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Old 05-14-2010, 12:44 PM   #1
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Desperate Please Help !! Dermoid Ovarian Cyst...

Has anyone here ever had one of these? Does anyone know if this type of cyst can rupture more than once? We are 3000 miles from home and not due to fly back for another six weeks. I've contacted my doctor back home but he has had so much difficulty getting the doctor who treated me after a rupture out here to release records that he will not be able to have a reccomendation until tuesday of next week. My next period is due to start in 3-4 days. I am very concerned about the possible problems....

Does anyone know if there is anything I can do in the meanwhile to help shrink the cyst? Or stop it from growing? Or relieve some of the discomfort? Thank you in advance.
Your help is most appreciated,
gracie

 
Old 05-15-2010, 04:51 AM   #2
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Re: Desperate Please Help !! Dermoid Ovarian Cyst...

Hello Gracie,

First of all, don't panic. The risk of another rupture are extremely low. Usually when a cyst ruptures, that's it. The body absorbs the fluid (this is what is painful .. lots of fluid in the abdomen in not comfortable but your body will absorb this with time) and because there is no longer any fluid in the cyst, there is nothing to rupture. Of course if the shell of the cyst closes off, it can begin to accumulate fluid again but this takes a lot of time and you will be home well before then.

For dermoids, there is really nothing you can do. These types of cysts have to be removed with surgery so when you return home, see your doctor and get a referral to a gynecologist for follow up. Try to get copies yourself from the doctor you saw there. You are entitled to have copies of the doctor's report as well as of the ultrasound report (I assume they did this and this is how they know it is a dermoid). This way you don't have to worry about having your doctor do it. Call the doctor's office and tell them that you insist on having these reports.

Also, carry ibuprofen around for the pain. Ibuprofen is the best combattant against this type of pain as it goes against the prostaglandins that cause the pain in the first place. Advil, Aleve or any of these will do (note that Tylenol and aspirin are not ibuprofen). When I was walking around with a 9 cm cyst, my doctor told me to always carry ibuprofen and that if I started to experience pain, to take it right away. Ibuprofen works best when taken before the full onset of pain. It is better at preventing pain from a ruptured cyst than at tackling it when the pain is fully there.

I hope I have helped you a little. I really would not worry too much about this. Another rupture after having already had one is extremely unlikely so just relax and try to stay as comfortable as possible until all of the fluid is absorbed by your body. Just be sure to followup with your doctor when you return.

Take care.

Estria

 
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Old 05-15-2010, 09:17 PM   #3
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Re: Desperate Please Help !! Dermoid Ovarian Cyst...

Gracie, I had a dermoid many years ago. I had alot of pain and lost weight. THe dr told me it was just a cyst and it would go away after my next period. It didn't. I had an ultrasound and it indicated it wasn't a cyst but solid about the size of a golf ball. I was scheduled for surgery the following week. When it was removed it was the size of an orange. I can not tell you how much better I felt. I was up and walking the next morning. This is what is interesting about dermoids. They often have hair and teeth. They are made up of primative cells. My dr said it was like I tried to make a baby on my own. Rather interesting.
I wouldn't worry about it rupturing. Good luck

 
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Old 05-17-2010, 07:45 AM   #4
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Re: Desperate Please Help !! Dermoid Ovarian Cyst...

Thanks everybody!
I got confirmation that they did send the records to my doctor back east but, not until after hours (3 hour time difference) on Friday. So ...waiting on pins and needles to hear from the doctor. May have to wait until Tuesday as Mondays he is usually at the hospital.

Also, harrassed the records department until they gave me a copy. Turns out the local doctor is saying he is unsure what kind of cyst it is he is now saying (in the notes) it could be endometrioma or resistive hemorrhagic. I read about the differences in these types but do not know if they are dangerous or more treatable.

Any thought would be greatly appreciated.

Thanks
gracie

 
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Old 05-17-2010, 04:20 PM   #5
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Re: Desperate Please Help !! Dermoid Ovarian Cyst...

Hi,

Great to hear that the records issue was solved. Good for you !

As to the type of cyst, usually endometriomas have to be removed. Hemorraghic may have a chance of going away by themselves. You need to get another ultrasound by a gynecologist who knows these things better. Neither an endometrioma nor a hemorraghic cyst are dangerous but if hemorraghic cysts burst, they are extremely painful because they don't just release fluid but blood into the abdomen and this is much more difficult for the body to absorb. As I said before though, the chances of a second rupture right after the first are not great.

Ask for the followup ultrasound and see what the specialist says. They may be able to give you more assurance as to what it is and what to do about it, if anything.

Take care and all the best.

Estria

 
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