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Q. Can ovarian cysts prevent a woman from losing weight and conceiving?

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 11, 2022

Hi doctor,

I am currently overweight and trying to lose weight for a while but nothing has been working. I got an ultrasound done last year and many cysts on my ovaries were seen. We have also been trying to conceive for the past ten months. I am in my early thirties and I have a six years old boy. I had some blood work done yesterday and I will not be able to see my endocrinologist for another three weeks. I would like to have an opinion on my laboratory results while I do not see my doctor. Currently, I am not taking any medication.

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#

Hi,

Welcome to icliniq.com.

Your weight is more than normal. Do u have menstruation irregularities? How about any acne, or facial hair? What have you been trying for the treatment, any medications? Your blood tests are fine other than cholesterol levels. You need to do TSH (thyroid-stimulating hormone) test and some other tests that I can suggest only when you reply to my above questions.

Lifestyle modifications are the best treatment for losing weight. Low carbohydrate diet and no added sugar. No sugary juices. No bread, rice, pasta, or potatoes. If u cannot stop taking them completely then at least take as less as possible. More vegetables and salads should be eaten. eat fruits only as a sweet dish. Do not take mango, grapes, or banana; apples not more than one piece. Strawberries and other berries are fine. Intermittent fasting will also help you to control your weight. You can fast for 16 hours, like taking your dinner at 7 pm and do not eat anything after that, then next you can take breakfast at 11 am. During fasting just drink water and green tea without sugar. You can extend fasting to 24 hours then 36 hours as your body adopts. You can do fasting two times a week or as you feel comfortable, it will control your weight. Drink more water. Sleep well. Exercise, at least walk 30 to 40 minutes daily. The more you will practice these things, the better will be your control over your weight. You may need to do hormonal tests like the TSH test and cortisol test, depending upon your complete history. Check vitamin D levels and your waist circumference. It should be half of your height.

Multiple cysts in ovaries can be due to polycystic ovarian syndrome which is a disturbance in female hormones. But first, I need to know if you have menstrual abnormalities? If yes, then you may need further tests.

Hi doctor,

I use a calendar and I get my periods exactly when I should have them (every 23 to 24 days). They last for three to four days. They are very heavy and I get cramps a lot. I do have a lot of white heads, especially around my jaw but I have been having them for my whole life. I do not have facial hair. The only issue I have is that my hair grows back in just one week after waxing, that is it. I have not taken medicine for anything at all. I just started seeing an endocrinologist due to my weight issue. Despite eating a healthy and balanced diet it did not drop, and the blood work was the first step I have taken. I had the feeling my FSH level was not right according to my age.

#

Hi,

Welcome back to icliniq.com.

Thank you for query.

The test report you provided does not include hormone test results. It includes your general test results like liver function, renal function, lipid profile, and HBA1c, but it does not show TSH (thyroid-stimulating hormone), LH (luteinizing hormone), FSH (follicle-stimulating hormone), and estrogen levels.

You may need to go for these tests to rule out hormone disturbance, which I feel may not be the case.

You need to follow the above-mentioned lifestyle modifications to reduce weight.

You do not have menstruation irregularities and no facial hair problems so polycystic ovary syndrome is less likely to be there.


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