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hemorrhagic cyst
Discussion in 'All Categories' started by Ewelina Rojek - Nov 21st, 2013 8:46 am.
Ewelina Rojek
Ewelina Rojek

I am 36 female. On Feb 1, 2013, I had a ruptured right ovarian cyst that became infected by anaerobic GI tract bacteria. I became septic and had a laparoscopic drainage of dark fluid that has bloated my abdomen. Next, I had a dian tube installed in my abdomen for a couple of week and I was on antibiotics for 6 weeks. My ovary, as per my request was not removed. I still want to have kids. In June 2013, it was discovered that I have another complex hemorrhagic cyst of the size 4.7x3.2x4.3. In August it was 5.2x4.7x3.3 as per CT and U/S. The last week U/S showed similar dimensions. I am asymptomatic, no pain, no fever. I wonder if I should have this cyst drained/removed surgically considering my full of adhesion pelvis or should I just wait and repeat an U/S every 2-3 months? My concern is that I want to save my ovaries for the future in-vitro. Currently my left tube is blocked and right likely not functional. I was told I need an in-vitro. I do not want to have another infection. I have no Hx of STD's. One of my OBGYN's suggested taking a contraceptive pill to reduce the risk of hemorrhagic cysts. From what I was reading a contraceptive pill would not eliminate the existing cyst, right? It would just prevent the appearance of another one. Do you have any recommendation with respect to the treatment of current hemorrhagic cyst?
Thank you,

re: hemorrhagic cyst by Dr J S Chowhan - Dec 11th, 2013 10:24 pm
Dr J S Chowhan
Dr J S Chowhan
Dear Ewelina

In our opinion you should wait and watch and get ultrasound done after couple of month. Although most of these cysts are technically harmless, sometimes their effect could be so great that patient need to go in for treatment. A hemorrhagic cyst is one where bleeding occurs within the cyst itself. The most evident symptom is a severe pain before ovulation. Oral birth control pills are usually prescribed for treatment because they can prevent ovulation and it will relieve your symptoms. Although most of these cysts are technically harmless, sometimes their effect could be so great that you may need to go in for surgical treatment again.

With regard

J S Chowhan
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