Complex Mass INSIDE Ovary?

[Rayann94]

I found out 4 days ago in the ER I have a complex mass growing inside my right ovary. It was measuring 4.20 x 3.39 x 4.0 cm in size. My right ovary that the mass is in measured, 4.6 x 3.75 x 4.35 cm in size. My left ovary measured 2.57 x 1.07 x 1.09 cm in size and there is a small amount of free fluid in that one. I wont be able to get into my gyno until tomorrow and have no more pain meds to help with pain. I haven't been able to have normal bowel movements in over a month. I have to pee every 15 minutes. The pain is increasing by the day. Its located in my right side where the ovary would be, in my lower back and down my legs. Sometimes I get a shooting pain across my stomach to my left side. I have tried to apply a heating pad to the area and I also had some Lidocaine patches for my back that I used on my side. Nothing seems to be helping. I have never had any cyst that I am aware of. I'm 19 years old, and had one pregnancy over a year ago. My family does have a history with pretty much every time of Uterine cancer possible so it worries me a little to find this out. I've been reading everything possible online. But I haven't found anyone talking about having a complex mass inside their ovary. I have also been on birth control for the past year, and had a doctor tell me yesterday that cyst are normal after ovulation. If I'm on the pill, I shouldn't be ovulating right? And is this mass the same as a cyst? Can you explain what a complex mass is? How is it treated? Does it go away on its own or is surgery a must? And if this pain continues should I go to the ER? What is septations within mass mean? What are my chances with my family history that this could be cancerous?

Any feedback will be great. I'm looking for answers to my questions and stories of similar experiences.

[aridders]

Hi Rayann, I was curious what your doctor said today about your cyst. I had my ultrasound yesterday and have a 4cm by 2.5cm complex cyst on my right ovary. My doctor won't be in until next week.
Dr. Kaur, I'm hoping you are still following this forum,
I have been dealing with pain down there on and off for years. For the last 6 + months I have been in pain all the time. I am gaining weight really fast with no change to diet. I am really anemic even though I take iron.   I am really emotional too like I was in my early pregnancy. All my hormones by blood test have been great. It is driving me crazy. My period have also been off. I will bleed 3 times a month and then not have a period for 1 to 2 months. I am very sensitive to hormones and have never been able to handle birth control pills. I have a hormone free IUD now. What is usually done about Complex cysts and can I prevent them in the future?

[Bhupinder Kaur, MD]

Hello,
A complex ovarian cyst is less common than simple ovarian cyst. At such a young age it can be dermoid cyst which is a type of complex ovarian cyst and is the most common type and develops during the childbearing age. Complex ovarian cysts are generally benign. The risk of malignancy is generally higher among postmenopausal women.
Most ovarian cysts disappear in 8 to 12 weeks. If they persist then before going in for surgery we can try the birth control pills also.
It is less likely for a small ovarian cyst to cause pain. It can cause pain if it becomes large, Bleeds, breaks open, interferes with the blood supply to the ovary, is bumped during sexual intercourse or is twisted or causes twisting (torsion) of the Fallopian tube.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.