History of miscarriage. Have ovarian cyst. Trying to get pregnant. What is wrong?
Patient: I have a cyst on my left ovary. Had a missed abort in week 13 almost 2 years ago. Since then i try to get pregnant. My cycle is regular, and my ovulation tests re positive in midcycle. I am 37 years old. I don't know what to do. Doctors visit 1 month ago said everything ok, but could take the cyst out by surgery. The cyst is 3.5 cm big. What do you think. What could be wrong with me? My husbands spers are average after test. Doctor: Hi, After the age of 37 years, fertility declines rapidly. So you should go for treatment with high chance of conception. If your tubes are fine, you can go for superovulation with IUI, which is less costly & gives decent pregnancy rates of around 15-20% per cycle if everything is fine. Regarding cyst in ovary, if it is simple clear cyst & diagnosed recently, you can wait for 1-2 months for spontaneous resolution. If the cyst is endometriotic OR if its persistent since last 2-3 months, you can go for its removal through laparoscopy. Wish you good health.