Treatment options for endometrioma

[Kangalou]

Hi all,

I had a scan today to check on a cyst which was picked up on scan six weeks ago. It was a private scan done by a doctor who is convinced it is an endometrioma. I have already had a hysterectomy due to endo/adenomyosis. I only have one ovary left - and the cyst is there.

It was smaller than the last time - only 3cm (six weeks ago it was almost 4cm). He thinks it has ruptured and that the fluid has irritated my pelvis (I am hugely bloated).

I’m in a lot of pain and feel really run down.

Does anyone know of treatment options? Is it too small for surgery? Are there any non surgical options? This would be my third lap in 18 months so not sure I really want an op... but am equally desperate to do something!

[Saraht100]

Hi. I have an endometrioma on each ovary (2.5 cm & 4.5cm). I’ve been having zoladex injections and after 2 months the bigger cyst was already down to half the size. I’m now in my 3rd month so waiting to see if they have shrunk any more in a couple of weeks.

Zoladex stops you ovulating though (& producing oestrogen I think) so I would think if you have had a hysterectomy you may already be in this situation.

[Kangalou]

Hi ladies

I saw a few people were following this post so thought I’d update.

I had another scan and the cyst was roughly the same size. A doctor did the scan (new for me) and said he felt it was an endometrioma. Obviously not a massive one, but there nonetheless.

I’ve since seen my consultant - bit of a funny meeting. He gave some options but wasn’t clear on a recommendation initially.

Options were:

1) medical menopause- done that before, not loved it. He said it wasn’t really a long term solution due to osteoporosis risk, not great side effects etc. He also said it wouldn’t help pain from this cyst.

2) better pain relief - using pregabalin etc. Again, done this and he noted the side effects (brain fog) aren’t great.

3) surgery. Downside being this would be my third op in 20 months for endo. Followed by suppression treatment (ie the pill). Which he said is a bit controversial.

I opted for surgery. Once I’d done that he seemed to be behind the idea but still a bit reticent. By the end he seemed convinced it was the right move... but all felt a bit odd.

I have an op date for the end of this month. I’m in the U.K. but using PMI hence the quick date.

Hope everyone has a good weekend.