20 سنوات
I found that i have an ovarian cyst that is 7.5 cm my doctor prescribed duphaston so my period would come ,will duphaston help and what should be done if it didnt go ? Please inform me on everything
18 أغسطس 2014
Sometimes, a fluid-filled sac called a cyst will develop on one of the ovaries. Many women will develop at least one cyst during their life. In most cases, cysts are painless and cause no symptoms.
Your ovaries normally grow cyst-like structures called follicles each month. Follicles produce the hormones estrogen and progesterone and release an egg when you ovulate. Sometimes a normal monthly follicle keeps growing. When that happens, it is known as a functional cyst.
>Often times, ovarian cysts do not cause any symptoms. However, symptoms can appear as the cyst grows.
abdominal bloating or swelling
painful bowel movements
pelvic pain before or during the menstrual cycle
painful intercourse
pain in the lower back or thighs
breast tenderness
nausea and vomiting
YOU MUST SEEK IMMEDIATE MEDICAL CARE IF YOU HAVE :
-Sudden, severe abdominal or pelvic pain
-Pain accompanied by fever or vomiting
These signs and symptoms or those of shock, such as cold, clammy skin, rapid breathing, and lightheadedness or weakness indicate an emergency and mean that you need to see a doctor right away.
Ultrasounds help determine the size, location, shape, and composition (solid or fluid-filled) of a cyst.
Usually the treatment plan is steps when one step failed the doctor proceed for the other one :
FIRST :NO TREATMENT ,WATCHING PERIOD
Because the majority of cysts disappear after a few weeks or months, your doctor may not immediately recommend a treatment plan. Instead, he or she may repeat the ultrasound in a few weeks or months to check your condition.
If there aren’t any changes in your condition or if the cyst increases in size, your doctor will request additional tests to determine other causes of your symptoms.
They include:
>pregnancy test: to determine whether or not you’re pregnant
>hormone level test: to check for hormone-related issues, such as too much estrogen or progesterone
>CA 125 Blood test: to determine if cancerous
AND THE DOCTOR PROCEED TO STEP 2 IN THE PLAN TREATMENT :
If a cyst does not go away on its own or if it grows larger, your doctor may recommend treatment to shrink or remove the cyst.
Treatment depends on your age, the type and size of your cyst, and your symptoms. Your doctor may suggest:
>Birth control pills. Your doctor may recommend birth control pills to reduce the chance of new cysts developing in future menstrual cycles. Oral contraceptives offer the added benefit of significantly reducing your risk of ovarian cancer the risk decreases the longer you take birth control pills.
if the cysts don't go and if they become larger in size or any change then
THE DOCTOR PROCEED FOR STEP3 IN TREATMENT :
Surgery. Your doctor may suggest removal of a cyst if it is large, doesn't look like a functional cyst, is growing, or persists through two or three menstrual cycles. Cysts that cause pain or other symptoms may be removed.
However ,Surgery for an ovarian cyst or growth may be advised in the following situations:
>Ovarian growths (masses) are present in both ovaries.
>An ovarian cyst is larger than 7.5 cm (3 in.).
>An ovarian cyst that is being watched does not get smaller or go away in 2 to 3 months.
>An ultrasound examination suggests that a cyst is not a simple functional cyst.
You have an ovarian growth and you:
-Have never had a menstrual period (for example, a young girl).
-Have been through menopause (post-menopausal woman).
-Use birth control pills (unless you are using low-dose progestin-only pills or have missed a pill, which would make an ovulation-related functional cyst more likely).
Therefore ,in your own case ,you are now in step 2 treatment plan ,your cysts are large enough 7.5 cm but your doctor is waiting if the cysts will get smaller or what ,if after a 3 menestrual cycles or if the next follow up with your doctor shows a larger size ,the doctor may decide surgery .
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