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 there might be a cyst rupture. I don't want to have surgery. When they did the ultrasound, they said the cyst was not good—I didn't ask what they meant by that, I just got really upset.

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

Don't worry, just go to the doctor. She will tell you whether it's bad or good.

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

I also had pain, and an ultrasound revealed a cyst, an endometriotic one (with embryonic nails and hair). They said I needed surgery, so I was hospitalized, prepared, and went into surgery. Then they took the removed material for histology. A month later, they said it was benign... and everything, thank goodness, turned out fine. I took Regulon for 3 months, and on the 4th month, I got pregnant. Don’t worry, go see 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: suppurated hematoma, echinococcal cyst, staphylococcal or bacteroides abscess, tuberculoma, amoebic abscess, etc.

Ultrasound, like CT/MRI, provides no information about the microstructure of the lining (endometrial or other epithelium, granulations, clots, hair, bone fragments are visible) or about the microbial contamination of the cyst's contents.

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

Metrorrhagia -> consult a hematologist if nothing significant is found in a routine automated blood test and coagulation panel.

I don't understand, sorry if this is 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 was 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 bad. They don't dissolve on their own; they can only be removed, and usually along with the ovary. 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 it's usually removed along with it. And as you can imagine, being left with only one ovary reduces the chances of getting pregnant, and it's harder for one 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 discharge. 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 endometrioid 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, I have 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 by 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 when I was 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 pills, but they didn’t help, so I had to get 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, haha. I want to get a CT scan; a CT can distinguish a cyst from a tumor, 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 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 laparoscopy, and they'll also send it for cystography.

Don't worry so much, my ultrasound specialist immediately determined it was non-malignant. Unless they didn't prescribe a CA-125 tumor marker test for you.

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 inside measuring 32*28*20 mm. The right ovary is structurally unchanged, 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.

Why are you only thinking about starting hormones? My doctor prescribed them right away to observe the cyst's behavior, in case it might dissolve? Rigevidon is a very strong medication; after the surgery, I'll be taking Regulon for six months.

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

I have completed all the tests with the 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 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 tumor 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 and save the ovary. I hope that’s how it will be for me; a friend of mine kept her ovary with an endometriotic cyst.

Why are you only thinking about starting hormones? My doctor prescribed them right away to see how the cyst behaves—maybe it would dissolve? Rigevidon is a very strong medication; after the surgery, I’ll be taking Regulon for six months.

Are you not 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 my period.

I just had an ultrasound yesterday and will see the gynecologist on Monday. My period should start in a few days. When should I start taking hormones from the first day? I read about Rigevidon—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-dispersed content. (Endometrioid?) When they did 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 tumor, and she said she’s not a psychic. I think everyone should get a CA-125 test. Yes, I do run to the bathroom to urinate frequently. Does your ovary hurt? Mine feels like it’s aching and burning again right now.

Let your treating doctor prescribe the treatment for you. 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 will also start 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 might rush 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. However, do not 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 surgery costs about $1000, plus tests, plus the hospital stay. There will be general anesthesia. They'll make you get up and walk the same day. A friend of mine even went home by taxi afterward. 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 these grow from cells that were "lost" in the human organs even before birth. At a certain point in life, they suddenly start growing and developing, 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 open surgery? If they prescribe open surgery, 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 bomb in your stomach and wait to be taken away by ambulance?

"If a cavity operation is not a fact, then it is far from removing the ovary."

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 would need an incision. I was prepared for an open surgery, but it ended up being done laparoscopically. Now there's nothing to worry about. 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 getting treatment. We'll see what happens next. I think I'll probably have to have surgery 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. 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, anemia, 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! Complete 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. However, skilled ultrasound specialists won’t even mention it if the formation is up to 2.5 cm. If the cyst is slightly larger than that (for example, 3 cm) and causes no discomfort (even if it is endometrioid), you can and should try to conceive!

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

Complete nonsense, I myself went through the removal of large endometrioid cysts (it was an open surgery), but no competent doctor will remove the ovaries because that would lead to full-blown menopause. And these types of cysts prevent pregnancy, so they need to be removed first!!!

I'm terrified of the surgery. The doctors in the department told me they don't have a laparoscope at all, so they'll have to perform an open surgery on me. All normal hospitals have had laparoscopes and specially trained doctors for a long time now, but we still have none of that here. Previously, in the surgical department, I had a laparoscopy and I saw for myself that it's very easy to get through. Only the incisions hurt a lot and there were strange sensations in my abdomen.

But even thinking about open surgery is scary. I just hope I don't die from some complications because of the surgery. I don't know how I'll endure the surgery and how I'll recover afterward. If I survive such an operation, then I'll also have to remove the scar on my stomach. In short, I'm trying to mentally prepare myself, but it's not working. All sorts of terrible thoughts, I'm winding myself up and just crying my eyes out. I understand perfectly well that I can't avoid the surgery, but I'm 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, content-pulsating (endometrioid cyst) and 32x25 mm with thin septa, resembling cystic transformation of the corpus luteum) in my right ovary. I see you are knowledgeable about this; if it's not too much trouble, could you explain the seriousness of the 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, it should be removed (the ovary is typically preserved in the process).
But what's also important! If you unfortunately encounter an endometrioid cyst, after its removal, it is recommended to try to get pregnant as soon as possible, without delay, because 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 your reviews and decided to seek your advice! During 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 told me to come back for a follow-up ultrasound in the first phase of my menstrual cycle to clarify the diagnosis. And my gynecologist said that if the cyst is larger than 5 cm, it needs to be operated on, and she also added 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 dealt with this issue!

Endometrioid cysts generally cannot be treated—I’ve been through this myself. The most important thing is to make sure the cyst is truly endometrioid. In my case, for four years, they either didn’t detect such a cyst or misdiagnosed it as a corpus luteum cyst. The key is to have an 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 be afraid of.

Endometriotic cyst

Hello everyone! Like many others, I found out I have an endometrioid cyst on my right ovary. Before starting Visanne, the last ultrasound showed it was 20 mm. I don’t have my left ovary (an old nasty cyst took it away), so I’m incredibly worried 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 with breaks—it either decreased 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 is completely GONE. However, my 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, ***** hit the fan... Her endometrioid cyst grew back to 4 cm on one ovary, and a 6 cm follicular cyst (questionable) appeared on the other. She’s planning for laparoscopy...

So, you understand my state... I’ll have to stop Visanne eventually... 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 to 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!

About Visanne: my breasts sometimes ache, during the 4 months of taking it, I had full periods twice (and I’m actually on my period now in the 4th month), otherwise there was just spotting. My libido decreased—but I guess that’s not terrible)) The rest (occasional bad mood) 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 spot. I took Janine for 63 days, then had a 7-day break, and the cyst shrank to 14/11, but a follicular cyst grew in the same ovary, measuring 29/21. Girls, has anyone experienced something like this, and what did you do?

Ladies, I want to 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.

My advice to everyone is not to delay the issue of laparotomy. You never know how long it's been there, growing. Don't let it get to the point of rupture. As soon as you find out (after 2-3 ultrasounds at different clinics), immediately choose a hospital for admission. Wishing everyone good health!

Olya, what size was your cyst? I also had a cyst confirmed on the 6th day of my cycle (they say it's endometriotic) 2 by 2 cm. One gynecologist says to monitor it for half a year, take hormonal 'Klayra', another gynecologist insists on surgery, says under no circumstances take hormonal pills, because they can slow down the cyst's growth, but they can also accelerate it. The second gynecologist, 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 I should wait half a year, especially since I'm bothered by pains, sometimes very strong.

Anna, my cyst was 38mm by 30mm, also nothing indicated it could rupture. 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 get laparoscopy... :( Girls, believe me, when it ruptures, the pain is terrible... the surgery was 1.5 hours... and recovery after an emergency surgery is much longer. I advise that once diagnosed, don't delay and choose a hospital for hospitalization.

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 to physical therapy to improve the healing of the (cosmetic) scar. So girls, don't let it get to the point of open surgery... recovery is very long. ;(

I had surgery (laparoscopy) to remove bilateral endometrioid cysts on February 12, 2014. After that, I was prescribed "Visanne" for six months, but I only managed to take it for one month because of the side effects: headaches, high blood pressure, terrible depression, hot flashes, sweating like crazy, I just didn't want to live, and my libido was at zero, even at minus one. I went to another doctor, and I was prescribed "Yasmin" for three cycles. Life seemed to get back on track, and I drank various herbal teas. But this year, history repeated itself—my cysts returned. There's a 3 cm cyst on my left ovary, and one is just starting on the right, even though I had check-ups and ultrasounds every month, and they assured me it wasn't cysts, just a small formation. I don't know which gods to pray to or which doctors to see to get rid of this ailment. The doctors are divided into two camps: some say surgery is absolutely necessary, and IVF urgently to prevent the disease from spreading, while 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 go for open surgery??? Don't even think about it. Look for a hospital with Lapora.