Endometrioid? ovarian cyst

It's hard to confuse them, as each type of growth has its own characteristics, but only histology provides a 100% conclusion.

Don't worry, this happens to at least 40% of women. Is your cycle regular? This can occur if the cycle is irregular; cysts may come and go on their own.

Yes, my cycle is irregular. My lower back hurts, I've been lying down all day. I'm afraid it might be a cyst rupture. I don't want to have surgery. When they did the ultrasound, they said the cyst wasn't good, but I didn't ask what they meant by that—I was just very upset.

Did you go to the doctor after the ultrasound? They should have prescribed something for you or clarified the situation somehow.

Don't worry, just go to the doctor. She will tell you whether things are bad or good for you.

I've booked an appointment for Wednesday with the doctor, but how am I supposed to make it until Wednesday now.

I also had pains, and an ultrasound revealed a cyst, an endometriotic one (with embryonic nails and hair). They said it needed to be operated on. I stayed in the hospital, they prepared me, and I went for the surgery. Afterwards, they took the removed material for histology. A month later, they said it was benign... and everything, thank goodness, turned out fine. Three months of Regulon, and on the fourth month, pregnancy. Don't worry, go to a good doctor for a consultation, and everything will be fine. If it needs to be removed, it's better to do so.

Endometrioid

A bad cyst means it is definitely not follicular or dermoid.

Possible options include: a suppurated hematoma, an echinococcal cyst, a staphylococcal or bacteroides abscess, a tuberculoma, an amoebic abscess, etc.

Ultrasound, like CT/MRI, provides no information about the microstructure of the lining (whether it is endometrial or other epithelium, granulations, clots, hair, or bone fragments are visible), nor about the microbial contamination of the cyst's contents.

Notably, markers of endometriosis sometimes disappear after aggressive intravenous regimens, for example: erythromycin, co-trimoxazole, meropenem, metronidazole/cefotetan.

Metrorrhagia -> consult a haematologist if nothing noteworthy is found in a routine automated blood test and coagulation profile.

I just don't understand, sorry if it's a silly question, but how did hair and nails get in there? Or did I misunderstand something....

I am currently undergoing treatment for bacterial vaginosis; I have been prescribed Terzhinan suppositories, a 7-day course of ciprofloxacin, and a 7-day course of erythromycin.

The author isn't talking about cancer—it's just that endometrioid cysts are already problematic. They don't dissolve on their own; they can only be removed, and typically, the ovary is removed along with them. They also affect the other healthy ovary, making it difficult to get pregnant. There are other types of cysts—they can simply be removed, and that's it. Everything else remains intact. But an endometrioid cyst typically consumes the ovary, so both are usually removed together. As you can imagine, being left with just one ovary reduces the chances of pregnancy, and it's harder for a single ovary to maintain hormonal balance.

My lower back aches and feels sore; I couldn't sleep all night, had restless sleep. With a cyst, the lower back hurts. And there are also bright red, streaky discharges. Can this happen with a cyst?

I have a cyst on my left ovary, suspected to be a dermoid cyst. A friend of mine had an endometriotic cyst; they saved her ovary, removed part of it, plus she had an 8 cm corpus luteum cyst. Both ovaries were saved.

Inside my left ovary, there's a cyst measuring about 30*20*20 mm. They operate immediately if the cyst is larger than 3 cm, right? I had hormonal tests done with an endocrinologist—everything is normal. My periods were terribly painful, to the point of calling an ambulance, which is why I sought help. My periods started at age 15, and about a year later, they became this painful. The cyst was detected in October; before that, over the past year, my periods were unbearable—I would roll on the floor in pain. A pack of Pentalgin barely helped, and I was so weak, I just lay like a vegetable for two days. I was lucky that my periods fell on weekends.

I understand you so well! My periods have always been very painful too; I took Ketanol tablets, but they didn’t help, so I had an injection. The pain was so intense that I vomited. My periods are also heavy.

Cysts are removed if they don’t go away after 2-3 cycles. I’m already mentally preparing for surgery. I’m afraid of my period coming—you could die from such pain!)) I want to have a CT scan; a CT can distinguish a cyst from a tumour, whereas an ultrasound can’t determine exactly what kind of cyst it is or if it’s even a cyst. I also think I need to start taking hormones because the cyst will grow with each cycle. What tests did you have done?

I had all the tests done completely with an endocrinologist - I'm healthy, just underweight (45 kg at 166 cm, I've always weighed this). I took Rigevidon for 2 months. The cyst was detected 3 months ago. The cyst is neither growing nor shrinking. I'm going to have a laparoscopy, and they'll send it for a cystogram at the same time.

Don't worry so much, my ultrasound specialist identified it straight away - not malignant. If they haven't prescribed you a CA-125 tumour marker test.

The problem is that with an endometriotic cyst they might remove the entire ovary. I don't know the nature of my cyst. What size is your cyst? My left ovary is 54*32*34 mm, structurally altered, with a hypoechoic formation of 32*28*20 mm inside the ovary. The right ovary is not structurally altered, dimensions 32*21*20 mm. Basically, the cyst is right inside the ovary. For women who haven't given birth, they suction the cyst out laparoscopically and save the ovary. I hope that's what happens with me; a friend of mine kept her ovary with an endometriotic cyst.

And why are you only thinking about starting hormones? My doctor prescribed them straight away to see how the cyst behaves, in case it dissolves? Rigevidon is a very strong medication; after the operation I'll be taking Regulon for six months.

And are you not bothered by frequent urination? I'm afraid my cyst is pressing on my bladder, because over the last year I've started urinating more frequently and in larger amounts per day, and my bladder hurts during my period.

I have completed all the tests with the endocrinologist—I am healthy, only underweight (45 kg at 166 cm, I've always weighed this). I took Rigevidon for 2 months. The cyst was detected 3 months ago. The cyst is neither growing nor shrinking. I will undergo laparoscopy, and they will also perform a cystogram.

Don't worry so much; my ultrasound specialist immediately determined it was not malignant. If they haven’t prescribed a CA-125 tumour marker test for you...

The issue is that with an endometriotic cyst, they might remove the entire ovary. I don’t know the nature of my cyst. What size is your cyst? My left ovary measures 54*32*34 mm, structurally altered, with a hypoechoic formation inside measuring 32*28*20 mm. The right ovary is structurally unchanged, measuring 32*21*20 mm. Essentially, the cyst is right inside the ovary. For women who haven’t given birth, they suction the cyst out laparoscopically to save the ovary. I hope that’s what happens in my case; a friend of mine kept her ovary despite an endometriotic cyst.

Why are you only thinking about starting hormones? My doctor prescribed them right away to observe the cyst’s behaviour—what if it resolves? Rigevidon is a very strong medication; after the surgery, I’ll be taking Regulon for six months.

Are you bothered by frequent urination? I’m afraid my cyst is pressing on my bladder because, over the past year, I’ve been urinating more frequently and in larger amounts daily, and my bladder hurts during menstruation.[/quote]

I only had my ultrasound yesterday and will see the gynaecologist on Monday. My period should start in a few days. When should I start taking hormones—from the first day? I read about Rigevidon and it seems to have many side effects. According to my ultrasound, my left ovary measures 38*26 mm and contains an irregularly shaped, thin-walled cavity measuring 24*32*23 mm, with fine particulate content. (Endometrioid?) During the ultrasound, they said the cyst was "not good," and those words stuck in my memory. What does that mean? I asked if it was a tumour, and she said she wasn’t a psychic. I think everyone should get a CA-125 test. Yes, I do run to the toilet to urinate frequently. Does your ovary hurt? Mine feels like it’s aching and burning again right now.

Let your treating doctor prescribe your treatment. I started Rigevidon for the first time on the 5th day after my period, took 21 pills, had a break, then a week later started the second course. So, I took the very first pill on a Saturday, and my second course starts on a Saturday. During the 7-day break, I get a light period, for example, on a Tuesday.

You have everything ahead of you. But if it's a 'not good' cyst, they're pushing you, Yulia. Or straight to surgery. I don't know, I'm not a doctor, I've just read a lot of literature already. Don't be afraid of laparoscopy; they'll most likely save the ovary. But don't agree to open surgery. In our city, laparoscopy is only done at the railway workers' clinic, where they have modern equipment and a specialist surgeon in this field. The operation costs about $1000, plus tests, plus the hospital stay. It will be under general anaesthesia. They'll make you get up and walk the same day. A friend of mine even went home by taxi. She says her body has been aching for half a year.

If the question is still relevant, let me clarify: this refers to a dermoid type of cyst. Such cysts, wherever they appear, can contain skin cells, hair, nails, and other horrors. They form from embryonic cells that can develop into almost any type of tissue. There is a view that this grows from cells that were "lost" in the body's organs even before birth. At a certain point in life, they suddenly start to grow and develop, and well...

What $1000? Laparoscopy is generally done for free, under the insurance policy; I had it done recently. And what do you mean, don't agree to a laparotomy? If a laparotomy is prescribed, it's when laparoscopy is no longer an option, for example, due to the size of the cyst, or if the cyst is deep in the pelvis and needs to be removed, otherwise the consequences could be unpredictable. Why walk around with a ticking time bomb in your belly and wait to be taken away by ambulance?

If a cavity operation is involved, it is far from a fact that the ovary will be removed.

I had a paraovarian cyst removed this summer, and at first it wasn't clear whether it could be taken out laparoscopically or if I'd need an incision. I was prepared for open surgery, but it turned out to be laparoscopic. Now nothing bothers me. However, with an endometrioid cyst, they might remove part of the ovary as well, depending on how damaged it is. Author, don't self-medicate; find a good doctor and follow their advice.

I've developed an inflammation, I called an ambulance and now I'm lying in the hospital being treated. We'll see what happens next. I think I'll probably have to have an operation after all.

Laparoscopically, if necessary, anything from a lymph node to the liver can be removed in small pieces, but you'll have to bring in an operating surgeon "from the bench."
Laparoscopy is contraindicated for weakened individuals, when compression of the chest organs or the inferior vena cava by gas is undesirable, typically during the second and third trimesters of pregnancy.


Calling an ambulance was logical.
Inflammation was present (bacterial vaginosis—a minimal inflammatory reaction despite significant colonization by pathogenic and opportunistic microbes). Activation could have occurred due to the glucocorticosteroids in Terzhinan, or "the time had come."

Could Terzhinan have caused the inflammation? Why?

The dose of prednisolone in Terzhinan is 3-4.7 mg.

Prednisolone has a locally irritating effect. It is sometimes used as a provocative test for dormant infections.

When using Terzhinan, symptom exacerbation occurs in 7% of cases or more frequently. Factors predisposing to this include the presence of microbes resistant to the action of other components of the vaginal tablet, dystrophies resistant to the action of clove oil, anaemia, the presence of a large number of toxins at the site of application, normal or elevated levels of glucocorticosteroids in the body, etc.

Understood. Thank you, I'll be more careful with it next time.

What nonsense you've written! Absolute rubbish! They won't remove the ovary with an endometrioid cyst.

Good afternoon!
It is impossible to determine the exact type of cyst on an ultrasound. Moreover, good ultrasound specialists won't even mention it if the formation is up to 2.5 cm. If the cyst is slightly larger than this size (for example, 3 cm) and causes no discomfort (even if it is endometrioid), you can and should try to conceive!

Regarding laparoscopy, the gynaecologist said that for small cysts, surgery is absolutely not advisable. He emphasised that it is precisely after surgery that problems with conception and pregnancy can arise.

Complete nonsense, I myself have undergone removal of large endometrioid cysts (the surgery was open abdominal), but no competent doctor will remove the ovaries, as that would bring on a complete menopause. And these types of cysts will prevent pregnancy, so they need to be removed first!!!

I am terrified of the operation. The doctors in the department told me they don't have a laparoscope at all, so they will have to perform open surgery on me. All proper hospitals have had laparoscopes and specially trained doctors for a long time now, but here we still have none of that. Previously, in the surgical department, I had a laparoscopy and I saw for myself that it is very easy to get through. Only the incisions hurt a lot and there were strange sensations in my abdomen.
But the thought of open surgery is terrifying. I just hope I don't die from some complications because of the operation. I don't know how I will endure the surgery and how I will recover afterwards. If I survive such an operation, then I will also have to have the scar on my abdomen removed. In short, I am trying to mentally prepare myself,
but I can't do it, all sorts of horrible thoughts, I'm winding myself up and just sobbing uncontrollably. I understand perfectly well that I have no choice but to have the operation, but I am very scared.

Good afternoon! I have been diagnosed with a hypoechoic (I'm not sure how to translate it into Russian; in Ukrainian it sounds like "hypoechoic fluid formation with a diameter of 29 mm, containing septations (endometrioid cyst) and 32x25 mm with thin septa, resembling cystic transformation of the corpus luteum) in my right ovary. I see you have expertise in this area. If it's not too much trouble, could you explain the seriousness of this condition and whether it's possible to avoid surgery?

If the cyst is functional, it is monitored for a couple of months, and almost 100% of such cysts resolve and can be treated non-surgically.

However, in other cases, such as an endometrioid cyst, removal is necessary (the ovary is typically preserved in the process).

But what’s also important! If you unfortunately have to deal with an endometrioid cyst, it is recommended to try to conceive as soon as possible after its removal, without delay, as this type of cyst almost always recurs, and such cysts can lead to infertility.

Wishing everyone good health!

Hello to all the girls! I've read through your reviews and decided to seek your advice! During both my vaginal and regular ultrasound, they found an endometrioid cyst on my right ovary measuring 54.2 x 54.7 mm. I visited two ultrasound specialists: one said it can be treated, while the other advised me to come back for a follow-up ultrasound in the first phase of my menstrual cycle to clarify the diagnosis. Meanwhile, my gynaecologist said that if the cyst is larger than 5 cm, it needs to be operated on, and she also mentioned that a puncture might be necessary. Honestly, I don't know who to believe or what to do! Girls, please share if any of you have faced a similar issue!

Endometrioid cysts generally cannot be treated; I've been through this myself. The most important thing is to confirm that the cyst is truly endometrioid. In my case, such a cyst went unnoticed for four years, or it was misdiagnosed as a corpus luteum cyst. The key is to have the ultrasound done on days 5–7 of your cycle. If it persists for three months, it needs to be removed, as it could even rupture. Don't even bother with medication to treat it—if it's an endometrioid cyst, removal is inevitable anyway. And with laparoscopy these days, it's absolutely nothing to fear.

Endometriotic cyst

Hello everyone! Like many others, it turns out, I have an endometrioid cyst on my right ovary. The last ultrasound before Visanne showed it was 20 mm. I don’t have a left ovary (an old nasty cyst took it away), so I’m absolutely terrified about the right one... I’m only 30)). I took Janine for 2.5 years in different ways: on a 21-day cycle—the cyst grew; on a 3-month cycle, then a break, then another 3 months—it either shrank slightly or just didn’t grow... Then I heard from a friend about the miraculous properties of Visanne, asked my doctor (she had been considering prescribing it to me for a while), and she prescribed it for 3 months. After finishing it, I went for an ultrasound and—oh, miracle!!! (just like my friend) the cyst was completely GONE. However, the doctor extended it for another 3 months.

Speaking of my friend... She took it for 3 months, then her doctor stopped it so she could try to get pregnant and put her on Duphaston... And then, 2 months after stopping Visanne, ***** happened... her endometrioid cyst grew back to 4 cm on one ovary, and on the other, there’s a 6 cm follicular cyst under question. She’s planning to have laparoscopy...

So, you understand my state... I’ll have to stop Visanne sooner or later... And what if there’s such a surge in cyst growth afterward that surgery becomes inevitable??? I can’t take that risk..

Girls, please tell me, how did your body react after stopping Visanne??? What should I expect if pregnancy isn’t planned yet??? How do you even come off it??? Please share if you can, I’m begging you!

By the way, about Visanne: my breasts sometimes ache, during the 4 months of taking it, I had full periods twice, and now, on the 4th month, they’ve started again... otherwise, there was just spotting. My libido has decreased—but I guess that’s not too scary)) The rest (occasional bad moods) I can’t really link to Visanne...

Hey girls, hi, I had a laparoscopy two years ago to remove an endometrioid cyst from my left ovary, and now it's back in the same place. I took Janine for 63 days, then had a 7-day break, and the cyst reduced to 14/11, but a follicular cyst grew to 29/21 in the same ovary. Girls, has anyone experienced this, and what did you do?

Ladies, I'll share my story... In early March 2015, I was diagnosed with an endometrioid ovarian cyst... By the end of March 2015, I was taken by ambulance to the "nearest" hospital with suspected peritonitis and a ruptured cyst. The diagnosis was confirmed, and I underwent open surgery;(( I'm currently recovering.
I advise everyone not to delay the issue of laparotomy. After all, you don't know how long it's been sitting there and developing. Don't let it get to the point of rupture. As soon as you find out (2-3 ultrasounds at different clinics), immediately choose a hospital for admission. Wishing you all good health!

Olya, what size was your cyst? I've also had a cyst confirmed on the 6th day of my cycle (they say it's endometriotic) 2 by 2 cm. One gynaecologist says to observe for half a year, take hormonal 'Klayra', another gynaecologist insists on surgery, says under no circumstances take hormonal pills, as they can slow the growth of the cyst, but they can also accelerate it. The second gynaecologist, as well as the ultrasound specialist (who did the ultrasound) say that the cyst needs to be removed in any case, they don't dissolve. I don't even know what to do, whether it's worth waiting half a year, especially since I'm bothered by pains, sometimes very strong.

Anna, my cyst was 38mm by 30mm, nothing indicated it could burst either. But here (St Petersburg) all doctors unequivocally insist on removing such cysts, they don't respond to treatment, they can shrink, but specifically endometrioid cysts DO NOT DISSOLVE. And why walk around with a 'time bomb'. Unfortunately, I didn't manage to have the laparoscopy... :( Girls, believe me when it ruptures, the pain is awful... the operation took 1.5 hours... and recovery after an emergency operation is much longer. I advise that once diagnosed, don't delay and choose a hospital for admission.

So the choice is yours. Wishing everyone good health!

Thanks for responding, I'm already choosing a hospital.

You're welcome! That's the right decision.
Wishing you success and good health😊

Olya, tell me, did they leave your ovaries intact?

Fortunately, yes, the ovary remained. According to the discharge summary, an ovarian resection was performed. Now I'm going for physiotherapy to improve the healing of the (cosmetic) scar. So girls, don't let it get to open surgery... recovery is very lengthy. ;(

I had surgery (laparoscopy) to remove bilateral endometrioid cysts on 12.02.2014, after which I was prescribed "Visanne" for 6 months. I only managed to take it for one month because of the side effects: headaches, high blood pressure, terrible depression, hot flushes, sweating like *****, I simply didn't want to live, and my libido was at zero, even at minus one. I went to another doctor who prescribed "Janine" for 3 cycles. Life seemed to be getting back on track, and I drank various herbal teas. But this year, history is repeating itself—my cysts have returned, with a 3cm cyst on the left ovary and one just starting on the right, even though I had check-ups and ultrasounds every month and was assured it wasn't cysts, just a small formation. I don't know which gods to pray to or which doctors to see to rid myself of this ailment. The doctors are divided into two camps: one says surgery is absolutely necessary, otherwise there's no way, and IVF urgently to prevent the disease from spreading; while the others say we'll treat it, don't panic, we can always operate later, and if there's a chance to get pregnant naturally, we should take that chance.

Why open surgery??? Don't even think about it. Look for a hospital with Lapora.