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Why am I unable to conceive with my complex ovarian cyst?

By Anonymous August 6, 2015 - 6:08pm
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I'm 37 years old with a long history of infertility. I have a 5 year old, who is a miracle, concieved naturally after many failed treatments. We have been trying to have another baby with no luck. I was recently diagnosed with a 4.5 cm complex right ovarian cyst and a 2cm fibroid on my uterus. I have been having sharp pains in my lower abdomen,, irregular periods, nausea, breast tenderness, which is why we did the ultrasound. A previous ultrasound from my pregnancy showed a simple right ovarian cyst, same size as my current one. My dr seems to disregard the history of ovarian cyst in the same side. She said a complex cyst is rare, but it is probably just part of my ovulation, it did not have time to go away yet ( the ultrasound was done about the time I was supposed to ovulate, but no mentioning of any sign of ovulation). She is absolutely not worried about the fibroid eighter. We are going to repeat the ultrasound to check on the complex cyst. I would love to believe her and accept that all of this is no big deal, but in the meantime I'm still having the sharp pains, irregular periods and crazy symptoms, and have not been able to concieve. Any advise, please?

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Hello Anonymous,

Welcome to EmpowHER and thank you for reaching out to our community for advice.

Have you considered getting a second opinion or consulting with an infertility specialist?

Indeed, the incidence of a complex ovarian cyst is rare. But, a complex ovarian cyst, unlike a functional ovarian cyst does not start during the normal function of a menstrual cycle. The cause or causes have not been identified. There are several risk factors known to be associated with its formation:

genetic predisposition
early onset of menstruation (younger than 12 years)
history of irregular menstrual cycles or previous ovarian cysts
obesity or increase in upper body fat
infertility and infertility treatment (clomiphene or letrozole)
tamoxifen (for treatment of breast cancer)
cigarette smoking

A cyst does often not present with any symptom. If symptoms occur, the most common complaint is pain or discomfort in the lower part of the abdomen. The pain is often due to a very large cyst. Pain may also be due to bleeding, rupture, or torsion of the cyst, being bumped during sexual intercourse, or when the blood supply to the ovary is interrupted.

Treatment of a complex ovarian cyst includes watchful waiting, use of birth control pills, or surgery. Surgery is recommended if the cyst is large, causes symptoms, does not disappear after two or three menstrual cycles or continues to grow.

I hope this general information is helpful.


August 7, 2015 - 8:10am
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