Z.Z. asks from Rockville, MD on September 21, 2010
Uterine Polyp Found, as Well as Ovarian Cysts
I am currently seeing an RE because of recurrent miscarriages. My last one was in August and I had a d&c on 8/3. I just had an SHG done to check my uterus and the doctor found what she thinks is a polyp in my uterus, as well as cysts on my right ovary. I'm confused as to why I would have a polyp now when I just had a d&c 6 weeks ago. Do they grow that quick? Also, she said she didn't want to remove it until she gets all my immune testing back in two weeks. I'm not sure what that testing would have to do with the removal of a polyp, but I really wanted to get it removed as soon as possible. I heard some people say you need a d&c to get it removed. I hate to go through that again when I just went through it. Is that the only way to remove a polyp and is it absolutely necessary to remove it before another pregnancy? I also heard that progesterone can shrink them.
I also don't know what to think about the cysts on my right ovary. I've had two ob/gyn's tell me I had a cyst on my right ovary two different times, but they thought they would go away. The RE didn't say anything about the cysts and hasn't returned my phone call from Thursday. I'm not so sure the receptionist gave her the message, so I'm going to try again tomorrow when I know she'll be in the office. I don't know if I should be worried about the polyp and cysts or if they're something easily removed. My husband and I wanted to try again this cycle but now have to wait for all this. I'm just so new to all of this.
R.K. answers from Boston on September 21, 2010
cysts can go away. Lots of women have them through out their cycle. I have had to have 2 removed that got rather large (grapefruit size) that needed to be removed.
As far as polyps go I had them once I had a d&c they didn't come back but the ob that did the d&c did it because I was bleeding so much and he never even told me I had polyps. The second Ob I had when my periods returned and were horrible (when they came back bad the first ob wanted to do a ablation) was shocked that my old ob never checked to see if they came back and yes it was only about 6 weeks after the d&c that I started getting the bad pains again. He did not find any on the hsg but did find scar tissue. I had surgery removing lots of scar tissue caused by endometriosis and 8 weeks later I was pregnant with my now 3 year old after 5 years of trying.
L.K. answers from Kansas City on September 21, 2010
I'm so sorry about the miscarriages.
I'm not sure about the polyps but most women can and do get ovarian cysts that really come and go with their cycles. I know when I was first told I had cysts, I kinda freaked until I did more research.
Good Luck to you
K.N. answers from Austin on September 21, 2010
A friend of mine had a polyp in her uterus during her pregnancy. They found it after conception. She was eventually classified as a high risk pregnancy because the polyp swelled to the size of a grapefruit and they feared that, if it burst, she could bleed out. I think she was put on bedrest for quite a while. Another concern is that the polyp might reduce available blood that the fetus needs. After hearing her story, I definitely wouldn't want to conceive with a polyp already there.
I had a cyst on my ovary. It grew bigger than a quarter, smaller than a half dollar. It got pretty tender... The problem with cysts is that they might attach on a blood vessel that supplies the ovary and end up suffocating the ovary or starving the developing eggs of nutrients. Or, they might grown so big that they encase the ovary (causing the egg not to get out; infertilty issues). BC pills didn't shrink it--actually, it grew bigger after trying that. When it got about 3 cm in diameter, my doc removed it (larthoscopy, through the belly button).
Maybe you could have both the polyp and cysts removed together? Just a thought...
K.A. answers from Little Rock on September 21, 2010
I don't know about the polyp as I have never experienced that before, but I do know a little about ovarian cyst. Your ovaries produce a cyst every month as part of your cycle. They should go away at some point during every cycle. The ones that you need to worry about are the ones that come to stay and continue to grow. I had to have one removed that grew to softball size. They tried first to shrink it with strong birth control pills, but it did not respond and continued to grow. At that time I was told that I would have to have it surgically removed. I also lost a fallopian tube at that time because the cyst had grown to it and it could not be repaired well enough to prevent a tubal pregnancy. They explained to me about the ovaries producing a cyst monthly that goes away monthly as well. They usually do not get any bigger that a large marble before the shrink and go away. I would not worry about the cyst unless the doctor is concerned.