CD 3 Ultrasound question- cyst

PurplePanda2 · September 2012

Today I had my CD3 ultrasound and blood work done. During the u/s the tech asked me if I have a history of fibroids - so I sort of knew something was up. When the nurse called me later in the day she said I had a 23 mm cyst on my right side and they are going to run some more b/w tests (estradiol and progesterone) and if those are low then I can start clomid tomorrow (was supposed to take it tonight.

Does anyone know what the risks are of starting a round of Clomid with a cyst? I have PCOS so I usually have small cysts and haven't dealt with one that large before.

KdgTeacher · September 2012

My understanding, someone correct me if I'm wrong, is that if it is over a certain size and producing estrogen then they'll make you sit that cycle out and re-check it to see if it shrinks.

larhun3 · September 2012

KdgTeacher:
My understanding, someone correct me if I'm wrong, is that if it is over a certain size and producing estrogen then they'll make you sit that cycle out and recheck it to see if it shrinks.

My RE said something similar when she did my baseline ultrasound.

DontBlink29 · September 2012

I am currently sitting out what would have been my 3rd Clomid cycle because of a cyst. Mine was 41. I also had to sit out what would have been my first treatment cycle because of a 32 mm cyst. My doctor won't proceed with a treatment cycle if you have a cyst over 28 mm.

I hope your hormone levels are low enough to go forward! Fingers crossed :-)

PurplePanda2 · September 2012

DontBlink29:
I am currently sitting out what would have been my 3rd Clomid cycle because of a cyst. Mine was 41. I also had to sit out what would have been my first treatment cycle because of a 32 mm cyst. My doctor won't proceed with a treatment cycle if you have a cyst over 28 mm.
I hope your hormone levels are low enough to go forward! Fingers crossed :-)

Thanks! Do you know what could happen if you proceed with a cycle with a large cyst? What could happen?

DontBlink29 · September 2012

PurplePanda2:
DontBlink29:
I am currently sitting out what would have been my 3rd Clomid cycle because of a cyst. Mine was 41. I also had to sit out what would have been my first treatment cycle because of a 32 mm cyst. My doctor won't proceed with a treatment cycle if you have a cyst over 28 mm.
I hope your hormone levels are low enough to go forward! Fingers crossed :-)

Thanks! Do you know what could happen if you proceed with a cycle with a large cyst? What could happen?

Clomid can cause cysts to grow larger. I hate being benched this cycle but it's only a few weeks off vs. permanent damage.

katib77 · September 2012

The risk is it could get larger, or burst causing possible loss of your ovary in surgery. That's why they check if it's producing hormones. But honestly, I thought they produce progesterone, not estrogen. Not sure though...

KdgTeacher · September 2012

katib77:
The risk is it could get larger, or burst causing possible loss of your ovary in surgery. That's why they check if it's producing hormones. But honestly, I thought they produce progesterone, not estrogen. Not sure though...

You could be totally right. I just knew they produced something Wink

Mich1724 · September 2012

On my CD 3 ultrasound in preparation to start injections for IUI #2, I had a 20 mm cyst and the doctor said because of it they were cancelling our ovulation induction cycle that month and we were to wait for the cyst to degenerate. Same as what the other ladies have said about it posing risk to rupture if feeding it more hormones.

Native+Girl · September 2012

KdgTeacher:

katib77:
The risk is it could get larger, or burst causing possible loss of your ovary in surgery. That's why they check if it's producing hormones. But honestly, I thought they produce progesterone, not estrogen. Not sure though...

You could be totally right. I just knew they produced something

I've had to sit out several times for cysts and mine have always been based off E2 levels. Anything over 60 is a no-go.

On the other hand, the one time I had high progesterone at 7dpo, my RE said it could be because of a corpus luteum cyst. Maybe it depends on what type of cyst as to what is produced, but they don't even check P4 at baseline for me.

PurplePanda2 · September 2012

Thanks for all your responses ladies - I just spoke the my RE's nurse and she said my estrogren level was pretty low (33) so it doesn't look like my 23mm cyst is producing estrogen and won't "hog" all the clomid and grow.

I will be starting a round of Clomid tonight.

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