Do you know whether it was a simple cyst of the ovary (one fluid filled sac) or was it complex (a number of sacs with things inside them)?
What did the doctor think was causing the fever?
Has your daughter started her periods? Thank you.
A simple cyst 5 x 5 cm in a young girl who has started her periods is likely to be a functional benign cyst. That means it's one that will most likely go away on its own. We would treat it with pain pills and rest, and hope that the pain and the cyst would go away within a few days to a week or so.
However, the fever is worrisome. If it's related to the cyst, that suggests a possible infection, although ovarian cysts don't generally get infections, since they're inside where there are no bacteria.
It's possible that the cyst has twisted on it's blood supply (torsion), in which case surgery would be necessary to untwist it. Sometimes if the blood supply was cut off too long, the ovary dies and needs to be removed.
So her doctors will have to figure out why she has the fever. It may or may not be related to the ovarian cyst. If it is, I think that she'll likely need surgery, at least a laparoscopy (scope through a small hole in the abdomen) to learn what's really going on with the ovarian cyst. Best wishes.
A simple ovarian cyst will usually cure itself without surgery.
If it's complicated by twisting or infection, then she would probably need surgery.
It's up to her doctors to figure out whether it's twisting or infected. That will require exam, blood tests, and perhaps a different scan, such at MRI.
Thank you. The ultrasound report shows that everything else appears normal, and it appears to be a simple right ovarian cyst.
If it weren't for the fever, that report would be reassuring, and no surgery would be needed. However, the ultrasound doesn't explain the fever. Your daughter's doctor need to search for the cause. If a cause is not found other than the ovary, then I think surgery is needed.
If a blood test showed high white cell count or low hemoglobin, that would be worrisome. Otherwise, blood tests probably won't help much.
A specialized ultrasound called Doppler can show blood flow in the ovary, and could be helpful.
The degree of pain could help. If the pain is severe, surgery may be needed.
I don't see the report yet.
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It appears from the report that the right ovary is normal, but the cyst is close to the ovary but not in it. There is no blood flow in the cyst.
It's hard to know just what to make of this. Most cysts like this are arising from inside the ovary and are part of the ovary. I suspect that's still true, but I can't be sure from the report.
A CT or MRI scan may help to give further information.
No, there is no medicine that will shrink or destroy the cyst. If it's a benign functional cyst, it will go away on its own over a few weeks (unless it's twisted).
If the cyst has twisted, your daughter's pain will continue and get worse.
A CT or MRI may be able to tell.
There is nothing new in this report.
If a specialist has advised you to have the cyst removed, then I would do it. The specialist is able to see and examine your daughter, and can tell more about the cyst than I can without seeing her.
If your daughter is still having very much pain, that's a problem.
If she's not having much pain, then I'm not sure why the specialist would want to remove the cyst.
What pain killer is your daughter taking?
As long as the pain is well relieved by Voltarin and Napa (paracetamol), that's a good sign. If these medications don't continue to give your daughter good relief, then she probably needs surger.
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Would you say that the pain is getting worse?
Again, I would say to go along with the advice of the specialist and have the cyst removed by laparoscopy.
If it's twisting, I think that means the cyst should be removed. If it twists and stays twisted, it cuts off the blood supply and the ovary dies.
I think that the only way to be sure if it's twisting is by looking at it with laparoscopy.
Doppler ultrasound, MRI, and CT can all suggest that it's twisting, but it may not be possible to be sure without looking at it.
I have advised you, and I'm afraid I have nothing more to offer. I will opt out. Best wishes to you and to your daughter.