It seems that you have many symptoms that
may not be related with just one disease.
Heavy bleeding during your period and
discharge with slight blood can be caused
by the polyp found in your uterus. A polyp
might also be complicated with a secondary
infection. If the ovarian cyst is
hormonally active, it may also contribute
to the irregular and heavy periods. The
anemia you report may be caused by the
heavy bleeding during your period.
Frequent urination, on the other hand, can
be caused by a urinary tract infection.
Bloatedness in the abdominal area, nausea,
vomiting and constipation are all probably
caused by some gastrointestinal disorder.
A patho-hystological examination of the
removed uterus’s polyp is crucial for
establishing a correct diagnosis and for
further recommendations for therapy in
your case.
Ovarian cysts can be functional or
neoplastic (tumors).
Functional ovarian cysts (follicular or
lutein) are hormonally active and they
cause lack of menstruation, cycle
irregularities and heavy periods.
Functional cysts are typical for women who
still have menstrual cycles (and who are
within the reproductive age). Functional
ovarian cysts usually disappear
spontaneously in 2 months.
Neoplastic cysts (benign or malignant) may
also be hormonally active, depending upon
the cell type. Neoplastic ovarian cysts
don’t disappear spontaneously but they
grow in time. Women in the period of
reproductive climax (above 45 years old)
usually don’t have functional cysts but
are diagnosed with neoplastic cysts,
usually malignant.
Both types of cysts have no symptoms when
they are small (in your case, 2,5cm
diameter). When cysts are big, they can
cause pain. In the case of complication (a
rupture, necrosis or bleeding of the cyst)
symptoms of acute abdominal pain occur
(sharp abdominal pain, vomiting…) and
immediate surgical intervention is
requested.
In reproductive aged women, if the cyst is
smaller than 5cm in diameter, we wait for
2 menstrual cycles in order to observe a
spontaneous disappearance of the cyst. If
it doesn’t disappear, the cyst is
removed surgically. If the cyst is larger
than 5cm in diameter, then the cyst is
removed surgically without delay. For
women above 45 years old, any cyst is
surgically removed without delay... no
matter the size.
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