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I am facing difficulty in conceiving since last 1 year. Follicular study tests showed cysts in ovaries. Please help.

Last Updated - Fri, Mar 16 2018

Detailed Question:

I have been trying to conceive from past 1 year. 6 months back I visited a gynaecologist. She did all hormonal tests and all was fine. My husband's test were also fine. Then she gave me egg formation medicine during 3-8 day of cycle. It didn't work out. 
Next we did follicular study. The ruptured egg was 21mm from left ovary with 7.3 ET. Then my period was due on 29th may. Instead I got spotting starting 26th which stopped on 28th. I thought it could be positive as I have never had such light and short flow. Then we did UPT it was negative. We went for bHCG blood test which was also negative. 
Now the gynaecologist said the spotting which I had was my period. She gave me FSH injection on 31st may and recommended follicular monitoring again. Today was day 8 and ultrasound showed 5.8mm cyst in left ovary and 5mm in right ovary. Now I am confused. I had previously got myself checked for PCOD and there was no such sign. Can you tell me what does this cyst mean now and should I try this month and any other related advice please.

Category: Gynaecology


Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

The cyst alone does not mean PCOD, you require a polycystic ovary to genuinely have a disease. At present there seems to be nothing to worry. Periods can increase or decrease depending on hormonal stimulation and a lot of environmental or biological factors as well. As you have undergone Follicular monitoring, now  Inj chorion 5000 I.m stat is advised for you. You can consult again with full reports of the study done and the other reports that were previously done. Meanwhile you can certainly continue trying to conceive, since this cyst alone does not appear to be a part of PCOD. Also consult with reports of AMH blood test. 

PCOD

Polycystic Ovarian Disease (PCOD), also known as Polycystic Ovary syndrome (PCOS) is a very common condition affecting 5% to 10% of women in the age group 12–45 years. It is a problem in which a woman’s hormones are out of balance. It can cause problems with menstrual periods and make it difficult for her to conceive. The principal features include no ovulation, irregular periods, acne and hirsuitism. If not treated it can cause insulin resistant diabetes, obesity and high cholesterol leading to heart disease.


Causes of Polycystic Ovarian Disease (PCOD)

Normally, the ovaries make female sex hormones and a tiny amount of male sex hormones (androgens). These help regulate the normal development of eggs in the ovaries during each menstrual cycle. Polycystic ovary syndrome is related to an imbalance in these sex hormones. In PCOS, they start making slightly more androgens. This causes patients to stop ovulating, get pimples and grow extra facial and body hair.

Follicles are sacs within the ovaries that contain eggs. Normally, one or more eggs are released during each menstrual cycle. This is called ovulation. In polycystic ovary syndrome, the eggs in these follicles do not mature and are not released from the ovaries. Instead, they can form very small cysts in the ovary-.hence the name polycystic ovaries.

PCOS seems to run in families, so the chance of having it is higher if other women in the family have PCOS, irregular periods, or diabetes


Symptoms tend to be mild at first. The most common symptoms are:

  • Acne
  • Weight gain and trouble losing weight
  • Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back.
  • Thinning hair on the scalp
  • Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding
  • Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility)
  • Depression

Investigations like blood sugar estimation, thyroid hormone tests, ultrasound of the abdomen and pelvis are done. Sometimes serum androgens, luteinising hormone and other hormone estimations may be ordered

Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology
Bharati Vidyapeeth Medical College & Hospital, Pune

Dr. Garima Sawhney is a Gynecologist in Gurgaon. Her expertise and utmost care and compassion for her patients makes her one of the most sought-after Gynecologists.

About Author

The above medicine data is written by Dr. Garima Sawhney. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at doctors@justdoc.com. Read about our Medical Team here.



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Dr. Garima Sawhney

M.S.- Obstetrics &Gynaecology

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Difficulty in conceiving due to cysts in ovaries

I am facing difficulty in conceiving since last 1 year. On visit, gynaecologist suggested follicular study which showed cysts in ovaries. Can you please help?
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