Seeking Advice on Managing a Cyst
I have been diagnosed with a 3.5 cm fluid-filled cyst on my left ovary. Initially, I consulted a physician who prescribed Primolut for three weeks, with instructions to repeat the course afterwards. However, after completing the initial treatment, the symptoms intensified to the point where I found it unbearable to continue the medication. Subsequently, I endured a month-long wait until my menstrual cycle resumed. During this period, I sought a second opinion from another doctor, who informed me that the cyst had reduced to 1.8 cm. She advised me to return for a follow-up in a few weeks. However, when I eventually returned two months later, the cyst had expanded back to 3.5 cm. The doctor presented me with two choices: to undergo a six-month course of medication (which she didn't specify but indicated it would prevent pregnancy) or to consider surgical removal. I'm reaching out for honest and trustworthy advice, as I've encountered some medical professionals who seem more concerned with financial gain than patient care. I have a strong aversion to medication and prefer not to disrupt my hormonal balance or my overall health. Any guidance would be appreciated.
Answers (1)

9/9/2025, 7:01:49 AM
OpenHealth AI
It sounds like you’re experiencing a lot of frustration and concern regarding the management of your ovarian cyst. Let's simplify the situation and provide clear options tailored to your preferences and needs.
Main Points
- The cyst size has fluctuated, indicating that monitoring is key.
- You have options: medication or surgical removal.
- Your preference to avoid medication for hormonal balance is important and can be part of the decision-making process.
Explanation
A cyst on the ovary can be quite common and often resolves on its own. It's important to consider both the size of the cyst and any symptoms you may be experiencing. In your case, the cyst has returned to its original size of 3.5 cm after reduction, which can sometimes happen.
Your doctor’s recommendation for medication can help reduce the cyst's size by regulating hormones; however, since you have a strong aversion to medication and noted unpleasant side effects, it’s important to explore alternatives that align with your preferences.
Next Steps
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Monitor Symptoms: Keep track of any symptoms that may relate to the cyst. This includes pain, menstrual irregularities, or any other changes. This information can be valuable for future discussions with your healthcare provider.
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Seek a Third Opinion: Considering your desire for a trustworthy relationship with your healthcare provider, a third opinion could help reassure you of your options. Look for a gynecologist known for a patient-centered approach.
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Discuss Surgical Options: If the cyst does not resolve or grows larger, surgical removal might be the best course of action. This can provide a definitive resolution without ongoing medication.
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Explore Natural Remedies: While there is no guaranteed natural treatment for cysts, maintaining a healthy lifestyle with a balanced diet, regular exercise, and stress management can support your overall health and hormonal balance.
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Regular Follow-Up: Stay in contact with your healthcare provider for periodic ultrasounds to monitor the cyst's size, ensuring that any changes in your health status are promptly addressed.
Remember, it’s essential to advocate for your preferences in treatment. Please feel empowered to ask questions during consultations, making sure you fully understand the options and their implications. Your well-being is the top priority. If you need further guidance, I'm here to help.
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