Can ovarian cysts cause lower right abdominal pain?

Hi,

Welcome to Icliniq.com.

Thanks for your query.

I have been gone through your reports (attachment removed for protecting patient's identity) and still things are unresolved. It would be better if you would send your detailed gynecology obstructive and medical history.

Do you have a history of missed periods or unprotected sex?

Do you have any history of vaginal discharge with foul smell, irritation, or itching?

Regarding gynecology and your question regarding resolving the hemorrhagic cyst, it could cause pain as it is resolving very tiny and on the right side, not on the left. You can have another suspicion that needs to resolve, like excluding any pregnancy, especially ectopic pregnancy, ovarian cyst torsion, any recent bleeding or rupture of the cyst, endometriosis in the ovary or rupture of ovarian endometriosis, etc. But, still, in all possibilities, the pain would be one-sided lower abdominal and too severe if it is like that, then you need to report urgently to the tertiary care gynecology emergency.

1. I suggest you take a serum beta human chorionic gonadotropin blood test to check your pregnancy status. If the results are positive, then a quick transvaginal scan and repeat beta-human chorionic gonadotropin test after 48 hrs to check its progression. If it shows an increase of less than 60 %, it is alarming, and we need to evaluate whether it is an ectopic pregnancy outside the uterus.
2. Have a transvaginal scan with expert hands to exclude any local emergency.

For endometriosis or other gynecology emergencies, diagnostic laparoscopy is the gold standard, and during laparoscopy, a ruptured or torsion cyst could be removed.

Please follow up for futher assistance.

Thank you.