Does bilateral ovarian cysts affect menstruation?

Patient's question:

Three months ago, I found cysts on both sides. This month, my period hasn't come and I have severe lower back pain. Sometimes my abdomen also feels uncomfortable on both sides. Could I be pregnant in this situation?

Doctor's answer:

Ovarian cysts are divided into physiological and pathological types, mainly caused by abnormal ovarian function and endocrine disorders, which can affect women's menstrual changes. If the cyst reaches 5 centimeters, surgical treatment is recommended. If there is abdominal pain without menstruation, it is considered to be caused by uterine contractions before menstruation and is also related to ovarian cysts. It is recommended to have a follow-up examination at the hospital one week after menstruation, and a new ultrasound should be performed to understand the changes in the cyst.

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