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Dr. K.
Dr. K., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 3958
Experience:  OB/GYN with 20 years of experience.
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Dr Owen, I'm 51 years old. Recently notice worsening bladder

Customer Question

Hi, Dr Owen, I'm 51 years old. Recently notice worsening bladder instability. The pelvic ultrasound suggests a 2.6cm nabothin cyst ( has been there for years) Multiple fibroids largest 3.0. Uterus size 13x10x11mm. A simple ovarian cyst - right side. CA125 is very high -213. Does it mean cervical cancer or what's the problem.
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr. K. replied 1 year ago.
A nabothian is an incidental finding and a normal structure. Its nothing to worry about. The simple ovarian cyst is not worrisome but combined with an elevated ca125 increases the risk of cancer. Ca 125 can also be elevated with uterine fibroids. You do not indicate if you are postmenopausal. The elevated Ca 125 means less if you are post menopausal. Your Dr will want to remove the ovary, at the very least.
Customer: replied 1 year ago.
I'm pentimento paisan stage. The period has become less regular. The main concern is the symptoms with irritable bladder - I feel as if something stimulating the bladder constantly. The MSU is clear. Could the Cervical Cyst cause the problem. Or may be it is not a nano thuan cyst- this is what the radiologist reported. Should I go ahead for hysterectomy+ oophrsctomy. I had a pelvic Ultrasound before in O1/2015. There was no ovarian cyst at all.
Customer: replied 1 year ago.
Sorry I mean- I'm pherimenopause stage- wrong spelling.
Expert:  Dr. K. replied 1 year ago.
The nabothian cyst is nothing at all. It is not causing the symptoms. If your Dr is recommending a hysterectomy you should have one, due to the cyst and elevated Ca 125.
Customer: replied 1 year ago.
I was thinking initially about hysterectomy + one side oophrsctomy and +/- cystoscopy. But My gynecologist recommend hysterectomy, D&C, cystoscopy, laparoscopic cystectomy, and pelvic fluid aspiration (USS showed no free fluid, she was do the wash with aspiration). This is worrying me because I'm afraid these procedures are unable to solve my symptoms of dysmenorrhoea, bladder and rectal pressure. I guess that I have adenomyosis as well.
Expert:  Dr. K. replied 1 year ago.
A cystectomy should not be done with an elevated ca 125. That ovary should be removed In addition, you should really have the other ovary removed as you are close to menopause There is no benefit to keeping it . A total hysterectomy will stop your symptoms
Dr. K., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 3958
Experience: OB/GYN with 20 years of experience.
Dr. K. and other OB GYN Specialists are ready to help you
Customer: replied 1 year ago.
I agree with your idea. I'm going to see a gyn- oncologist tomorrow. I think he will do hysterectomy+BSO. Thank you very much.
Customer: replied 1 year ago.
I saw the gyn oncologist who advised me: not to worry about anything. I should not do CA125 test at all. However, because it's high, I need to repeat CA125 next month. If keep elevating, then thinking about treatment.
Expert:  Dr. K. replied 1 year ago.
Follow the advice of the gyn oncologist. I am glad you went.

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