doctors felt they could not treat me nor was there anyone around they wanted to refer me to so I had to travel out of town and out of network to see the specialist. Thankfully there is one in my state!

I just underwent a laparoscopy for excision of endometriosis, lysis of adhesions, vaginal cuff repair, and cystoscopy with hydro-distention. Fibrosis was also removed. To try to prevent future adhesions, the specialist did use an adhesions barrier but there are no guarantees.

Interestingly enough, I had stage IV endometriosis and adhesions to start off with but back before my hysterectomy I had no pain. This time around I had minimal endometriosis and some filmy adhesions but at times a lot of pain. Based on what I know from my research and talking to my doctors, had it not been for the combination of the complex cyst, blood in my urine -- which could have been endometriosis in my bladder -- and knowing I had endometriosis left from my previous surgeries, I would have still put off surgery.

Why? It is traumatic for the body to go through surgery. No surgery is a 100% guarantee to remove all the endometriosis and insure there will not be endometriosis in the future. And even using an adhesion barrier doesn't guarantee I won't have painful adhesions again since I have a history of adhesions.

And besides what was noted on my surgical reports seven years ago, everything was a "guess" since no tests show endometriosis or adhesions. I could have been opened up during surgery and nothing found. I have read of more than one woman on the site who has had that happen and it can be very discouraging as then what do you?

If you do not have an endometriosis specialist, you may want to consider consulting with one. You should also be keeping a pain diary -- you might like using ReliefInsite’s online pain diary. You should also learn all you can about endometriosis and adhesions.

You will need to carefully weigh all the pros and cons for you. While we believe the removal of the endometriosis, well established adhesions, and fibroisis, along with the vaginal cuff repair should help me pain wise, I was also diagnosed with IC. Thus, some of my pain hasn't even been related to the endometriosis or adhesions and I now have to find ways to deal with this new diagnoses.

One thing you might want to consider is pain management. You may also want to see if there is a pelvic floor physical therapist who might be able to help you. And a pelvic pain specialist could have some ideas and suggestions.

I wish I could tell you that there is a "cure all" for both endometriosis and adhesions, but I can't. There is no cure for endometriosis or adhesions, endometriosis can cause adhesions, surgery can cause adhesions, and there is no way to make 100% sure there won't be more adhesions and/or endometriosis in the future, even if is all cleaned up during a surgery!

Since I am still recovering from this last surgery, I can't tell you yet whether or not it has been a success. Right now my incisions are hurting, my guts are complaining, and I still feel tired! But I am hoping for the best!

Hopefully you can find a medical team soon who can help you feel your best and guide you to the right treatment plan for you! in there! s
Unread 01-24-2008, 05:24 PM
Ovarian cyst too small to cause pain?

Thank you for posting. You definitely have been through so much. I hope you feel better soon and heal even faster!
I guess I should spend the weekend reading up on things before I go into his office. My ob is a friend of mine.. I have so much respect for him and his wife.. So I can tell this is as much frustrating for them as it is for me and my family. I just do not want to go through the surgery only to hear it is nothing.. Especially since there is more prep involved when I have surgery due to two blood disorders.

I think what is the most painful for me is my scar.. I can handle the pains on my left side where my ovary is.. I can not handle or stomach the pain that my vaginal cuff (scar) gives me.. every time I pee my bladder cramps.. every time I pass a stool, I cramp.. so those are what bothers me the most. I have studied on endometriosis ever since I was a young teenager.. BUT it has been some time since then.. I want answers as to why my vaginal cuff is so excruciating.. Ugh it is so upsetting to even think about it.. brings tears to my eyes.
THANK YOU AGAIN .. I really truly hope you feel back to “normal“ soon!!!!!

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