Medically Necessary To Remove Small Chocolate Cyst / Endometrioma On Ovary?
Last year, I had a laparoscopy where they removed a lot of stuff -- among them, a cyst on my left ovary and an endometrioma/chocolate cyst on my right ovary, which we knew about going into the surgery. Neither ovary was causing me pain before the surgery, and neither was all that large. My question is: does anyone know if cyst removal, particularly chocolate cyst removal, is medically necessary?
I ask because I've since learned that my egg count is very low (I'm 32 and have the egg count of… read more
I'm in the same boat. My gyno didn't test a damn thing! I got a second opinion and she right away tested my AMH. I'm 36 and want to be able to have kids some day. I have bilateral cysts and everything is stuck so I'm worried. I don't know what my ovarian reserve is at this moment
I'm 29 and have had large endometriomas removed. Almost a 7 pound cyst in my left and 2 which equaled 5/6 cm on my right. My question is if these endometriomas and surgical removal has damaged my ovarian reserve or eggs? I'm going in for a consult on the 26th and I'm worried they will tell me that my ovaries are too damaged to do IVF. Thoughts?
We tested my FSH, estradiol levels, and AMH levels. My AMH was the only thing out of range, and that was about a year after surgery. I tested AMH twice over the course of about three months -- it may have just been different labs, but my ovarian reserve was even lower after that second test.
That's great to hear about AMH perhaps rebounding, thank you! I didn't have any pain associated with my ovaries pre-surgery, but they hurt for several months afterwards, and I did end up getting another cyst (which collapsed after a round of OCs, thank goodness). Post-surgery, I've also experienced a lot of vaginal dryness, which was never an issue at all before the cyst/endometrioma removals. Thanks for weighing in, and good luck with your surgery!
Is the Dr basing this purely off AMH? Is it staying low? I read it can dip immediately after surgery but then later rebound. I'm pondering the same thing, I'm your age and have endometriomas, reading conflicting things even amongst excision specialists. From what I can tell removal seems to be quality of life issue, unless it turns into torsion, which would be emergent. Mine is causing pain so it's got to go.
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