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paraovarian cyst, concerned about pregnancy

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My husband and I have been trying for 9 months to conceive. Earlier, I have had regular menstrual cycles (anywhere from 23 to 30 days), and now since 1 years menstrual problem severe cramps, sudden pain at abdomen, and pain during intercourse. I have been concerned for a while and recently had to insist that my doctor prescribe an ultrasound. Apparently I have a paraovarian cyst (6 to 6.5 cm) near my right ovary. I read online that often these cysts aren't a big deal and will dissolve on their own; however, they could increase in size during pregnancy and cause harm to the fetus or the mother. Now I am scared. I am very concerned and spoke to my Doctor. My Doctor gave me some pills for two months (ovacare and ccq 50) and told me to try for pregnancy. And now after two months, when there is no sign of pregnancy, doctor told me to go for laparoscopy and before that AMH test. I don't necessarily want to have surgery. What should I do? Should I try to switch doctors, or should I go

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replied July 27th, 2014
Ovulation and Ovaries Answer A48512
Welcome to ehealthforum,
Paraovarian cysts are not contraindication for pregnancy if these are small and not indenting on uterus or adnexa. The treatment prescribed to you is to help you have regular ovulation and get pregnant. If worried, consider taking second opinion from another gynecologist. If you are not successful in your pregnancy plans within 6 months to 1 year of trying, you should consider getting a complete infertility work-up done for you and your partner to see if there are any underlying causes for the infertility/inability to conceive. Treatment as needed (based on examination and investigations results) would be started to help you get pregnant. Consider visiting your gynecologist/obstetrician for further evaluation and assistance and be in regular follow-up and monitoring as instructed or take second opinion from another gynecologist. Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. Monitor cervix position, cervical mucus changes and the BBT (basal body temperature) charting to predict ovulation and time the intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately.
Take care.

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