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cyst 43yr old

Does a simple cyst cause constant pelvic pain that radiates to hips, lower back and thighs? Pain during intercourse, constipation, pressure in pelvic area. Report says cyst >2cm with calculated volume of 4.8. Had a cyst size of an orange before hysterectomy 6 yrs ago(Dr said it was a recurring type and I would probably have more in the future) , but don't remember having this much pain.
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Having diagnostic laparoscopy surgery on the 14th to remove cyst and ovary on left side and to have a look see for other problems. He said that a Laparotomy was possible . Wondering if he suspects something that he didn't come out and say. Have another Dr. appt on 12th along with heart & lung tests at hospital pre-registration also. Going to ask Dr. about going ahead and removing right ovary also. Mother had breast cancer also 6 yrs ago and with the whole breast cancer/ovarian cancer connection, I feel that it would be better for me in the long run not to have the worry. Thanks for all the info.
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It can, yes.  It could be pressing on other parts and sending pain signals to nerves, making more distant body parts hurt.  

I had the back and leg pains (on and off, never constant) and constipation issues for a long time, not knowing a benign cyst was the cause.  After surgery, the doctor said It pressed so badly on the intestinal tract he didn't know how I had movements at all.  

I could literally feel food moving through my digestive system during my pre-surgery days.  Could not eat large bulky foods like pizza or I'd be doubled over in pain while my body tried to process it.  All that ended when I had the cyst removed.  I dealt with the constipation the best I could (never, ever took a laxative, in fact).  I took FiberChoice tablets, one in the morning and one at bedtime and it was just enough to normalize my bathroom habits.  Now I rarely need them.  I took one Advil/Ibuprofen for the back pain, or two if it was severe.  Mostly the back pain occurred at night when trying to sleep.

My cyst was over 10 cm on initial discovery in December by my gyn and larger on the day of surgery a month later.  Because of the Christmas season, it took awhile to get in to see a gyn/onc or it would have been removed sooner.  It was stuck behind the uterus.  They told me it was on the right ovary but on the day of surgery, it was really on the left.  My avoidance of doctors had me learning how to live with that thing, but I'm glad to have it gone.  I forgot how it felt to be "normal" and didn't realize just how much it was affecting my wellbeing.

The position of the cyst certainly determines the symptoms, as well as the size of it, but they still tend to wait until 5 cm or bigger before suggesting surgery, or if they feel there's a bigger health risk that requires faster attention.  My doctor gave me the big scare that because of my age and post-menopausal status, I needed to act quickly to have a better outcome if any cancer were developing.  Thankfully, it was all benign.  When I finally met my gyn/onc on a Tuesday in January, he was removing the thing 3 days later on a Friday.

And as you can see in my situation, they can only determine the fact the cyst exists but cannnot fully understand the true nature of it in terms of size, location, benign/not-benign and why it causes pain until they go in after it.

Since you had a hysterectomy, it's uncertain what the cyst could be anchoring against besides the ovary itself, but it most likely is pressing on something to cause you that pain.  It's probably in a different location than your first cyst was.

Best wishes.  I am so sorry you are going through this.  If they decide to wait and see, you can manage the symptoms as I did and hopefully it will resolve itself on its own without need of another surgery for you.
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