Home HealthTopics Health Centers Reference Library Research
Join us on Facebook Join us on Facebook Share on Facebook

Women's Health

Complex left ovarian cyst - laparoscopy

06/02/2008

Question:

Hello, I am a 30 year old. For the past eight years I have had extreme pelvic pain atleast twice during the year. I always chalked it up to being a ruptured cyst as it would always go away. These past 6 monthes, I have had the doubling over type pain 3 times. I have some pain inbetween the major pain. My breast are very tendor. I went to my OBGYN`s and they did a pelvic US & intravaginal US and it showed a complex Ovarian Cyst on my left ovary. About 3 days after I had those test, I doubled over with acute pelvic pain that started from the left side to the middle side of my pelvic area. It lasted about 3 hours. I`m still very tender down there and occasionally have stabbing pain too but not alot. My breast hurt so bad right now. I am scheduled for a Laparoscopy on the 27th of June. My doctor seems to think that I might have endometreosis with how frequent I have the pain. When I say pain, I mean almost as bad as labor pain. Anyways, I wanted to see if this does sound like endo, or could it be that it was just the cyst moving around? Could the cyst have ruptured? Could the cyst still be there and if it is still there, when I get the laparoscopy, will they remove the cyst at that time? Will they fix any endometreosis during the procedure?

Answer:

Ovarian cysts are very common, and not necessarily a sign of a problem.  Every month when a woman ovulates (the ovary produces an egg cell), there is a cyst that forms, typically becomes an inch or more in diameter, and then goes away.  So at any time of the month, an ultrasound can show a cyst either in the process of forming, or going away.  These cysts usually do not cause any symptoms, but can sometimes cause pain if there is some bleeding present, if it expands very rapidly, or if the ovary twists.  Because no one knows what causes most short-lived pain, doctors will often attribute it to a "ruptured cyst", even though cysts rupture every month without pain.

Cysts can be more serious if they are abnormally enlarging or "complex", meaning they contain more than just simple clear fluid.  Complex cysts might be due to a tumor or a condition like endometriosis, and surgery may be necessary to examine and remove such a problem.  Depending on a woman's age and the type of cyst, such surgery could involve simply looking, removing the cyst, or removing the whole ovary.  In your particular case, you will need to discuss with your surgeon exactly what is planned and what s/he intends to do during the laparoscopy.

For more information:

Go to the Women's Health health topic, where you can:

Response by:

The Ohio State University Jonathan A Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A Schaffir, MD