Hello, first post here.
I (40 year old, married, no children) have been seeing a gynecologic oncologist for the past month after several suspect cysts were noted on CT and then U/S when I went to the ER with abdominal pain and some pelvic pain.
The first U/S in the ER showed 2 cysts - a complex multi-septated cyst 2.5 x 4 x 2.5 cm (possible hemmorrhagic cyst) and a complex cyst 3 x 5.5 x 3 cm (possible endometrioma). A week after, my first CA125 (Roche) was 330.
A month later, at a different hospital where the oncologists is, the second U/S showed 3 cysts - a complex cyst 1.1 x 1.1 x 1.0 cm (supposed reduction of prior hemmorrhagic cyst), a complex cyst 3.8 x 3.1 x 3.7 cm (unchanged prior endometrioma), and a complex cyst 1.1 x 1.7 x 1.2 cm (endometrioma in the prior U/S images that was not reported). A second CA125 (MSA Siemens Centaur) was 83. The oncologist said that the cysts were likely benign and that we had 2 options: (1) remove via laparoscopy and biopsy to be 100% sure, or (2) perform another U/S 3 months later and re-assess. She did not seem so concerned about the cysts (e.g., she said that if they were an issue, she would remove them right away). Not sure how to read that, especially given the CA125 results.
She said that having the surgery would be better for having a healthy ovary for possibly having kids. But surgery, if it involves the ovary (which they won't know until they go in), could reduce that chance as well.
I would rather not have surgery unless necessary. But I'm not sure what to do given the unknowns (e.g., cancer, which cannot be ruled out without biopsy) and the risks (having children).
Your thoughts and opinions are most appreciated.