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Are M.D.'s specializing in OBGYN surgeons

Can any OBGYN doctor perform laperscoptic surgery to remove 9 cm ovarian cyst on my right ovary? When I had my ultrasound and MRI it was discovered that I have a bicornuate uterus and I have 3 uterien fibriods. Is this something that is of urgency or life threating?
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Avatar universal
I am sorry to hear you been having a hard time!   It is unfortunate when doctors lose their bedside manner and leave you in the dark.  It is even more unfortunate that money gets in the way of good care sometimes.  Continue to be your own advocate!  Please keep us updated on how you are doing!

Shelly
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Avatar universal
Hello Shelly

Thank you so very much for sharing your knowledge with me and for responding to my questions? This whole process has been so frustrating and long I have been going through this since May 2010 and I feel like I'm not getting the care I need and deserve. I am under the care of county medical services.
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Avatar universal
An OB/GYN is usually the the doctor who would perform a hysterectomy and they also often remove ovarian cysts.  However, if malignancy is even a possibility, you need to also consult with a gynecologic oncologist prior to surgery, if possible.

It is a standard recommendation within the medical community and among cancer organizations, that women should consult with a gynecologic oncologist when they require surgery for a condition that has signs worrisome for malignancy.  This is especially important for ovarian cancer, because the ovaries are exposed to the pelvic cavity and are easily ruptured when removed.  Once a malignant tumor ruptures into the pelvic cavity the cancer spreads.  A gynecologic oncologist has more years of specialized training and is up-to-date on the best way to remove a malignancy and they can also stage cancer during the same surgery.   This helps you get more timely and correct treatment.

It isn't always possible to get a gyn/onc to perform your surgery.  Sometimes a gyn will proceed without referring you to a gyn/onc, because they think it is benign.  Other times, you may live in an area where it is difficult to find or travel to a gyn/onc.   But, since multiple studies have shown that your overall prognosis is greatly improved by consulting a gyn/onc, it is important to do so if your mass has worrisome signs.  There is simply no way to know if it is benign or malignant without surgical removal.  You can only guess by the signs.

If the cyst is complex (has solid parts) and is over 5cm, then it warrants a gyn/onc consult prior to surgery.  Masses in multiple areas, enlarged lymph nodes and large amounts of fluid are other worrisome signs.  Here is a link that talks about gyn/onc:

http://www.wcn.org/articles/treatment/gynecologic_oncologists/overview/

Your ovarian cyst is large and likely needs to be removed.    Even benign cysts that are above 5cm, run the chance of rupturing and causing complications.  But, if it is complex, please do ask to consult with a gyn/onc, just to be on the safe side.  Your uterine and fibriod findings are likely a benign condition which usually don't require emergent surgery.  But, every woman is different and only your doctor can truly advise you on this matter.  

Take care,

Shelly
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