Can a right ovarian cyst cause pain in the left pelvic area?

Hi,

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The pain that you are experiencing is not due to the ovarian cyst, as the cyst is on the right side and pain is on the left side. This pain might be caused by an infection or any other pathology. So, I suggest you repeat an ultrasound of the pelvis if the pain is severe. PCOS (polycystic ovarian syndrome) will cause irregularity in the menstrual cycle but will not cause such a pain. I wanted to know the type of cyst you have, When was the ultrasound done? You will require a repeat ultrasound after three months, to know whether the size of the cyst is same or if it is increasing.

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No need of an ultrasound if the pain is better after taking Meftal Spas (combination of Dicyclomine and Mefenamic acid) tablet. Please attach your ultrasound reports for further advice regarding management of pain.

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Left side pain might be due to endometriosis, even if the cyst is on the right side. Any ovarian cyst more than 2 inches needs further investigations to rule out carcinoma of the ovary, that test you have already done. The second thing is if the cyst is less than 2 inches then what is the nature of the cyst? In your case, the cyst is around 2 inches, and it is a hemorrhagic cyst, that means there is some blood inside the cyst. So, this could either be due to endometriosis or a corpus luteal cyst, which usually gets absorbed by the body in every monthly cycle and the size of it usually remains less than 1 inch. But, in case if it does not get absorbed then it keeps on growing, and there is a chance of it getting ruptured and causing bleeding inside, or it might tear the ovary which causes acute pain, and an emergency surgery is needed. I would suggest you try taking tablet Taxim O (Cefixime 200 mg) twice daily for five days and then repeat the ultrasound after a week to check the size of the cyst. In case the cyst size remains the same, or it increases, then you better undergo a laparoscopy and get it removed.

Hi,

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Endometriosis is a condition in which the inner layer of the uterus called endometrium spreads outside the uterus to the nearby organs, and sometimes it forms cystic component called as a chocolate cyst, and on ultrasound, it appears as a hemorrhagic cyst and it causes pain. So, the condition which is causing you pain might be endometriosis or a pelvic infection. Antibiotic will help in treating the pelvic infection, but not endometriosis.