Are there any medicines available to cure multiple cysts in ovary?

Question

Hi doctor,

My niece, aged 14 years, weighs 132 lbs. Recently, her monthly cycles have not been regular, and she is having heavy pain at times in her lower area. Recently, we consulted a gynecologist and were recommended to go for an ultrasound scan of the whole abdomen.

In the scan report under the ovaries section, it was mentioned as RO 6.3 x 4.7 inches and LO 1.6 x 0.5 inches.
Both ovaries show multiple cysts measuring 2.3 x 2.3 inches, noted to be 10 to 15 in number in the periphery, with an echogenic stroma.
A cystic lesion was noted in the RO measuring 6.3 x 4.3 inches.
No septa, solid, or nodules detected.
Please suggest to me how to come out of this problem.

Is there any medicine or exercise required that helps us more and brings happiness to her life?

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

I went through your query. I am really sorry to know your niece is suffering from stomach problems and irregular cycles. I understand it can be a very annoying problem. By the ultrasound report that you have given here, it seems your niece has PCOS (polycystic ovarian syndrome).

It usually presents with irregular cycles and excessive weight problems. Other problems that also may be seen are acne, pimples, dark pigmentation on certain areas like the neck and in between fingers, excessive hair on the face, chin, and other body parts, etc.

To confirm her diagnosis, you get a serum LH (luteinizing hormone) or FSH (follicle-stimulating hormone) done. If the ratio is nearly 2:1 or greater, it confirms that she has PCOS.

PCOS is a very common but complex hormonal problem. She would really need to work hard to lose weight. As weight loss itself would help her achieve normal, regular menstruation. Also, I suggest you get a thyroid function test done because PCOS is also many times associated with thyroid problems.

For the issue of painful and irregular cycles, it would be a good idea to put her on regular low-dose hormone pills for three months and watch her response. It should help her out.

I hope this clears your doubt.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

PCOS is a hormonal problem, and there is no role for operation in it. This condition can be easily treated by medicines. I have no idea which operation your doctor is referring to. Please do let me know which operation your doctor is referring to. I would not suggest you go for an operation on such a young child.

I hope this helps.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Based on this report, yes, your doctor is advising correctly.

At such a young age, any mass more than 3.1 inches should be removed surgically. The scan suggests that it could be a benign ovarian tumor. I am sorry, as this big single mass needs surgery and cannot be helped by medicines alone. Your main concern should be ovary preservation for future fertility.

If the entire ovary is removed, her future conception will be decreased. Please visit a good doctor who can remove only the cyst in the ovary and leave the rest of the ovary inside, even if it means doing an open surgery instead of a laparoscopy.

I hope this helps.

Thank you.