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What could be done to manage a complex cyst in the ovary?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had a transvaginal ultrasound yesterday, and the report shows a 3.9 cm complex cyst on my left ovary. It says there is no internal flow on the color Doppler, but the arterial flow is present in the ovary. I am really scared this could be ovarian cancer. What does this mean?

Kindly help.

Answered by Dr. Obinna Ugwuoke

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

A complex ovarian cyst means it has both solid and liquid components. For younger women, it is often a dermoid cyst, which can be treated with surgery. In older women, more tests are needed to rule out ovarian cancer.

Your ultrasound did not show signs that would raise cancer concerns, like internal flow or fluid in the abdomen. So, your cyst is most likely not cancerous. To narrow down the cause, it would help to know your age, when you last had your period, and if you experience severe pain around your period.

I hope you got an answer.

Please let me know if you need any further help.

Thank you.

The Probable causes

1. Dermoid Cyst. 2. Endometrioma.

Patient's Query

Hello doctor,

Thank you for the reply.

What test will you suggest?

Kindly help.

Answered by Dr. Obinna Ugwuoke

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back toicliniq.com.

I read your query and can understand your concern.

Since you are perimenopausal, further investigation is needed as your ovaries are less active compared to younger women. You should have a CA-125 (cancer antigen 125) level test.

If the CA-125 level is low or normal, regular monitoring with ultrasound scans and CA-125 testing is recommended. If the cyst becomes larger, painful, or shows signs of cancer, surgery may be needed. If the CA-125 is high, surgery should be performed immediately.

I hope this helps.

Thank you and take care.

Regards.

The Probable causes

1. Dermoid Cyst. 2. Endometrioma. 3. Cystadenoma.

Investigations to be done

CA-125

Regarding follow up

Do let me know when you have the CA-125 result.
Medically reviewed by iCliniq medical review team
Published At November 28, 2024
Reviewed At November 28, 2024

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Fellowship in Obstetrics and Gynecology

Professional Bio:

Dr. Obinna Ugwuoke is a dedicated Medical Professional who achieved a Fellowship in Obstetrics and Gynecology from the West African College of Surgeons in 2022. With three years of clinical experience. He contributes his expertise to NAF Hospital in Lagos, Nigeria. Driven by passion and skill, he continues to make significant strides in women's healthcare.

This doctor is not available for online consultations on the platform anymore.

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