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Is it necessary to get a cyst removed from the ovary?

Q: I am a 27 years old woman having a small cyst in one of my ovaries due to which my periods are irregular. I am taking treatment for infertility for 6 months, in which the doctor has given me many hormonal medicines. After that, the doctor did a scan through which he came to know that the size of my cyst has increased and suggested laparoscopy. But my husband is not ready for it and asked to stop all the medicines and the treatment too. So for the last 2 months I have not got my periods so I did a pregnancy test, which was negative. Can I leave my cyst as it is? What should I do now? Please advise.

A:You have not written to me the size of the cyst. If it is bigger than 5/6 cm, it has to be removed surgically along with tube testing and pelvic organ examination for any other disease like endometriosis/tuberculosis/adhesions for causing the infertility. The two can be combined, and done through laparoscope/open surgery depending on hospital facility, expertise available and cost factor. A trans-vaginal scan before the surgery would help confirm some disease conditions- cyst size, character, risk of cancerous change, and other associated conditions.

Chance of menses becoming regular and pregnancy both improve after surgery and7or treatment of cause found once the disease is diagnosed.

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