Welcome to EmpowHER and thank you for reaching out to our community for advice.
Have you considered getting a second opinion or consulting with an infertility specialist?
Indeed, the incidence of a complex ovarian cyst is rare. But, a complex ovarian cyst, unlike a functional ovarian cyst does not start during the normal function of a menstrual cycle. The cause or causes have not been identified. There are several risk factors known to be associated with its formation:
genetic predisposition
early onset of menstruation (younger than 12 years)
history of irregular menstrual cycles or previous ovarian cysts
hypothyroidism
obesity or increase in upper body fat
infertility and infertility treatment (clomiphene or letrozole)
tamoxifen (for treatment of breast cancer)
cigarette smoking
A cyst does often not present with any symptom. If symptoms occur, the most common complaint is pain or discomfort in the lower part of the abdomen. The pain is often due to a very large cyst. Pain may also be due to bleeding, rupture, or torsion of the cyst, being bumped during sexual intercourse, or when the blood supply to the ovary is interrupted.
Treatment of a complex ovarian cyst includes watchful waiting, use of birth control pills, or surgery. Surgery is recommended if the cyst is large, causes symptoms, does not disappear after two or three menstrual cycles or continues to grow.
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Hello Anonymous,
Welcome to EmpowHER and thank you for reaching out to our community for advice.
Have you considered getting a second opinion or consulting with an infertility specialist?
Indeed, the incidence of a complex ovarian cyst is rare. But, a complex ovarian cyst, unlike a functional ovarian cyst does not start during the normal function of a menstrual cycle. The cause or causes have not been identified. There are several risk factors known to be associated with its formation:
genetic predisposition
early onset of menstruation (younger than 12 years)
history of irregular menstrual cycles or previous ovarian cysts
hypothyroidism
obesity or increase in upper body fat
infertility and infertility treatment (clomiphene or letrozole)
tamoxifen (for treatment of breast cancer)
cigarette smoking
A cyst does often not present with any symptom. If symptoms occur, the most common complaint is pain or discomfort in the lower part of the abdomen. The pain is often due to a very large cyst. Pain may also be due to bleeding, rupture, or torsion of the cyst, being bumped during sexual intercourse, or when the blood supply to the ovary is interrupted.
Treatment of a complex ovarian cyst includes watchful waiting, use of birth control pills, or surgery. Surgery is recommended if the cyst is large, causes symptoms, does not disappear after two or three menstrual cycles or continues to grow.
I hope this general information is helpful.
Regards,
August 7, 2015 - 8:10amMaryann
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