I am 22 years old, and I have a 5 cm cyst on my left ovary and a uterine fibroid. Why?

Q. What could cause ovarian cysts and uterine fibroids in a 22-year-old?

Answered by
Dr. Balakrishnan R
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 22, 2022

Hello doctor,

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.



Welcome to icliniq.com.

I read your query and understand your concern.

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:

  1. 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.
  2. Have a healthy diet with low calories and regular exercise for an hour.

I hope this helps.

Thank you.

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