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What does solid enlarged ovary mean?

I am 50 and had a D&C 9 months ago for very heavy bleeding that would not stop.  Sample tissue came back negative for any cancer and the doctor thought I am just heading toward menopause.  One of the vaginal ultrasounds showed a right ovary 1.6 cm complex cyst presumed to be hemorrhagic and ovary measured 2.1x2.7x 1.6.  Bleeding slowed way down and no issue until this month. Bleeding began pretty heavy again. Latest ultrasound says:  The right ovary is solid(meaning what? no cyst?)  and measures 4.71 x 3.10 x 3.36 cm.  That seems to have doubled in 9 months.  Is that right?  Is this something to be concerned about?  At the end the report says right ovary slightly enlarged.  My gyn wants me to see a gyn oncologist however he stated he is not concerned with cancer but that I may need to have a hysterectomy due to fibroids, retrovert uterus, and heavy bleeding.  Then why does it say only slightly enlarged?  He gave me the CA125 too which was 31. Why would he get that test if nothing?n So am very confused and looking for answers to ease my mind.  Thanks in advance for any insight.  
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First of all, irregular bleeding is very normal during perimenopause, the transition into menopause which can last for quite a few years. Being that you are 50, it may not be long before this is all over.

I've read of a number of women who've had enlarged ovary(ies) that were nothing of concern. I have to wonder if the wildly fluctuating hormone levels that are the cause of irregular bleeding are also responsible for enlarged ovaries. Fibroids are also common, even in younger women and typically do not require intervention.

It's critical for women to know that hysterectomy as well as ovary removal are grossly overused surgeries (only about 10% are necessary). Not only that, the uterus and ovaries have LIFE LONG functions so you don't want to lose any of these parts unless it's necessary (e.g., endometrial or ovarian cancer).

I had an unwarranted hysterectomy with ovary removal after my gynecologist of 20 years used ovarian cancer scare tactics. That was 11 years ago and I regret it every day. It has caused many of the short and long-term medically documented problems. I will be glad to share if you want the details.

Unfortunately, with the epidemic of these surgeries, you will need to advocate for yourself and be wary of any doctor who recommends organ removal. I was also referred to an oncologist. I wish I had found my own and not seen the one recommended by my doctor. But I'm not sure that would have even saved me. As my ovarian cyst frozen section was benign, all that should have been removed was the cyst.

Please keep us posted on how this plays out.
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Thank you so much, old_before_my_time, this is eases my mind greatly.  I know doctors must always be in the mode of protecting themselves from an incorrect decision, but we're the ones who have to live with that decision.  What I hate is that they are so vague and recommend not looking on the web for answers, right from the start. Most people can read and understand!  Even medical language can be deciphered, so what are they worried about.  It's our bodies!

Nothing was explained to me regarding the "slightly enlarged" ovary or what that could mean or not mean.  it appears to me that the term "solid" must mean they didn't see a cyst which is the worrisome part to me. If not a cyst then why did it change size from June to March. The technician did say she was having trouble visualizing that day.  So, these are the questions I will ask before I get to the gyn onc appointment.  if that doctor recommends a hysterectomy, I'm going to a recognized medical center for a second opinion.    
Also please do share your story, it helps me and I am sure others to cope with the scare tactics.  Of course, I realize that ovarian cancer is not to be messed with or actions delayed.   I am confused as to why I even had the CA125.  I have no family history.  My ovary is "slightly enlarged" so why did he go "there".  This was not explained.  At the end of my visit which included the transvaginal in his office, he began the conversation by saying, "I'll just say it, I think you're headed for hysterectomy."  He said "Not because I see anything here that looks bad, it seems to be benign processes.  But in the totality of your issues together, I am referring you to the gyn onc, she has a Davinci and I'm sending you to take the CA125."  None of this logic was explained.
His comments and actions (including not explaining anything to you) are big red flags, at least from everything I've learned including hundreds of women's stories who were misled into having hysterectomies. At least he admitted that he didn't see anything "bad" / just benign processes.

It seems that the da Vinci robot has kept the hysterectomy industry thriving. For one, they tout quicker recoveries. But the damage is just as serious and life altering regardless of what method is used to remove a VITAL organ or organs. Keep in mind too that hospitals have to justify the high capital outlay and high maintenance expenses of those machines by doing many surgeries!

Not only would you be left with the typical life long problems from hysterectomy but surgical complications are another big risk and it seems those risks are even greater with the da Vinci as a lot of adverse events have been reported to the FDA (FDA Maude database). A friend of mine who had an unnecessary hysterectomy has severe chronic pain from nerve injuries from the da Vinci in addition to all the typical after effects of not having her uterus.
wow...read the comments on this article

https://well.blogs.nytimes.com/2013/09/09/new-concerns-on-robotic-surgeries/?_r=0
So what does "slightly enlarged solid ovary mean?"  That it is enlarged without a cyst?
I think I'd seen that NY Times article before as well as a number of others about da Vinci problems such as lack of training / experience, malfunctions and limitations in its use.

Cysts develop inside the ovary as a normal part of the menstrual cycle. So it would seem that you could have a cyst that isn't visible on u/s. Or you may not even have one. It seems your doctor is making an issue out of nothing. Worst case, it seems he would have suggested another u/s in a month or two since any cysts that do hang around longer than normal typically resolve within a few months or so. Yes, you have some irregular bleeding but that is VERY normal for a woman your age who is transitioning to menopause!

This site, co-authored by a renowned ob/gyn, is helpful in understanding ovarian cysts and proper intervention IF NEEDED (cystectomy / cyst removal not ovary removal) - http://www.ovaryresearch.com/ovarian_cysts.htm.

Re: the retroverted uterus - that is not a reason to have a hysterectomy. Mine was retroverted and never caused any problems.
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