Question 1

My right ovary has a 7.5 cm endometriosis chocolate cyst and a 1 cm uterine fibroid. Is there any way to treat the hemorrhagic cyst without laparoscopic surgery? I've heard about GnRH agonist drugs to shrink endometriosis before surgery. My periods are regular, and I don't have pain except for frequent urination. I really want to conceive soon what are my options?

Accepted Answer

For a 7.5 cm endometriosis cyst, GnRH agonist drugs may help shrink it before surgery, but if you want to conceive soon, laparoscopic surgery might still be necessary. Discuss your options with a fertility specialist.

Question 2

I'm really worried because I did a medical abortion back in December last year when I was 4 weeks pregnant. I went through all the bleeding and even passed tissues and clots. Afterward, I got my periods in February and March, and my home pregnancy tests are negative. But I've noticed my stomach is growing, and I can't figure out why this is happening. I don't have any complications or pregnancy symptoms, but ultrasound isn't an option for me right now due to some family issues. What could be causing this?

Accepted Answer

Possible Causes of Spleen Enlargement*

1. *Fatty liver*: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.
2. *Portal hypertension*: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.
3. *Other potential causes*: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

*Recommendations*

1. *Follow-up ultrasound*: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.
2. *Liver health*: Continue with udiliv 300 and vitamin E to support liver health.
3. *Weight management*: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.
4. *Consult a gastroenterologist*: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

Question 3

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.

Which pills can I take to fall pregnant?

There are many causes for female infertility. Treating the cause helps in getting pregnant

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