Ovarian Cyst plus Fibroids plus Endometriosis

Author Message
Posted on Friday, November 17, 2000 – 9:34 am

I am a 50 year old female who has had problems with ovarian cysts, fibroids and endometriosis for the past 25 years. In 1976 I had an ovarian cyst removed which was the size of a grapefruit.

One month ago I went through a series of tests and was diagnosed with a complicated cyst measuring 3 cm plus large fibroid masses. I was put on hormones and was told the cyst would shrink in size. I got my period and went back for a follow up exam this week. The cyst is now 4.3 cm and the largest fibroid is the size of a softball. My doctor suggests a hysterectomy, but will also consider a scope to remove the cyst only. I feel that since the fibroid is so large it should also come out.

Any suggestions?

Dr. del Junco Jr. (Doctor)
Posted on Friday, December 01, 2000 – 8:06 am

Dear Betty-
In my opinion, you should address both the cysts and the fibroid tumors, and this is not probable thru a scope. If you leave the fibroids untreated, once you start menopause, hormone replacement therapy will effect the tumors. Many patients report increased growth and episodes of breakthrough bleeding. I do not advocate hysterectomy for benign conditions, but removal of the disease with reconstruction of the remaining viable organ. Please read the section on hysterectomy complications-the uterus performs many functions other than child bearing, which are paramount in menopausal women.