I recently had a USG, which showed a 44 x 46 x 43 mm thick walled cyst with dense internal debris in the right adnexa, and the right ovary was not separately seen. The left ovary is bulky with multiple unilocular follicular cysts of approximately 14 to 16 mm, and both the left ovary and the cyst appear adherent to the uterus. The left ovary measures 38 x 34 x 36 mm with a volume of 25.8 cc. Following my doctor advice, I did a CA 125 test, which came out to 40.7 U/ml. My doctor mentioned there is nothing to worry about and suggested taking Vissane 2 g for the next six months. I am 27 years old, recently married, and not planning a family for the next two years. I would like to know if my condition is serious, whether it can lead to infertility, and what the most optimum treatment is at this moment?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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The cyst and elevated CA 125 suggest possible endometriosis. Visanne (dienogest) is appropriate. Its not serious now, but regular follow up is important. Fertility may be affected if untreated.

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Answered 12/09/2025

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