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Old 02-21-2008, 06:59 AM   #1 (permalink)
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Im so sick of worrying, and so sick of PCOS. Yes, I have said that before. but something has to be done. I cant go on living like this.. A friend of mine scared me. She says cysts are SUPPOSE rupture. Mine has not. And Ive had it for a year. I heard that with a few periods cysts go away. I hadnt had a period in so long. And I was beginning to worry. but I finally had one. Then, another. But I still have pain. And Im so tired. I mean so tired some days I cant even move. I dont understand why I feel dead all the time either..

My friend said if I still have the cyst, then that could be bad..Do any of you have this problem??
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Old 02-21-2008, 10:52 PM   #2 (permalink)
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Have you talked to your doctor? Not all women with PCOS actually have cysts, so I'm not sure how many people on this board can actually help you. There is some sort of surgical procedure to deal with cysts, but I read somewhere that it's not often used these days . . . so maybe there are no health risks in letting them stay?

At any rate, I'm pretty sure the cysts are caused by insulin resistance, so removing the cysts wouldn't help unless the insulin resistance is treated. What kind of treatment are you doing?
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Old 02-25-2008, 10:02 PM   #3 (permalink)
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Cysts can leave on their own, or they can rupture. Most women, even those without PCOS, get cysts at some point. They are usually small and cause no problems and dissappear on their own. If a cyst grows too large it can be a risk to your future fertility. Some ladies even have cysts develop when they pregnant and then dissappear later on.

Fatigue may not be associated with a cyst. It could be one of many things including anemia, Chronic Fatigue, insulin resistance, etc. You need to be evaluated for fatigue by your doctor. I have battled fatigue most of my life.
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Old 02-25-2008, 10:14 PM   #4 (permalink)
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Quote:
Originally Posted by seraphita View Post
At any rate, I'm pretty sure the cysts are caused by insulin resistance...
There are many different types of ovarian cysts. They have different causes:

Types of Benign Ovarian Cysts
1) Functional (physiologic) cysts. The most common type of ovarian cyst is the functional cyst, also called a physiologic cyst. "Physiologic" means the cyst is non-pathogenic. It develops from tissue that changes during the process of ovulation. Your ovaries normally grow cystic structures called follicles each month. Typically, these resolve back to normal ovarian tissue after ovulation. But sometimes there is a glitch and the fluid-filled cyst stays on for a while.

Functional cysts fall into two categories; follicular cyst, and corpus luteum cyst.

Follicular cyst. The pituitary gland in your brain sends a message, by increasing luteinizing hormone (LH), to the follicle holding the ripening egg. This is called a “LH surge”. Normally, the egg is released from the follicle and starts down the fallopian tube where it may then become fertilized by a sperm cell. If the LH surge does not occur, the follicle doesn’t rupture or release its egg. Instead, it grows until it becomes a cyst. These cysts seldom cause pain, are usually harmless, and may disappear within two or three menstrual cycles.
Corpus luteum cyst. When there is a successful LH surge and the egg is released, the follicle responds by becoming a new, temporarily little secretory gland called the corpus luteum. The corpus luteum produces large amounts of progesterone and a little bit of estrogen, to prepare the uterus for conception.
But occasionally, after the egg is released, the escape hatch seals off prematurely and tissue accumulates inside, causing the corpus luteum to enlarge. This type of cyst will usually disappear after a few weeks. Rarely, a corpus luteum cyst can grow to 3"-4" in diameter and potentially bleed into itself, or twist your ovary, thus causing pelvic or abdominal pain.

2) Dermoid cyst. A dermoid cyst is mainly fat but can also contain a mix of different tissues. They are often small and usually don’t cause symptoms. Very rarely, they become large and rupture, causing bleeding into the abdomen, which is a medical emergency.

3) Endometrioma or "chocolate cyst". These are cysts that form when endometrial tissue (the type that lines the inside of the uterus) invades an ovary. It is responsive to monthly hormonal changes, which causes the cyst to fill with blood. It’s called a “chocolate cyst” because the blood is a dark, reddish-brown color. Multiple endometriomas are found in the condition called "endometriosis". Although often asymptomatic, chocolate cysts can be painful, especially during your period or during intercourse.

4) Cystadenoma. Cystadenomas are cysts that develop from cells on the surface of your ovary. They are usually benign. Occasionally, they can become quite large and thus interfere with abdominal organs and cause pain.

5) Multiple cysts – the polycystic ovary. Women who don’t ovulate on a regular basis can develop multiple cysts. The ovaries are often enlarged and contain many small cysts clustered under a thickened, outer capsule. There are many factors causing a woman to not ovulate and develop polycystic ovaries. Polycystic ovarian syndrome is a complex condition that involves multiple hormonal and organ system dysfunction. Multiple ovarian cysts are just one facet of this disorder.

Source: http://www.ovarian-cysts-pcos.com/ov...ysts.html#sec4
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