Managing Discomfort from Ovarian Cysts
At 19 years old, weighing 40 kg and standing at 5 feet, I’m married and recently discovered that I have a 4.7 cm hemorrhagic cyst on my left ovary. An ultrasound also revealed fluid accumulating on my right ovary and infection-related fluid beneath my uterus. This diagnosis followed a troubling experience with a severe urinary tract infection (UTI) that resulted in bleeding, prompting the ultrasound. Though the UTI has been resolved, I've been experiencing intensified pain in both ovaries. This discomfort peaks when I rise from bed, shift positions while resting, or engage in excessive walking. My physician prescribed a three-day course of antibiotics delivered through injections. The cramps that stemmed from the infection have subsided somewhat; they resembled menstrual cramps initially, but now the overall pain has significantly escalated. It remains bearable for the moment, yet I have growing concerns about its worsening nature. I have a transvaginal ultrasound scheduled for next week, but I am uncertain about how to manage the pain on both sides in the interim. I’m adhering to a balanced diet and avoiding strenuous exercises since my initial diagnosis, yet the situation persists. I would appreciate any insights regarding the origins of this condition or suggestions on how to effectively alleviate the pain.
Answers (1)

7/4/2025, 6:50:46 PM
OpenHealth AI
I'm sorry to hear about the discomfort you're experiencing due to the ovarian cysts and related issues. Managing pain and uncertainty can be challenging, and it's understandable to seek relief. Let’s break this down into key points and actionable steps.
Main Points:
- Understanding Your Condition: You have a hemorrhagic cyst and signs of fluid accumulation, which can lead to discomfort and pain.
- Pain Management Techniques: There are several strategies to alleviate your pain while you await further evaluation from your upcoming ultrasound.
Explanation:
A hemorrhagic ovarian cyst is a fluid-filled sac that can bleed, leading to increased abdominal pressure and pain. The pain you're experiencing can be due to the cyst itself, irritation, or pressure from surrounding fluids, especially when moving. It's good to hear that the UTI has resolved, but it's common for discomfort to persist with cysts.
Next Steps for Pain Management:
-
Heat Therapy: Apply a heat pad or hot water bottle to your abdomen. Heat can help relax muscle tension and reduce pain. Use it for 20 minutes at a time, as needed.
-
Over-the-Counter Pain Relief: If you haven’t already, consider taking over-the-counter pain medications like ibuprofen or acetaminophen (as long as you have no contraindications). These can help reduce pain and inflammation. Always follow the dosing instructions provided on the packaging.
-
Gentle Movement: While avoiding strenuous activity is wise, try to incorporate gentle stretching or light walking to keep blood flow to your pelvic area, which can alleviate some discomfort over time.
-
Hydration and Dietary Adjustments: Continue with a balanced diet and prioritize hydration. Increasing water intake can aid in overall comfort and reduce bloating, which may help with pain management.
-
Monitor Symptoms: Keep a diary of your symptoms, noting when the pain worsens and any other changes. This information can be helpful during your ultrasound appointment to guide further discussions with your doctor.
-
Rest and Positioning: Find comfortable positions that alleviate pressure, like lying on your side or with knees drawn up gently to your chest. Adjusting your posture during daily activities might also help reduce strain.
Final Note:
It’s essential to stay closely in touch with your healthcare provider, especially as your symptoms change. Don't hesitate to reach out to them if your pain becomes more severe or if you notice any new symptoms (like fever, significant changes in bleeding, or shortness of breath). Your ultrasound next week will provide more information and potential treatment paths moving forward. Take care, and remember that it’s important to listen to your body as you manage this condition!
Related Questions
Seeking Guidance for My Son's Developmental Delays
I’m reaching out because my son, who is nearing 14 months, seems to be lagging behind in his developmental milestones. He has yet to walk, talk, sit up, roll over, or keep his legs straight for extended periods. His facial expressions are quite limited, with only an occasional smile to communicate. People frequently tell me how fortunate I am that he’s so calm, but after reflecting on his situation, I’m growing increasingly concerned. I was told that his height might be contributing to his difficulty in walking and that I could have encouraged more tummy time. However, I recently discovered that there was a complication at his birth. By sharing this, I hope to find someone who can relate or understand the implications involved in his case. My family now suspects he might have cerebral palsy. I had no idea about this until I researched it, but many of his symptoms appear to align with the condition. I prefer not to get caught in endless searches until Monday, so I thought it best to seek advice here instead. Here’s a brief overview of what happened at his birth: - After he was born, he cried briefly but had a dusky appearance. - His heart rate was approximately 100 beats per minute, but his respiratory effort was weak despite breathing on his own. - We began Positive End Expiration Pressure (PEEP) at 5 cmH2O with 30% oxygen. At one point, he paused breathing and his heart rate fell below 100, requiring five inflation breaths and a two-person jaw thrust. - Fortunately, his heart rate improved and he started breathing regularly around three minutes after birth. His oxygen saturation levels were low (60% at four minutes), so we increased the oxygen to 50%. - By eight minutes, his saturation remained in the 70s, prompting us to provide 100% oxygen. By 11 minutes, his saturation exceeded 90%, allowing us to wean him off oxygen, and by 15 minutes, he was breathing room air. He was monitored for 20 minutes before being handed over to his dad for a cuddle. In terms of his respiratory and cardiovascular health, he experienced cyanotic episodes, particularly at two hours old, necessitating oxygen. By the time he was admitted to the Neonatal Unit, he was breathing without assistance. He was on oxygen for only a day. A cranial ultrasound returned negative results, indicating no bleeding concerns. He was admitted to the Neonatal Unit shortly after birth due to episodes of dusky skin and rolling eyes post-feeding. He was monitored for possible seizures, but the continuous fetal monitoring for around six hours showed no further seizure activity or abnormal movements. My main concern is whether there’s any long-term risk for brain damage given these circumstances. I would appreciate any information or guidance on this matter. Thank you for any help you can offer.
Should I Seek a Referral to Neurology?
Hello everyone! I’m a 32-year-old female and I recently attended an appointment with an audiologist due to experiencing episodes of muffled hearing two to three times daily. During my evaluation, they made an interesting observation: episodes of pure torsional nystagmus were detected. This type of nystagmus, without an upbeat direction, burst component, or accompanying feelings of dizziness, does not align with Benign Paroxysmal Positional Vertigo (BPPV). Consequently, this could point towards potential issues of a central origin. Given this finding, do you think I should pursue a referral to a neurologist? I’m currently located in Canada, where obtaining such referrals can be challenging, so I’m contemplating how assertively I should advocate for this. Additionally, here are a few other medical details that might be pertinent: - I have a history of migraines. - A brain MRI conducted in 2018 revealed a linear signal abnormality along the corpus callosum, which I didn't seek further evaluation for at that time. - I am presently undergoing assessment by a rheumatologist for suspected spondyloarthritis. Any advice or insights would be greatly appreciated!
What to Anticipate After Kidney Surgery: Recovery Insights and Discharge Requirements
I appreciate your patience with this lengthy message; I’m aiming to cover all relevant details. I’m seeking insights regarding my father’s upcoming surgery, particularly around hospital stay expectations, discharge requirements and restrictions, and the anticipated recovery timeline. I realize there are numerous variables involved, but a general overview would be greatly appreciated. **Patient Profile**: Male, aged 78. **Medical History Summary**: My father doesn’t smoke and only drinks occasionally. He has gastroesophageal reflux disease (GERD) for which he takes medication and has a history of depression (currently, the status of his antidepressants is unclear). Additionally, he suffers from degenerative spinal conditions with bulging discs in the lumbar region. He has undergone multiple soft tissue mass removals from his lower back and flank, initiated approximately four decades ago; however, the malignancy status of these masses remains unverified, as only surgical excision was performed with no further treatment. His history includes a postoperative infection (from golden staph) roughly nine months ago following a mass removal in the same region; at that time, a deeper mass was also excised with subsequent healing complications thereafter. Moreover, there is a family history of cardiac disease and cancer, including two children who face connective tissue disorders and associated health challenges (EDS). **Current Situation**: He consulted his general practitioner about a week ago due to intense abdominal discomfort accompanied by nausea and vomiting. Despite having a high tolerance for pain, he was admitted to the hospital, where he was diagnosed with diverticulitis, leading to a last-minute cancellation of the initial surgical intervention. **Incidental Discovery**: Imaging tests uncovered an incidental mass on one of his kidneys. Notably, there were no previous indications of this mass in imaging done nine months prior, which has been confirmed upon review. Although no biopsy has been conducted, a partial nephrectomy for both kidneys has been scheduled—approximately three weeks after this discovery, the delay being attributed to the surgeon's leave. **Further Observations**: He has mentioned experiencing persistent lower back pain for several months, which he had previously attributed to his established back problems.
Seeking Answers: The Medical Community Views Me as a Puzzle
I am a 30-year-old female, weighing 230 pounds and standing 5 feet 6 inches tall. My medical history includes several conditions: hypothyroidism, Hashimoto’s disease, non-alcoholic fatty liver disease (NAFLD), asthma, and polycystic ovary syndrome (PCOS). Currently, my medication regimen consists of 175 mcg of Levothyroxine and 500 mg of Metformin taken once daily. I find myself desperately seeking help as my health is deteriorating, and I feel overwhelmed with fear about my future. My hands and face are persistently red and swollen, indicative of widespread inflammation, as demonstrated by elevated inflammation markers. In the past five years, I had a positive antinuclear antibody (ANA) test once, but two subsequent tests came back negative. Despite my insulin levels being alarmingly high, my A1C and glucose levels remained perfectly normal, even after undergoing constant monitoring for an entire month. Over the past three years, I have undergone seven surgeries to remove benign tumors, yet the underlying cause remains a mystery. In addition, I had an 8-pound ovarian cyst surgically removed five years ago. I constantly feel unwell, frequently contracting respiratory infections and illnesses such as pneumonia, bronchitis, and sinus infections. I recognize that my weight is an issue; however, I have managed to lose 50 pounds this year through diet and exercise, but unfortunately, my overall condition has not improved. Notably, my spleen was significantly enlarged and painful five years ago, leading to a referral to hematology/oncology. Extensive evaluations yielded no clear answers, with doctors suggesting it was likely tied to my NAFLD. Two years ago, an ultrasound indicated my spleen was back to a normal size, yet I still experience pain reminiscent of when it was swollen. Regarding my thyroid health, I have two nodules that are considered “mildly suspicious.” They did not meet the criteria for biopsy last year, but I am scheduled for a follow-up ultrasound this August. My doctor has conducted a multitude of blood tests, with some results falling outside the normal range: - HDL: 229 mg/dl - LDL: 132 mg/dl - Triglycerides: reduced from 467 mg/dl to 306 mg/dl - Peak insulin level: 143.6 uIU/mL, now at 45.5 uIU/mL (prior to starting Metformin) - Direct HDL Cholesterol: 36 mg/dl - Neutrophils: 76% - Lymphocytes: 17.9% - C-reactive protein: 11.8 mg/l - Sex hormone binding globulin: 16.2 nmol/L Additionally, I underwent an endoscopy and colonoscopy within the last year; while one benign polyp was removed from my colon, the endoscopy results were generally normal, although chronic inflammation was again found. At this point, I am at a loss for what steps to take next. My body is in constant pain, and I feel inflammation throughout. Some nights, I wake sweating and experience periods of extreme fatigue and shakiness. On one occasion, I nearly fainted while outside in the heat, a frightening experience that left me feeling unwell like never before. I am reaching out in hopes of receiving advice on how to navigate this seemingly endless cycle of medical consultations. Thank you for taking the time to read my situation, and I apologize for the lengthy explanation.
Understanding Placenta Pathology
After my child's delivery, my physician did not discuss the results of the placenta and umbilical cord tests with me. This has raised some concerns regarding my child, who is experiencing delays and hypotonia. I intend to share these findings with their neurologist for further evaluation. **Placenta Details:** The specimen was received in formalin, labeled correctly with the patient's information, and identified as a placenta measuring 25 cm by 12.5 cm by 3 cm, categorized as a singleton, weighing 332 grams after trimming. The membranes surrounding the placenta are tan and translucent, inserting marginally. There is a rupture point located approximately 7 cm from the nearest edge of the disc. The attached umbilical cord, characterized by its three vascular structures, measures 16.5 cm in length and 2.5 cm in diameter, inserting 7 cm away from the disc’s margin. Notably, it contains three coils within a 6 cm section and exhibits a false knot featuring up to seven vascular profiles. A section through the cut surface appears normal, showing a purple-pink and shiny fetal surface, while the maternal side remains intact with well-defined cotyledons. Upon further examination, the cut surface reveals a dark red, spongy texture, and a notable tan, rubbery lesion extending from the maternal surface measuring 1.8 cm at its largest point and located 2.5 cm from the disc margin. **Sample Sections Submitted for Review Include:** 1. A cross-section of the cord taken 2 cm above its insertion point and a full thickness slice of the disc near the cord. 2. A cross-section from the center of another cord segment along with a full thickness slice of the disc, positioned halfway between the cord insertion and the margin. 3. A rolled membrane with the margin of the disc still attached. 4. Thin slivers from the maternal floor. 5. The lesion extending from the maternal side.