I am 23 years old unmarried ,have been diagnosed with right ovarian endometriosis cyst of size 5.5 cm .on dienogest for 5 months size reduced to 4.4 cm .but I have c/o lower abdomen pain for past 1 week. Whether I can do lap cystectomy. If so. Any medication to be continued after that like mirena or dienogest .i shouldn't get my periods after surgery?
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Hello dear.. if the pain is intolerable then option is surgery. If it is responding well with dienogest, continue to take it. It is advisable to postpone surgery as much as possible because even after surgery it can come again. It is recurrent disease. You will continue to get your periods even after surgery. It is only the cyst from the ovary which will be removed
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If you have severe symptoms despite medical treatment, you can go for surgical option. Mirena is to be used in married women so you need to continue Dienogest for some time after surgery. There is no reason not to get periods after surgery.
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Yes you can go head with laparoscopy but make sure you continue the suppression also I really you need to do the anti mullerian hormone count to know your baseline account level as well.
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