I'm 35 and I've been diagnosed via ultrasound with two complex ovarian cysts, one on each ovary. I've also had cysts rupture monthly with every cycle for the last 3 years. The pain is excruciating and it's having an effect on my life (work, school, etc.) After 3 months of monitoring the complex cysts, they have not changed in size. I'm supposed to go back for another u/s in a few months to monitor. I can't take BC pills and progesterone-only methods like depo provera caused me terrible side effects in the past as well, do I have any other options? My doc says I'm basically SOL until menopause. Is that true? I haven't had any kind of testing done beyond the u/s, no bloodwork for hormone levels, etc. Should I ask for that? Would it even tell anything? Should I get a second opinion or do I really just have to deal with the pain for the next 15-20 years???
Ovarian Cysts - what are my birth control options?
Added 12 Jun 2011:
Hmm, I don't know who changed the title of my question but I don't want to know about birth control options at all. I want to know what I can do about the cysts *without* birth control pills. Ugh.
Since you have tried the conventional methods of treating this condition, I found an e-book you might want to check out by going to:
I have not read the book so I can't really recommend but might be worth the try since it has a money back guarantee.
if it were me, I would seek a second or third opinon from a University, Regional or Teaching Hospital - a very large, well known hospital that is regarded in high esteem like Johns Hopkins, the Mayo Clinic etc. These large hospitals see patients with problems like yours every day, where a local doctor may only read about problems as severe as yours. I don't know if you are wanting more children or not, but a hysterectomy may be an option. There are consequences to removing your ovaries at such a young age, as your body needs the hormones they produce, but I can't imagine going for another 15-20 years in such pain. Go and see the experts - and I pray they can find a solution for you.
I noticed this wasn't a new post and I certainly hope you've had some joy since then. If not, I can share with you that I've already had 22 surgeries for polycystic ovaries... but there is hope. I'm on a birth control pill called Melodene and it's worked like a charm. I only take the active pills as i have endometriosis as well and in order to control that, I'm not supposed to have my monthly bleed. Every women on the planet has cysts every month, caused by ovulation but most of them subside. We are amongst the unfortunate few who don't have much joy in this department as our cysts continue to grow. The only way to stop the cysts from occuring is to by-bass the ovulation cycle which birth control pills do very nicely. The trick is to find one that agrees with you and there are SO many choices. The best is to consult you gynae on which one to take. I've tried dozens and Melodene seems to do the trick for me and I'm still on it after 3 years. Hope that helps! :)
I finally went in for exploratory surgery for the pain after initally thinking it was a cyst. The shot of Lupron didn't make the pain go away. Thankfully the gynecological surgeon had a general surgeon on call; in the case that it wasn't just a cyst. I ended up needing the general surgeon right away, as my problem was that endometriosis (that doesn't show up on ultrasounds) had adhered my colon to my uterus, enveloping the ovary in between. So the bottom line is, if the pain is not explainable, and you're not getting anywhere with your original doctor, get a second opinion. I had to do that as I basically had to diagnose myself with the first doctor. All he was offering me was a hysterectomy, initially, after misdiagnosing me with adenomyosis (which didn't fit any of my symptoms). So long story wrap up. It ended up being a 3-1/2 hour surgery, separating everything, taking out 8" of my colon, removing the ovary and tube.
It was a 6 day hospital, plus a huge infection, an abscess in the incision (which was a risk). And still, close to 3 months after the surgery, the incision is still not completely closed 3.2 cm left compared to being able to insert my index finger). So get a second opinion and don't let the doctor treat you like a moron, like my first doctor did in my HMO--complete with the eye rolling. He didn't have to work as a teacher needing a heating pad and doubling over in pain. Also make sure to have an advanced directive (signed by athe witness) in any surgery, as my husband was able to make the call with the general surgeon to remove the part of the colon that was diseased. Good luck and God bless to everyone else. On a funny note, in the follow up with the Last gynecologist, she said my other ovary was stuck to the back of my uterus with the endometriosis, but she left it there so as not to disturb my last remaining ovary so she didn't put me into early menopause. Yea!
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