Should I get a second opinion?

jrob

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Hi Ladies,

So I've been on here for some time, after having some losses and trouble with fertility, I finally started questioning what was going on with my body. 2 years ago I had an ectopic pregnancy in my left fallopian tube. It ruptured and I ended up having to get a salpingectomy. Only part of the tube was removed, but it no longer functions. One of the ultrasounds I got during that time also showed a ton of follicles on my right ovary. Fast forward to today....

So I've been having horrible pain on my left side. I thought it was possible that it was some sort of side effect from the ectopic surgery. My OBGYN decided to do an ultrasound to check for cysts or a possible adhesion. I just got my results back a couple days ago. She said it was nothing to worry about but I am not sure. She said that the right ovary showed a bunch of cysts suggesting the possibility of PCOS but that it was not anything to be concerned about because I have gotten pregnant before and because my periods are regular. Yes, I have gotten pregnant before, but I had miscarriages and an ectopic. I have no children. And my periods are by no means "regular". They range anywhere from 28-42 day cycles, with a 32 day average. Sometimes I get short 4 day periods, but most of the time I get excruciatingly painful, long, HEAVY periods (7+ days). Sometimes they are so bad I have to call out of work. I have had periods show up a few days "early". I have had periods that show up 2 weeks after my prediction calendar says I'm supposed to get it. (I have been tracking my cycle online for almost 5 years) I have even had months where I don't get a period at all, but this is usually something like I get one cycle at the end of the month, let's say on the 27th, then nothing the next month, and then I'll get it on like the 5th or 6th of the following month. I have had blood work done in past years that showed I have high cortisol and testosterone levels. And it's been over 2 years since my ectopic pregnancy and have not conceived again. We don't use any protection but sometimes use the pull-out method, but not always. Even on months where I KNOW I am ovulating, and know it's happening on my good side, and we don't use any prevention method at all, AF always shows up.

Additionally, there is also a 1.5 cm complex cyst on my left ovary. That's what has apparently been causing me so much pain. 3 days ago I sneezed and it hurt so much that I fell over onto the floor, doubled over in pain. I went in in January complaining about this pain, got the ultrasound done in February and just got the results back this first week of March. She said I have to wait 2-3 more cycles and then get another ultrasound done to see if it went away on its own. If it gets bigger, or even if it doesn't go away and is still the same size, then she said I will have to get surgery to remove it. Or, if the pain gets worse. I can't imagine it being worse than constantly feeling like I'm being stabbed in the ovary while I do nothing at all and then if I cough, sneeze, or move the wrong way falling over in pain. Even sex hurts sometimes and in certain positions and that is definitely no fun. But, she said I have to wait. I will be 31 in a little over a week, so she said I'm too young to be too worried about the complex cyst right now because I am under 35. But didn't really explain the logic to me.

Should I get a second opinion or is this all just normal? I feel like the fact that my right ovary had enough cysts to suggest PCOS we shouldn't be dismissing it just because I have gotten pregnant before. Especially since the last time was over 2 years ago, and none of my pregnancies made it to term. I have plenty of other PCOS related symptoms (some that I didn't even mention here) so I don't really understand why she's acting like it's not a big deal. I'm also concerned about the complex cyst on the other side because it IS causing me a lot of pain. What do you all think/what would you do in my situation? Any advice would be great!! I know I am an excessive worrier sometimes, but this is my body and my fertility here and I don't want to do anything to jeopardize my chances of ever having a child because my current OBGYN ignored or minimized the problem.
 
second opinion! and if you guys are ready for the cost factor I would jump to fertility specialist if you haven't already. I am thankful for the help I got at my ob, but they just aren't specialized in these issues and too busy thinking about babies that are already on their way then getting someone pregnant, My fs is so helpful and isn't rushing around delivering babies!
 
Thanks. The only other option she gave me to waiting it out is to start taking birth control pills. And I have been very clear that I do not want to take them because I want to get pregnant and I want to stop messing with my body. I've had some pretty bad adverse reactions to bc in the past and don't want to go through that again. Plus, I'm already over 30 and want to be able to have a kid. Birth control doesn't help with that. Ive seen a few doctors in this practice and they don't seem to listen to me. The reason I switched to her in the first place was the other doctors were trying to push pills on me for no reason besides the fact that my bf and I aren't married and they assumed that meant we wanted to r prevent pregnancy and didn't listen when I said no. Now this one is saying I shouldnt worry about the cysts but to make them stop I should take bc pills. Shouldn't there be some sort of treatment for this that also would help conception and not hinder it?
 

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