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Follicle develops into big cyst every month. Doctor says, it is because of subserosal fibroid. Is this correct?

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Patient's Query

Hi,

My wife has regular periods. All tests are normal. Her follicle develops into a big cyst every month. Doctor says it is because of subserosal fibroid. Is this correct?

Answered by Dr. Richa Agarwal

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

You should consult a gynaecologist and get her hormonal profile done to rule out other causes if any.

Follicular cyst may be because of PCOD (Polycystic Ovarian Disease) or it may be because of subserosal fibroid and also it can be because of hormonal changes.

Subserosal fibroid is nothing but a uterine fibroid.

Hope I have answered your query.

If you have further questions, consult an obstetrician and gynaecologist online.

Patient's Query

Thanks for your quick response.

We are consulting a gynaecologist here. She said that PCOD is not there (confirmed this from scan). We have done FSH, LH, ESTRADIOL, PROLACTIN, FT4,TSH tests and all are normal. Her periods are normal (32 days). We are doing follicular study for past 3 months (from 12th day). She is regularly taking prolactin (cabergolin 0.25mg every 15 days) and thyronorm to keep her prolactin and TSH levels normal. She has been taking cabergolin for past 2 months and thyronorm for past 8 months as prescribed by endocrinologist. Every month we are seeing a dominant follicle developing into a big cyst without rupturing. Our gynaecologist said that the subserosal fibroid causes hormonal imbalance which makes the follicle develop into a cyst.

My question is "If there is hormonal imbalance, how to check this and confirm that a particular hormone is abnormal. Is there any particular test to be done?" Please suggest.

Answered by Dr. Richa Agarwal

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

Hi,

First of all you have already done so many hormone level tests.

But there is one test left, go for oestrogen and progesterone hormone level tests, since fibroid and cyst because of fibroid can grow only with increased oestrogen levels.

She should go for regular check up and see the progress of cyst since many cysts subside without treatment.

Hope this helps. Revert back with the reports to an obstetrician and gynaecologist online.

Medically reviewed by iCliniq medical review team
Published At October 18, 2014
Reviewed At May 6, 2025

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

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Decision Helper
Follicular Cyst and Fibroid Decision Helper

Are your follicular cysts linked to fibroids?

Answer five quick questions to understand if your recurrent follicular cysts might be related to subserosal fibroids or hormonal imbalances, and when to discuss this with a doctor.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

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subserosal fibroidhormonal imbalancehormonal changesfollicular cystpolycystic ovarian disease (pcod)thyroid-stimulating hormone (tsh) level

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