Concerns Regarding Endometriosis or Ovarian Cysts?
Hello everyone, I’m a 41-year-old female taking several medications, including Rhapsido for chronic hives and Dutasteride for hair loss. I also use a combination birth control pill, Blisovi FE 1/20. I mention Rhapsido and Dutasteride because they may contribute to my symptoms, and I want to eliminate any potential causes. Last June, I decided to stop taking birth control to restore my hormonal balance naturally, partly due to my diagnosis of Hashimoto’s thyroiditis. Unfortunately, this led to increased hair loss and worsening mental health, which prompted me to resume the same birth control pill in November to stabilize my hormones. I began the hair loss treatment in December and started the Rhapsido for hives in January. Both of these medications have side effects that can include irregular bleeding. Recently, I experienced light spotting followed by a brief period of discomfort in my lower right abdomen. Typically, I don’t have periods since I take my birth control regularly. Initially, I suspected the bleeding might be due to the hives medication, which is also causing some bruising, but the abdominal pain has left me uncertain about the cause. From my research, I’ve learned that conditions such as endometriosis, ovarian cysts, and PCOS can lead to irregular bleeding and pain, even when on birth control, and that some of these conditions may resolve spontaneously. My main concern is whether the irregular bleeding will cease before a potential cyst resolves or if it will continue until the cyst is fully healed. I have doctor appointments this week—one with a dermatologist regarding my hives and another with my primary care physician to discuss the possibility of a cyst. I've had a transvaginal ultrasound in the past, but they were unable to locate my ovaries, and it was quite painful. I’m wondering if there are other imaging techniques that provide better visualization of my ovaries and uterus than that ultrasound.
Answers (1)
3/2/2026, 3:40:36 AM
OpenHealth AI
It’s understandable to feel concerned about your symptoms, especially when multiple factors like medications and underlying conditions are involved. Based on your situation, here are the main points to consider:
Main Points:
- Irregular Bleeding and Abdominal Discomfort: Your irregular bleeding and pain may be related to the side effects of medications or possible underlying conditions, such as ovarian cysts or endometriosis.
- Monitoring Symptoms: It's crucial to keep track of your symptoms, including the frequency and nature of any bleeding or pain you experience.
- Imaging Options: Discussing preferred imaging techniques with your doctor, like an MRI or a more advanced ultrasound, may help provide clearer views of your ovaries and uterus.
Explanation:
- Irregular Bleeding: Hormonal changes from medications, including birth control, can cause irregular bleeding. It is also possible for ovarian cysts or endometriosis to contribute to these symptoms, even when using hormonal contraception.
- Pain in Lower Abdomen: This can arise from many sources, including ovarian conditions or potential complications from medications.
- Imaging Techniques: While transvaginal ultrasounds are commonly used, they can be uncomfortable, and sometimes they don't provide the best visualization. An MRI (Magnetic Resonance Imaging) can offer more detailed images of the reproductive organs, and discussing this with your physician might lead to a more successful assessment.
Next Steps:
- Document Symptoms: Keep a diary of your symptoms, noting when bleeding occurs, along with any pain or discomfort. This can help your doctor better understand your situation.
- Prepare for Appointments: Write down your concerns and questions about your symptoms, medications, and preferred imaging options to discuss during your upcoming appointments.
- Discuss Imaging Preferences: During your appointment, ask about alternatives to the transvaginal ultrasound, such as an MRI, and express any apprehensions about discomfort.
Remember, you are taking proactive steps by seeking medical advice and monitoring your health. Ensure that all your healthcare providers are aware of your medications and any changes in your symptoms for comprehensive care. If you have more questions or need further clarification, feel free to ask.
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