I am 22 years old, and I have a 5 cm cyst on my left ovary and a uterine fibroid the size of a grape. My periods have always been regular; except this cycle, I am six days late. I took a pregnancy test a couple of days ago, and it was negative. Is this normal? I have also gained some weight suddenly in the past month, which is odd as I always had my weight under control. Kindly help.
Fibroids of size less than 5 cm need not be treated if asymptomatic. But any fibroid-causing symptoms need to be treated. Symptoms include excessive bleeding during periods, irregular periods, severe pain during periods, excessive watery vaginal discharge, difficulty in passing urine, or severe back ache. At this young age, these will not happen, and you do not have them.
An ovarian cyst is nothing but a follicle of this period that did not rupture, so there are no periods. Indirectly due to hormone imbalance. It can be left untreated and will disappear on its own. The basic problem is your weight. Your expected weight is 52 to 55 kg. This extra fat, probably due to poor dietary habits and lack of good exercise, will be converted into hormones interfering with ovulation.
To regulate this, I would suggest the following:
Birth control pills, which contain 21 pills (Consult a specialist doctor, discuss with them, and take medications with their consent). One tablet twice a day is to be taken for ten days. You will have periods after seven to ten days after stopping the pill.
.. all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst).
In a sonography, if it looks clear without any shadow in the cyst, then it is ho Read full
.. fibroid is comparatively big in size and bulging into endometrial cavity, it should be removed.
Laparoscopic myomectomy is a better option.
Chances of conception will be more after removal since it is posterior meaning behind uterus. Read full
.. her to wait for a week for her period to start. If it does not start by then, she can repeat urine pregnancy test.
If the test turns out to be negative, ask her to take tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Read full
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