Hi. Thanks for reading my question.
I am 30 & having problems with abnormal bleeding. I spotted bright red blood for almost 4 days before my period, got a normal period then I spotted for another 3 days. Bleeding totaled 11 days. After 3 day break from bleeding, spotted again. Couldn't tell if I spotted in the second half of my cycle due to bleeding from an endometrial biopsy. The same thing happened again this month & I am spotting during the second half of my cycle. (I believe I ovulated due to cervical mucus changes.) Not alot of blood, mostly just pink, brown & red tinges upon internal cervical mucus checks.
I had cultures for STD's & endometrial biopsy, all normal. Had a normal pap 5 months ago & so my gyn said I didn't need one. Also had a transvaginal utrasound which showed my uterus measuring 7.9 x 5.3 x 3.4mm, the endometrial complex to measure 5.2 mm, the right ovary to measure 3.8 x 2.6 x 2.4 with a 1.2 cm complex cyst and the left to measeure 4.0 x 2.0 x 1.9. I think the ultrasound was done around day 10 of my cycle but because of the spotting it is hard to tell. My gyn said that he believes the cyst is from ovulation containing a blood clot and that it will disappear. He also said the cyst may be responsible for my spotting. He said to repeat the ultrasound in 2 cycles. After calling to his office regarding continous spotting, he put me on microgestin FE 1/20. The nurse said that given all of the negative testing, it is probably hormonal.
My questions are:
How likely it is that this small complex cyst is cancerous and secreting hormones causing the bleeding? Also, should I take the birth control or would that hide symptoms that are possibly due to cancerous changes? Finally, I was wondering if there are additional tests that I should ask for and how long can I safely wait doing the wait and see approach until I ask for additional tests.
Thank you for taking the time to read this and for your expertise and service.