Ovarian Cysts After Hysterectomy: Signs, Diagnosis, Treatment

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Hysterectomy involves removing the uterus surgically. Depending on your case, your doctor may also remove other parts like fallopian tubes or ovaries during this surgery.

In case your tubes and ovaries are not removed, you are as vulnerable as other women with uterus to experience dysfunction of the fallopian tubes and ovaries.

So, if you are wondering, “Is it possible to get ovarian cysts after hysterectomy,” the answer is, “yes.”

As long as there are ovaries…

As long as you have ovaries, there will be the production of eggs (unless you have reached menopause). It does not matter whether you have uterus or not, your body will continue to secrete luteinizing hormones. There will be the production of progesterone and estrogen too.

The only difference that happens with the removal of uterus is you will be free from the monthly menstruation bleeding. A uterus is required for the bleeding to happen.

So, amidst the normal hormonal cycles, you might develop ovarian cysts.

The cyst could be functional or a complex one. According to Female Gynecologist, most cysts are benign. However, chances are higher for a complex cyst to be malignant than a simple one.

Signs of ovarian cyst

Signs are similar to those that a woman with uterus would experience. However, women with uterus can notice menstrual irregularity, which is one of the signs. Women whose uterus is removed cannot notice such irregularities, as they don’t get periods anymore.

But, if you are aware of your ovulation day, you may observe that abdominal or pelvic pain happens during a particular phase of your menstrual cycle.

This pain has a tendency to radiate to your hips and thighs.

You may also experience pelvic pain while having sex.

Ovarian cyst is often characterized with a throbbing, dull pain at the abdomen or pelvis, but if you experience sudden pain, you must consult your doctor immediately.

Diagnosis

Your doctor will want to know whether your cyst is benign or malignant. For that, she will conduct a manual pelvic examination on you, plus an ultrasound.

Once the reports confirm that you carry ovarian cysts, your doctor will take your blood sample for CA 125 antigen test. This will tell about the malignancy of the cyst.

Treatment

In case of small benign cysts, the doctors usually recommend waiting for about 2 months and then undergoing another string of tests. The second set of tests show the growth of cysts.

If your tests show that your cysts have grown over the period, your doctor might recommend surgical removal of cysts. In some cases, doctors also recommend removing ovaries during the same surgery.

Removal of ovaries is an important decision. It leads to menopause. Besides, it is your organ, so ultimately the choice is yours.

Remember, as you age, the risk of getting malignant ovarian cysts increase. This happens more after menopause (with intact ovaries). Yet, it is not a norm.

Please discuss with your doctor about the decision and how it will impact your general wellbeing. Although ovarian cancer is rare, it still happens.


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Dr. Smiti Jain is a highly skilled Obstetrician and Gynecologist. She is providing quality healthcare to patients through her initiative - Dr. Smiti Women's Clinic. She has rich and extensive experience of more than 10 years of working and learning in private and government setups.

Disclaimer

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.

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