JustNow45

[Justnow45]

Couldn't find my answer to my last question!   Just turned 45 day;  some symptoms, recently, of immune suppression, but I'm HIV-negative.   Scratch on nose that keeps healing then recurring makes me worry about MRSA or something, but that's a different issue.

However, I have had two sonograms recently.   One showed a 5 mm cyst on my left ovary, which disappeared, but then up popped a 'mildly' complex cystic mass, about 1.7 x 2.5 cms on my right ovary.   Also, a 5 mm polyp showed on my uterine wall, with some fluid in my uterus, one week post-menstruationi.   I had actually been kind of gushing clear fluid earlier in the morning, and I usually use a tampon when this happens...sometimes, I think it's just nerves.   The sonogram also noted a bicornuate uterus.  

I had a giant ovarian cyst removed two years ago, and it was about 21 x 8 cms, and have had regular follow-up and pap smears.   A few years prior to the removal of the cyst, I had a positive ANA, but not since the removal of the cyst.   The radiologist recommends a hystosonogram and an MRI.    

I've had some associated symptoms associated with early ovarian cancer such as belching, and this week, some constipation, so that I have bowel movements regularly, but only with an artificial stimulant and even then, it's not gushing, but natural.  This morning, after meditating, I noted some leg cramps.    However, I also introduced herbal tea, which could be causing irritation, so I'm stopping that.   Also, my gastrointestinal problems could be more related to a colonoscopy I had a year ago, which showed a precancerous polp.

I guess I'll just go along with what the radiologist recommended, but being that I'm 45 and all, I'm willing to say goodbye to the ovary and let the doctor remove the cyst, if it's still there.   Do you think the insurance company would agree to this?   Would it be medically recommended?   Have apptmt with doctor tomorrow, but wanted a little feedback.

[Justnow45]

Thanks for answering.

Basically, I have discomfort, and lately it feels like it's spreading, especially in the evening, up my entire right area, into my stomach and liver.   It's bad discomfort, but not really pain.   I don't usually have an evening meal, but I do usually drink a couple of glasses of wine or beers.  Taking Melatonin helps...when I was taking Xanax, that helped a lot, too, except premenstrual, but I don't want hooked on Xanax.

Now, when I had my last cyst removed, the doctor seemed to think that it was unlikely to be cancerous just because it was so large.  From that, I gathered that small's usually worse, but is it some average size that's more likely to be cancerous?    I guess all cysts  start out small, after all.  

Or, maybe cysts are just cysts, and may have cancer cells but are not cancerous, but just potential cancer indicators.

[Justnow45]

Basically, I have discomfort, and lately it feels like it's spreading, especially in the evening, up my entire right area, into my stomach and liver.   It's bad discomfort, but not really pain.    Taking Melatonin helps...when I was taking Xanax, that helped a lot, too, except premenstrual, but I don't want hooked on Xanax.

Now, when I had my last cyst removed, the doctor seemed to think that it was unlikely to be cancerous just because it was so large.  From that, I gathered that small's usually worse, but is it some average size that's more likely to be cancerous?    I guess all cysts start out small, after all.

[gah_70]

Not sure I can give you a whole lot of information, but I think the rule of thumb is unless there are other reasons to remove a cyst, most docs usually say anything 5 cm or over is when surgery is considered.  Not knowing your entire history, it's hard to say whether your doctor would agree to go ahead and take everything or not.  Any cyst, cancerous or not, will cause the same symptoms...fullness, gastro problems, etc.  Do you have a lot of pain with the cyst?  I would imagine if your surgeon says it is necessary to remove everything, the insurance company wouldn't deny it.  I would go ahead with the tests the radiologist recommends, as you said.  WIth more information, it will be easier for you and your doc to determine what needs to happen next.  

Best wishes to you.

Gail