Three months ago, ultrasound revealed 9.5 mm homogeneous echogenicity endometrium, right ovary 45 x 35 mm with 24 mm follicle, left ovary 39x44 mm with endometrial cyst 34 mm in diameter. For 3 months worse e Tsh 0.500 low, FT4 -1.30, FT3- 2.40, D3- very low, Anti-Tpo 421. What to do in my case? The gynecologist wants surgery, and I wasn't taking drugs or hormones. From yesterday atywia and tyrosyl.

According to the guidelines, ovarian cysts, including endometrial cysts, are operated on:

  • 1. The cyst is over 4 cm in diameter and compresses adjacent organs.
  • 2. The change is growing fast.
  • 3. The walls of the cyst are disturbingly thick or there are irregularities in their structure.
  • 4. The cyst has many chambers or the cyst is highly vascularized.

In your case, you must first stabilize the thyroid gland and use a vitamin D3 substitution. Contraceptive drugs are designed to suppress any possible increase in endometriosis. Regards

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Alina Krychowska-Ćwikła, MD, PhD

Specialist-obstetrician at the Ursynów Surgical Center and Gynecology and Obstetrics Clinic SPZOZ Warszawa-Ursynów, assistant professor at the Department of Gynecology and Obstetrics at the Faculty of He alth Sciences at the Medical University of Warsaw, editor of the Science and Didactics section of the quarterly "Obstetrician. Science and practice ”PZWL. I see at the Polmed Medical Center.

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Female diseases