Re: Large ovarian cyst...worried
Your cyst is on the large side so removal is probably the best course of action. Whether or not to remove the entire ovary is something to be discussed with your surgeon. Sometimes with cysts that large the ovary is destroyed anyway but you will have to speak to your doctor about this. If you are planning to have more children in the future, this is also something that you need to speak to your surgeon about. With the remaining ovary you should be able to conceive without any problems though.
A bilobed, septated cyst simply means that the cyst has two lobes and is separated by a septation or a division. This may be two cysts that grew together, for example. Keep in mind that we all get ovarian cysts every month but usually these cysts grow to around 2-5 cm maximum. I also had an ovarian cyst that was around 9 cms which I had to have removed, along with my left ovary. I was not thrilled with the idea but realized that this was necessary because the cyst was growing (I "watched" it for a year and a half) and it had most likely destroyed the ovary anyway. Also, I am in my forties and have never wanted children. That being said, ovaries do much more than provide eggs for procreation. They also provide hormones for the body. However, one ovary is usually sufficient and I guess I should thank my lucky stars for the redundancy of having two ovaries instead of just one.
Given your family history, have you considered taking the CA-125 blood test. This tests for a cancer antigen normally found in high numbers when ovarian cancer is present. The test is not super accurate in premenopausal women such as ourselves but it may give you some peace of mind. You may wish to speak to your doctor about this.
As for the pain, if you have a long history of pelvic pain due to scar tissue or endometriosis etc.. then most likely the pain is related to this. Having the cyst removed is definitely the best course of action. Now you have to ensure that having your ovary removed along with the cyst is OK with you (speak to your surgeon). Also, if for any reason the radiologist thinks that this cyst is threatening (usually they have a pretty good idea from looking at the ultrasound, although this is not 100%), you may want to consult a gynecological oncologist to do the surgery, just in case. Keep in mind that even complex cysts are most often benign (90% of them, in fact) but with your family history you may want to pay extra special attention.
I hope this helps and I wish you a very quick recovery from your upcoming surgery. Hopefully removing the cyst will take care of your pain issue (keep in mind that sometimes the pain issue ends up being unrelated .. but perhaps they can remove other things such as more scar tissue or endo while they are in there).
Take good care of yourself.