Overstimulated Ovary at almost 9 weeks? *all welcome*

[aprilz81]

Hello everyone!  I've been mostly playing on my BMB when I'm on here, but I have a question for you guys.

Yesterday at my final RE appointment (I've graduated woohoo!!!!) my doctor mentioned that my left ovary was "really big" and had cysts.  He was surprised I wasn't feeling any pain associated with it, but I've been fine.  He warned me to be really careful of my activity level (not a problem because I'm part slug with my laziness) and that if I felt any pain to go straight to the ER because the ovary could get twisted or that one of the cysts could burst, neither is good in early pregnancy.

I was on 7.5 Femara and only had two follicles (which one could have been a cyst from the start).  **loss mention** With Ava I had 4-5 follicles and my ovaries stayed "large" until at least 18 weeks because my MFM mentioned how big they were at my level 2 anatomy scan, so maybe this is "normal" for me.

I'm not scared but I am concerned.  I do not have OHSS so it doesn't sound like there is anything specific I can do, am I missing something?  RE said just to take it easy and if I do something that hurts to immediately stop.

I'm almost 9 weeks so the placenta should be taking over soon so i assume the corpus luteums should be slowly getting smaller as the placenta doesn't need the progesterone, would that be right?

[bethkate]

I had the same thought as you about the placenta. I think it typically takes over progesterone production by about 11 weeks, so hopefully that resolves the problem for you. GL.

[ketchup]

I have no experience with cysts in pregnancy, but I want to offer you hair pats, because the last fucking thing you should have to deal with right now is something like this.

I know you graduated (congrats!), but is there a chance your RE would do another u/s for you next week? I assume your OB will do a dating one at your first appt, so that covers then, but if I were you I would want to know the status a week from now as to whether there is a change (either for good or for bad) in terms of your ovary measurements and the cysts. I'm willing to bet some internet dollars that they will schedule you if you call, so it's worth a shot so that you have information to work with instead of just wondering for the next couple weeks (which drag on and on and on in the early days, as is).

[muscari]

No real advice here just wanted to share my experience. I had pains in my left ovary earlier in this pregnancy, which turned out to be a cyst (left over from ER apperently or something?). They weren't too concerned as it wasn't that big (4cm I believe) and just the one. I was told to keep an eye on my symptoms and be careful with activities but that it should resolve on it's own over time. I made them check during scans those first months but tbh I've not had any pains or issues since like hmm 16 weeks orso and I haven't even thought about it in a while. It's not come up during the scans I've had these past months so I guess it's gotten smaller? Since you are concerned, I agree with ketchup's advice of perhaps calling back the RE for follow up scan(s) or maybe the OB can be a bit more proactive?

[aprilz81]

Jun 27, 2017 15:04:51 GMT -6 ketchup said:

I have no experience with cysts in pregnancy, but I want to offer you hair pats, because the last fucking thing you should have to deal with right now is something like this.

I know you graduated (congrats!), but is there a chance your RE would do another u/s for you next week? I assume your OB will do a dating one at your first appt, so that covers then, but if I were you I would want to know the status a week from now as to whether there is a change (either for good or for bad) in terms of your ovary measurements and the cysts. I'm willing to bet some internet dollars that they will schedule you if you call, so it's worth a shot so that you have information to work with instead of just wondering for the next couple weeks (which drag on and on and on in the early days, as is).

He offered to bring me in again in two weeks but he admitted there is nothing to do other than an ultrasound and take measurements (more money of course).  He said I didn't need bedrest, just to avoid strenuous activity and heavy lifting.

I'm not sure my OB will do a dating ultrasound because I already have my NT scan scheduled for July 19th and my OB is all for limiting tests where it makes sense.  

We aren't even sure they are "cysts" in the traditional sense because there are two and I had two follicles, so they could just be the corpus luteums that aren't smart enough to know that I don't need both of them to keep producing progesterone (but on the other hand that means my progesterone counts were nice and high).

I didn't want to go too far down the rabbit hole of google when my doctor just gave me some warnings so I thought I would check in here to see if anyone else had experienced something similar with all the drugs we get pumped into our systems to get pregnant.

[ketchup]

Jun 27, 2017 16:08:49 GMT -6 aprilz81 said:

Jun 27, 2017 15:04:51 GMT -6 ketchup said:

I have no experience with cysts in pregnancy, but I want to offer you hair pats, because the last fucking thing you should have to deal with right now is something like this.

I know you graduated (congrats!), but is there a chance your RE would do another u/s for you next week? I assume your OB will do a dating one at your first appt, so that covers then, but if I were you I would want to know the status a week from now as to whether there is a change (either for good or for bad) in terms of your ovary measurements and the cysts. I'm willing to bet some internet dollars that they will schedule you if you call, so it's worth a shot so that you have information to work with instead of just wondering for the next couple weeks (which drag on and on and on in the early days, as is).

He offered to bring me in again in two weeks but he admitted there is nothing to do other than an ultrasound and take measurements (more money of course).  He said I didn't need bedrest, just to avoid strenuous activity and heavy lifting.

I'm not sure my OB will do a dating ultrasound because I already have my NT scan scheduled for July 19th and my OB is all for limiting tests where it makes sense.  

We aren't even sure they are "cysts" in the traditional sense because there are two and I had two follicles, so they could just be the corpus luteums that aren't smart enough to know that I don't need both of them to keep producing progesterone (but on the other hand that means my progesterone counts were nice and high).

I didn't want to go too far down the rabbit hole of google when my doctor just gave me some warnings so I thought I would check in here to see if anyone else had experienced something similar with all the drugs we get pumped into our systems to get pregnant.

First of all, I'm impressed you're not a google spiraler. That's basically the same thing as being a unicorn around here.

What you're saying makes sense, and if you don't feel the need for a follow up, then yeah, there's no point. Obviously there's nothing they could do about it, but I'm from the camp of knowledge is power, so I was just throwing it out as a suggestion in the event you were having a hard time with PAIF brain, graduating, and then hearing about the cysts.

But hey, if you're able to mentally power through until NT without another scan, then saving money definitely makes sense. FX your body gets the memo when the placenta takes over, and your ovary chills the fuck out.

[aprilz81]

Jun 27, 2017 18:07:57 GMT -6 ketchup said:

Jun 27, 2017 16:08:49 GMT -6 aprilz81 said:

He offered to bring me in again in two weeks but he admitted there is nothing to do other than an ultrasound and take measurements (more money of course).  He said I didn't need bedrest, just to avoid strenuous activity and heavy lifting.

I'm not sure my OB will do a dating ultrasound because I already have my NT scan scheduled for July 19th and my OB is all for limiting tests where it makes sense.  

We aren't even sure they are "cysts" in the traditional sense because there are two and I had two follicles, so they could just be the corpus luteums that aren't smart enough to know that I don't need both of them to keep producing progesterone (but on the other hand that means my progesterone counts were nice and high).

I didn't want to go too far down the rabbit hole of google when my doctor just gave me some warnings so I thought I would check in here to see if anyone else had experienced something similar with all the drugs we get pumped into our systems to get pregnant.

First of all, I'm impressed you're not a google spiraler. That's basically the same thing as being a unicorn around here.

What you're saying makes sense, and if you don't feel the need for a follow up, then yeah, there's no point. Obviously there's nothing they could do about it, but I'm from the camp of knowledge is power, so I was just throwing it out as a suggestion in the event you were having a hard time with PAIF brain, graduating, and then hearing about the cysts.

But hey, if you're able to mentally power through until NT without another scan, then saving money definitely makes sense. FX your body gets the memo when the placenta takes over, and your ovary chills the fuck out.

Oh I googled, but everything I was finding was OHSS related...  I learned my lesson about the Google rabbit hole with Ava, I google a little bit and then try my best to leave it alone.  Normally I am fully in the "knowledge is power" camp, but I'm finally getting smart enough to know that sometimes you can have too much knowledge.  I'm sad that my IF and losses have taken away my ability to naively enjoy pregnancy...

Thanks for the advice ketchup!

[cali]

aprilz81, I did a fresh transfer after having 30 eggs retrieved, so my ovaries we're really large through the first few months of my pregnancy. My left one stayed pretty big for a few weeks longer than my right. It was honestly nbd. I had to take it easy, no heavy lifting, no running/jumping or anything that would jostle my ovaries, basically just extended the same restrictions I had while stimming and post ER. I think the main concern is torsion. Mine shrunk down on their own by second tri, they basically got a little smaller each week until they were normal. They never really bothered me and we never did anything about it except just spent a lot of time on my couch. I should mention that I have been getting monthly growth scans all along, but that's because I have been borderline hypertensive and had nothing to do with my enlarged ovaries, but it did allow me to keep up to date and what the ovaries we're doing.

[aprilz81]

Jun 28, 2017 17:28:09 GMT -6 cali said:

aprilz81 , I did a fresh transfer after having 30 eggs retrieved, so my ovaries we're really large through the first few months of my pregnancy. My left one stayed pretty big for a few weeks longer than my right. It was honestly nbd. I had to take it easy, no heavy lifting, no running/jumping or anything that would jostle my ovaries, basically just extended the same restrictions I had while stimming and post ER. I think the main concern is torsion. Mine shrunk down on their own by second tri, they basically got a little smaller each week until they were normal. They never really bothered me and we never did anything about it except just spent a lot of time on my couch. I should mention that I have been getting monthly growth scans all along, but that's because I have been borderline hypertensive and had nothing to do with my enlarged ovaries, but it did allow me to keep up to date and what the ovaries we're doing.

Thanks!

This is helpful to know that as long as I'm careful this is probably no big deal.  I'm a couch potato anyway so this isn't a big change for me.  lol  My biggest thing is that I just need to be more aware of lifting things (like my chunk of a nephew or a case of water) that I would normally lift without hesitation.

[madamewaffles]

**grad warning**



Hi! Congrats on your BFP! I missed it! Anywho just wanted to share my experience of having 2 large cysts in my ovaries for the duration of my pregnancy. In fact, they pre-dated my pregnancy. They were deemed innocuous so I got the green light to do my FET that led to DS. I got similar instructions as you--don't overdo it and no lifting anything heavy. They were measured at 7 weeks and then again at my anatomy scan to make sure they hadn't grown exponentially. They hadn't changed size so we KOKO till DS was born. Since they were not typical cysts, they removed them during my c-section. One was 7 cm, the other 5 cm. Hopefully yours will resolve soon!

[yellowcat]

Congrats on graduating! I had a similar experience with my daughter. I am not sure how big my cysts were but I had 2. My re just sent a message to my OB to monitor it and I drank tons of Gatorade. It did clear up by 11 weeks. Just watch for pain or swelling.

[mellyknu]

Hi! And congratulations! I had late onset OHSS (five weeks) and my ovaries were large for a long time afterwards. I think at my A/S was the first time nobody commented on the size of them. And I had many ultrasounds before that. My doctor wasn't concerned once the OHSS had passed, so neither was I. Once I felt normal again I resumed normal activity.

[muscari]

Ho aprilz81 just curious how you are doing these days and whether you had any check ups since you posted originally!

[aprilz81]

Jul 6, 2017 6:18:22 GMT -6 muscari said:

Ho aprilz81 just curious how you are doing these days and whether you had any check ups since you posted originally!

Still no pain or discomfort.  I have an OB appointment next week (my first) but I don't think they are going to do an ultrasound since my NT scan will be a week after that.  If they do I won't whine to much about it, but I would rather not shell out another $130 for an ultrasound if I don't need to.

Most days I forget about it since it isn't causing any issues, but I'm just trying not to lift heavier things although sometimes I forget.

Thanks for checking on me!

[muscari]

Glad to hear you aren't experiencing any pain or discomfort and most days can even forget about it. I would take that as a good sign for sure ☺ I can imagine that if you have to pay for each and every scan you like to keep them to a minimum of at all possible 🙃 Good luck with your OB appointment next week and the NT the week after. Will be keeping everything crossed for a great and uneventful scan! 💛

Edited cause my autocorrect is going nuts today!

[aprilz81]

Jul 6, 2017 8:01:38 GMT -6 muscari said:

Glad to hear you aren't experiencing any pain or discomfort and most days can even forget about it. I would take that as a good sign for sure ☺ I can imagine that if you have to pay for each and every scan you like to keep them to a minimum of at all possible 🙃 Good luck with your OB appointment next week and the NT the week after. Will be keeping everything crossed for a great and uneventful scan! 💛

Edited cause my autocorrect is going nuts today!

My OB appointments and OB delivery fees are billed as one lump sum with another lump sum for the hospital stay, but all testing (blood work, ultrasound, diagnostic tests, etc) are billed individually.  If I need it I will gladly pay for it, but I've already had three ultrasounds with my RE so this "dating ultrasound" seems pretty redundant, especially with the NT scan one week later.