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Katie asked...

I'm a 34 year old female, no children and have a cyst in my left ovary. Following an A&E admission in May 2015 in which I was diagnosed with a suspected ruptured cyst, I have received routine follow ups at the local hospital. At my last routine scan in January, I was told the cyst had grown to 6.3cm x 4.7cm and had internal echoes. I have received a further letter saying I need blood tests to screen for ca125, AFP and Beta HCG. There is no mention on the letter as to why I need these bloods, but I can only assume it is to rule out cancer. Is this just a precaution or does it indicate that there is a possibility something has been seen on my ultrasound? I always understood cysts to be attached to an ovary, not inside...this also concerns me as I want to start a family.

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The Answer

Ovarian cysts are quite common and appear on the ovary, rarely within the ovary, and often we do not know they are there. They can appear and enlarge or shrink and disappear on their own without treatment. If you are prone to ovarian cysts it is common to be monitored as if the cyst becomes very enlarged then surgical intervention is required.

If the cyst enlarges or the capsule of the cyst becomes thicker it is standard to do further testing such as blood tests and further scanning, especially if there is a family history of breast or ovarian cancer. If there was something concerning on your scan you would have been seen by the consultant before leaving the hospital or would have been given an urgent follow up appointment. The presence of ovarian cysts do not normally affect fertility unless there are multiple cysts, such as polycystic ovarian syndrome, or an ovarian cystectomy is needed as a small part of the ovary is removed during procedure, so conceiving is still possible.

Answered by the Health at Hand nurses  

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