Ovarian cyst

35/ F with c/o delayed mensus since 1yr .. cycles comes every 2 months ..menses starts after induction with pills. has h/o weight gain.. No systemic illness.. plzz suggest management...

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SUGGESTIVE OF BULKY .. UTERUS LEFT .. OVARIAN. COMPLEX CYST.. MILD. HEPATOMEGALY
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Left ovarian cyst should be surgically excised and sent for histopathology. Thyroid function should be assessed. Rule out Thyroid abnormalities. Advice LSM and TLC for weight reduction .
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Stein leventhal syndrome Examination for anemia, thyroid profile and hormone profile,and treatment as per reports Laparoscopic resection of cyst
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What is her parity Check her serum TSH and prolactin levels Also FSH , LH & AMH along with CA 125
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Lt ovarian cyst should be removed surgically D & c is required Send endometrial Biopsy for HPE
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Cyst should be removed... bulky uterus d&c investigation should be done for
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Surgical removal of cyst
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Thyroid profile incusive of ANTI TPO. Iron and hemoglbin level to be asssesed. Surgical removal of Ovarian cyst followed by HPE. Than follow accordingly.
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PCOD Bulky uterus. Suggest. CBC. TFT. FSH LH. For this. Usg. Start. Tab. Chirocyst M. 1 od Syp. M2. Tone. 15 ml. Bd.

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