Need some advice!!
Hi I’m new here. I want to know what is the right thing to do now?
I’m on my periods for over 1.5 months. I do not have any pain. All my periods are painless. Just that it is long. Even after bleeding for so long my Haemoglobin is 12. I do not have any physical symptoms apart from periods. Had an USG and found I have two cysts on both my ovaries.
*USG Findings: RO-“There is an unilocular, isoechoic cyst of \~ 5 x 3.3 cm noted with hyperechoic solid areas measuring \~ 2.5 x 1.7 cm within the cyst. On color doppler study, there is vascularity noted within the solid areas.”*
*LO-“Not seen separately. There are multiple (3 to 4) cysts noted with internal echoes, all together measuring \~ 7.3 x 5.7 cm. There are internal echoes and solid areas noted within the cysts. On color doppler study, there is no flow noted within the solid areas.”*
MRI gave O-RADS 4:
“• *Multilocular lesion in left ovary with a few small enhancing T2 intermediate signal nodular areas with areas of hemorrhage with associated features as described MRI O-RADS score is 4.*
*• T2 intermediate to hypointense area with high protein content/ subtle hemorrhage with small enhancing area in right ovary with associated features as described - MRI O-RADS score 4.*
*Prominent uterine endometrium as described.*
*All the cancer markers are low except for CA-125 which is 105. (Could be inflammation)*
So now the doctor wants me to undergo laparoscopic surgery. She said the size is bigger and there is risk of twisting. She also said during the surgery they could change it into open surgery if needed. Or they could remove the ovary if the biopsy comes out to be malignant.
I got this govt job which could have the joining in 4 to 6 months. In case of malignancy I ll be deemed unfit to join. I cannot undergo a surgery and hide the facts while joining. So can this be medical managed until I join or upto a year? Can it be endo even if I don’t have painful periods?
Is surgery the first option or it could be managed with medicines and then I ll undergo a surgery. I’m 33yo and don’t have kids.