I received a copy of the below letter in the post yesterday. I will have to google some of the medical-speak at some point as some of it doesn't make a lot of sense to me. But all in all it's reassurring, I guess. It still sounds as though my surgery may not have been necessary. Still, the cyst/s may have taken months to resolve themselves - or may not have resolved at all. So better out than in, in this case I suppose.
Dear Xxx,
Principal Diagnosis: Secondary infertility, persisting left ovarian cyst
Operating Procedure: Mini laparotomy and left ovarian cystectomy
As part of Lynda's secondary infertility investigation she had a scan which showed a persisting 6cm left ovarian cyst. She'd had a previous right salpingo-oophorectomy for a torted cystadenoma.
I therefore carried out a mini laparaotomy on 8/5/08. The right side of the uterine fundus is seen to be densely pulled up onto the anterior peritoneum, with adhesions presumably from her previous surgery. The uterus and left tube are normal but the left ovary was very adherent to the left pelvic side wall. It was only about 4cm in diameter and was seen to contain at least two corpus luteal cysts. There was no clinical evidence of endometriosis.
I was able to digitally mobilise the ovary off the pelvic side wall and remove the cysts and was able to conserve a reasonably normal amount of ovarian tissue.
Lynda had an uneventful recovery and went home well on 11/5/08. Histology confirms a hemorrhagic corpus lutem cyst. It is good news that there was no endometriosis but also disappointing as it is possible that this cyst might have eventually resolved spontaneously. However, having freed up the ovary from the pelvic side wall I am hopeful that her fertility has improved. She is going to have a further serum progesterone done on Day 21 of her next cycle and we will follow that up - given her histology she might not need any more clomiphene. With kind regards.
Your sincerely,
Xxxxx Xxxx
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