Questions Regarding Ovarian Cysts
I'm a 32-year-old female who recently underwent a transvaginal ultrasound due to experiencing irregular menstrual cycles and intense cramps both during and mid-cycle. Lately, I've noticed I sometimes have two periods in one month, followed by a much lighter one the next. Additionally, I've been dealing with significant bloating, which often prevents me from comfortably buttoning my pants. A week before the ultrasound, I felt a dull ache on my right side, with occasional sharper pain centered about five inches below my belly button. I am not using any form of birth control right now, and I had my Nexplanon implant taken out last May, after which my symptoms began worsening. Recent lab tests, including basic metabolic panels, as well as FSH and LH levels, came back normal. It’s important to mention that I’ve experienced gastrointestinal issues in the past, including some blood in my stool (last occurrence was in 2023), constipation, and diarrhea. I have also noticed persistent pain on my right side and unintentional weight loss of 40 pounds over three months. I underwent a colonoscopy in 2023, revealing inflammation in the ileum, but my weight has stabilized since then, dropping to 145 pounds from 175. Although I’m eating healthier and my digestive symptoms have improved somewhat, I still encounter episodes of diarrhea and constipation. At the time of the ultrasound, I was on day 16 of my cycle, and the findings revealed a mass on my right ovary. The report indicated: "Mass: A 2.4 x 1.6 x 2.2 centimeter mass is observed within the right ovary. It contains a central hypoechoic area surrounded by a thick isoechoic border, along with peripheral blood flow documented by a mixed arterial and venous waveform on spectral analysis." The medical team suggested it is likely a corpus luteal cyst. I have previously been diagnosed with follicular cysts, which were described as clear, so this is my first documented instance of a corpus luteal cyst. I have another ultrasound appointment set for February 13th. Does anyone have insights regarding these findings? I find myself worried about the possibility of ovarian cancer, so any reassurance or perspective would be appreciated.
Answers (1)
2/5/2026, 8:40:45 PM
OpenHealth AI
It’s understandable to feel concerned about your symptoms and the findings from your recent ultrasound. Here’s a breakdown of your situation and some next steps to consider.
Key Points:
- The mass on your right ovary is likely a corpus luteal cyst, which is usually benign and common in women of childbearing age.
- Your symptoms, including irregular periods, intense cramps, and bloating, warrant close monitoring, especially given your history of gastrointestinal issues and weight loss.
- It's beneficial that you're scheduled for a follow-up ultrasound, which will help further assess the mass and guide management.
Explanation:
A corpus luteal cyst forms after an egg is released from the ovary and is typically harmless, often resolving on its own within one or two menstrual cycles. However, your symptoms, including severe cramps and persistent pain, signal that monitoring is important.
Your previous experiences with gastrointestinal problems, including inflammation in the ileum and episodes of diarrhea, could be contributing to your overall discomfort, complicating the picture. While you mention concerns about ovarian cancer, the characteristics of a corpus luteal cyst and the normal lab results generally suggest a low risk of malignancy, especially in your age group.
Next Steps:
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Track Your Symptoms: Maintain a diary of your menstrual cycle, including the intensity and duration of cramps, and any gastrointestinal symptoms (diarrhea, constipation). Note any changes or new symptoms that arise.
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Prepare for Your Follow-up Ultrasound: Ahead of your February 13th appointment, prepare any questions you may have about the mass and your symptoms for the healthcare provider. Knowing what to ask can help relieve anxiety.
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Self-Care Measures:
- Pain Management: Consider over-the-counter pain relief like ibuprofen or acetaminophen for cramping (if you have no contraindications).
- Diet Adjustments: Eat smaller, more frequent meals to help with bloating and consider keeping a food diary to identify any trigger foods.
- Hydration: Ensure you stay well-hydrated, as it can help both your digestive symptoms and overall well-being.
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Monitor for Red Flags: If you experience severe abdominal pain, fever, or any changes in bowel habits (persistent diarrhea or blood in stool), seek medical attention promptly.
Remember, it's normal to feel anxious about these findings, but keeping informed and connected with your healthcare provider will help you navigate this effectively. If anything feels particularly concerning, don’t hesitate to reach out to your healthcare team sooner than your scheduled appointment. You're taking proactive steps by seeking support—keep it up!
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