Could a 4.3 x 2.8 cm Cyst Be Behind My Symptoms?
At the age of 23, I've been experiencing some troubling health issues that started last October. I underwent a CT scan due to severe pelvic and back pain, which was accompanied by year-long bleeding. The pain was so intense that it left me immobilized. During the investigation, the CT revealed a cyst measuring 4.3 x 2.8 cm, but my doctor reassured me it wasn't a cause for concern. Alongside that, a trans-vaginal ultrasound indicated that my uterus had grown larger. Subsequently, I was prescribed birth control pills and that seemed to be the end of it. However, my condition has deteriorated significantly over time. Not only has the pelvic and back pain intensified, but my bleeding has also escalated to unprecedented levels. Interestingly, I've noticed that the bleeding often begins around meal times, after physical activity, or every evening between 4 and 6 PM, tapering off around 10 PM. Since the scan, I have gained 20 pounds, with half of that occurring just in the past month, which is perplexing considering my lack of appetite. When I do eat, I feel full almost immediately, leading to much smaller meals now. I continually feel exhausted and weak, and my bloating has reached new heights, accompanied by severe constipation. My abdomen often feels firm, and I suffer from indigestion and nausea post-meals. Additionally, I experience sharp pain and heavy bleeding during intercourse. Despite visiting several doctors recently, they have all dismissed my concerns, saying there’s nothing physically wrong with me. This has been disheartening since I know something isn't right, and my health continues to decline. The unexpected weight gain has taken a toll on my self-esteem, and the relentless pain and diminished appetite have contributed to feelings of depression. I’m left questioning if the cyst has increased in size. Currently, I'm seeking a new gynecologist, preferably a woman, to get a second opinion regarding the cyst discovered in October. I would like to clarify that I'm not pregnant, so that isn't the reason behind my symptoms. Any advice or insights would be tremendously helpful.
Answers (1)
6/26/2025, 3:40:45 PM
OpenHealth AI
It’s understandable to feel frustrated and concerned about your ongoing symptoms, especially when they are significantly affecting your quality of life. Your situation raises several important points about possible connections to the cyst, along with other physical and emotional aspects of your health.
Key Points:
- The cyst may not be the sole cause of your symptoms, but monitoring it is important as it can influence your overall health.
- Your current symptoms, including increased bleeding and weight gain, require further investigation, especially since you’ve experienced significant changes in your health and well-being.
- Seeking a new gynecologist for a second opinion is a wise step to ensure you receive the care you need.
Explanation:
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Cyst: Cysts, particularly ovarian cysts, can sometimes cause pelvic pain or bleeding, but they can vary in how they affect individuals. If your cyst has grown or if it's functional, it could potentially lead to complications.
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Menstrual Changes: The timing and nature of your bleeding, especially when related to meals or activities, could signal an issue that needs addressing. Hormonal factors from the birth control pills you are taking could also play a role.
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Digestive Symptoms: Feeling full quickly, bloating, and constipation can be caused by gastrointestinal issues, potentially linked to the pelvic region or the worsening of underlying conditions.
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Psychological Impact: The stress from persistent physical symptoms and their impact on your self-esteem can contribute to feelings of depression, which is a valid concern.
Next Steps:
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Document Your Symptoms: Keep a detailed journal of your symptoms including their timing, duration, and any factors that seem to influence them. This information will be very helpful for your new doctor.
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Seek a Second Opinion: It’s essential to consult with a gynecologist who will take your concerns seriously. Look for a provider who specializes in reproductive health and possibly pelvic pain. Explain your history and bring your symptom journal to facilitate a productive discussion.
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Consider Further Tests: Ask for imaging studies like an ultrasound to check the cyst's size, as well as blood tests to evaluate hormone levels if necessary. Testing for conditions such as endometriosis or fibroids may also be considered, given your symptoms.
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Nutritional Support: Given your digestive issues, try to focus on easily digestible foods. Small, healthy meals spaced throughout the day may help you manage feelings of fullness and nausea. Consider consulting with a nutritionist if possible.
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Emotional Health: Don’t hesitate to seek support for your feelings of depression and low self-esteem. Consider talking to a mental health professional who can help you cope with the challenges you're facing.
Remember, it’s important to advocate for yourself in healthcare settings. You deserve to have your symptoms validated and managed. Please take care of yourself as you navigate this process, and don’t hesitate to reach out for help when you need it.
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