Is laparoscopy needed for retention cyst in the ovary?

Question

Hello doctor,

I am a 33 year old woman weighing 123 lbs and 5 feet tall. We are trying for a baby for more than a year. Recently I underwent treatment and have completed two cycles of Clomid with no positive outcome. I had another unsuccessful try at IUI along with Clomid. From the last couple of months, I am taking L-Thyroxine and Cabergoline tablets for high prolactin treatment. I had a regular menstrual cycle except from the past year where I gained 11 lbs. This week I went for a scan on the second day of my menstrual cycle, and the doctor noticed a retention cyst of 2.5 x 1.5 inch in my left ovary, for which the doctor suggested laparoscopic surgery. Do I need laparoscopy? Can medicines cure it or can the cyst disappear on its own? I have attached my reports, kindly suggest what should be done.

Answer 1

Hi,

Welcome to iclinq.com.

After going through your reports (attachment removed to protect patient identity) carefully, I feel it is better to undergo a laparoscopy because of the cyst size. Any ovarian cyst of more than 1 inch needs a surgical intervention. Laparoscopy will also increase the chance of pregnancy as the cyst must be causing some hormonal changes due to which there must be a delay in conceiving and once it gets cleared, the chance of pregnancy will increase. Get started with Folic acid supplements and continue taking Thyroxine tablets, after consulting your specialist doctor.