Patient's question:
Detailed medical history and consultation purpose: I had an IUD inserted in March last year. Starting from June, I experienced prolonged menstrual periods. In January of this year, I underwent Bomei light treatment for cervical erosion. In July, I had a cervical polyp removed, along with a cervical smear and pathological examination. In August, I had an ultrasound: the uterine cross-section diameter was 4.43.5 cm, with the uterine cavity centrally located and showing a strong echo of the IUD. In the left ovary, there was a 2.64.1 cm anechoic area with clear boundaries and smooth cyst walls. No obvious abnormal echoes were observed in the right adnexal region.After medication, in October, I had another ultrasound: the uterine diameter was 3.53.2 cm, with a strong echo of the IUD inside, showing no obvious abnormalities. The bilateral adnexal regions also showed no obvious abnormalities.
Doctor's answer:
Generally, ovarian cysts do not cause menstrual disorders. Ovarian cysts are usually caused by inflammation, while menstrual disorders are related to endocrine imbalances and poor mood, especially frequent night owl habits. Your current cyst is not very large, and you can take traditional Chinese medicine. Many people have had their cysts disappear after taking medication. For your menstrual disorder, it is best to take Angelica Sinensis Essence and Motherwort Ointment, get adequate rest at night, avoid fatigue, maintain a positive mood, and rest assured that it will gradually improve.If medication is ineffective, you can consider laparoscopic cystectomy. This procedure does not require opening the abdomen or removing the ovaries, thereby maximizing the preservation of the patient's reproductive organ integrity and fertility. If an adnexal cyst is confirmed and its diameter is greater than 4 cm, surgical treatment should be performed as soon as possible, as there is always a risk of rupture or pedicle torsion that could be life-threatening. It is advisable to avoid worsening the condition and undergo certain examinations.