I had an ultrasound about 6 months ago that showed my left ovary had multiple cysts. I have another ultrasound next month for an update. In addition I have not had a normal period in a couple years now. Actually I had very light spotting on a few occasions (really to elaborate small amounts of clear mucus sometimes with dark clots or a tiny bit of pink but never enough to actually get on a pad. I only noticed when I went to the bathroom) - a total of 12 days in the past 18 months once for 8 days once for four in no apparent pattern. To top it off HRT is not an option because I'm homozygous for factor V Leiden a genetic clotting disorder. So... 1. If the cysts haven't diminished or have gotten worse what are my treatment options? 2. How likely is surgery? 3. Are the cysts likely causing the menstrual problems? (even though the right ovary is fine) 4. Can I still be ovulating if I'm not having periods? 5. My doctor recommended a whole foods & gluten free diet for weight loss & to see if it returns my cycles. (removing genetically modified grains and processed foods). Can it help the cysts too? My medical info: Age 23 5'4" 170 lb Taking aspirin multivitamin fish oil Negative for endometriosis (ultrasound 6mo. ago) Negative for PCOS (labs 6mo. ago but slightly high testosterone slightly elevated bad cholesterol) Homozygous Factor V Leiden but no history of clots Family history of heart disease diabetes blood clots and stroke
2015-02-09 03:32:18
I'm sorry to hear your troubles. It sounds like you do have PCOS to me--especially with infrequent light periods and and elevated testosterone and bad cholesterol if even slightly also if you do have multiple small cysts on 1 ovary--then this is another thing that would give you a diagnosis. Often women are treated with the birth control pill with estrogen and progesterone to help this out however with your hx of homozygous FVL your physician may advise you against this. But you still have options for treatment with what we call a 'progesterone only pill or minipill' or a Mirena IUD. Also women with pcos if they are overweight and have elevated cholesterol they need to really work on diet and exercise and lose weight and often that can help resolve this too. I would recommend you continue your follow up or see a gynecologist to review as it really sounds like pcos to me but sometimes it can take a while to tease things out. If women don't have a very large ovarian cyst and aren't having severe pain and if have pcos then surgery is not recommended and the birth control pill with diet/exercise is recommended. good luck to you.
2015-02-09 03:32:45
