Question 1

I'm really worried about my girlfriend. On Monday, I fingered her and since then she had continuous pain which lasted until Friday. Now, it seems to have lessened to just once a day. When I was fingering her, it felt like I was hitting something. Can you help diagnose what's going on and suggest any treatment options? Also, if there's a way to contact you, can you let me know?

Accepted Answer

Overcoming Gynecomastia Without Surgery

_Possible Non-Surgical Treatments_

1. _Hormonal treatments_: Medications like tamoxifen or raloxifene can help balance hormone levels and reduce breast tissue.
2. _Selective estrogen receptor modulators (SERMs)_: These medications can help reduce estrogen's effects on breast tissue.
3. _Testosterone replacement therapy (TRT)_: If low testosterone levels are contributing to gynecomastia, TRT may help.
4. _Lifestyle changes_: Maintaining a healthy weight, exercising regularly, and avoiding certain substances (e.g., steroids, marijuana) can help reduce breast tissue.

_Cost of Non-Surgical Treatments_

1. _Hormonal treatments_: $50-$200 per month, depending on the medication and dosage.
2. _SERMs_: $30-$100 per month, depending on the medication and dosage.
3. _TRT_: $50-$200 per month, depending on the treatment plan and medication.
4. _Lifestyle changes_: No direct cost, but may require investments in gym memberships, healthy food, or fitness classes.

_Surgical Treatment Costs (for comparison)_

1. _Male breast reduction surgery_: $3,000-$6,000 or more, depending on the surgeon, location, and procedure complexity.

Question 2

I have an 8cm cyst in my right ovary and I'm really confused about what to do next Some doctors recommend surgery while others say medication might work or even suggest planning a family early I'm not sure which option is best for me and feeling pretty overwhelmed Can you help me understand what would be the right approach for my situation

Accepted Answer

Large or persistent ovarian cysts, or cysts that are causing symptoms, usually need to be surgically removed. Surgery is also normally recommended if there are concerns that the cyst could be cancerous or could become cancerous. There are 2 types of surgery used to remove ovarian cysts: a laparoscopy.

Question 3

I recently found out I have a right ovarian cyst measuring 95.5 cc with a peripherally situated solid component of about 12x6 mm in the adnexal area from my ultrasound. My CA-125 is 8.5, which is normal. My doctor initially suggested surgery but then prescribed me Derivery 10 mg daily for 3 months when I asked about medicine options. I'm 24 and not married should I be worried about the cyst or the treatment plan? Is medicine enough or should I consider surgery?

Accepted Answer

It's understandable to be concerned about your ovarian cyst, especially with the initial suggestion of surgery. While a normal CA-125 level and your age are positive factors, the size and solid component of the cyst warrant caution. Whether medicine or surgery is the best option depends on your individual circumstances and the potential for complications. It's crucial to have a thorough discussion with your doctor about the pros and cons of each approach.

What are the first signs of a missed miscarriage?

The usual symptoms of miscarriage are vaginal bleeding and lower tummy (abdominal) cramps. You may then pass something from the vagina, which often looks like a blood clot or clots.

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