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Can I leave my ovarian cyst untreated?

Ovarian cysts are likely to develop in 7 per cent of women before they reach the menopause, although many people experience no symptoms and are therefore unaware of the cyst’s presence. An ovarian cyst is a fluid-filled sac that develops on the surface, or sometimes inside, the ovaries. They tend to be small and clear up without treatment, but a decision whether to remove surgically will be informed by the symptoms suffered, the type and size of cyst, and the patient’s age.

Are ovarian cysts cancerous?

Most ovarian cysts are benign and the likelihood of yours being cancerous is slim. There are risk affecting factors such as whether you have had ovarian or breast cancer (or if there is a family history of the disease), whether you have had children, and whether you smoke. In pre-menopausal women, around one in 1,000 ovarian cysts are found to be cancerous; for women over the age of 50, the risk of the cyst being malignant is higher, with about three in 1,000 ovarian cysts found to be cancerous. Female gynaecologist Miss Amanda Tozer regularly treats women for ovarian cysts at her London clinic; where cysts show suspicious features, she will run a blood test to measure CA 125 level and perform an MRI scan to evaluate the cyst further.

How will ovarian cysts affect my fertility?

Ovarian cysts do not usually cause infertility issues and will, in most cases, go away without medical intervention. However, where surgery is required to remove a cyst, particularly one that is very large or has twisted, there is a risk of damaging the ovaries, or needing to remove one, thereby initiating a fertility problem. It is important that anyone undergoing keyhole surgery for removal of ovarian cysts understands the risks; to this end, during a consultation with London gynaecologist Amanda Tozer, you will discuss at length the potential complications of surgery and how these are managed.

How common a problem is infertility?

When you are desperately trying to conceive, it probably feels like you see pregnant women everywhere you go. Repeated disappointments can put a great strain on a couple and can also make them feel isolated from the rest of world, but infertility is not at all uncommon. Research suggests that 1 in 7 couples in the UK experience difficulty in conceiving; that works out at approximately 3.5 million people.

Is infertility usually a woman’s problem?

Better scientific understanding has moved us on considerably from the days where the blame was firmly laid at the woman’s door. The causes of infertility are shared by both genders: around a third of cases are due to the woman’s problem, a third to the man’s, and a third either a combination of both partners or an unknown reason. Causes include irregular ovulation, blocked fallopian tubes and poor quality of semen.

What can we do?

Not only are you not alone in your struggle for a baby but you don’t have to struggle on alone: by booking a consultation with a fertility expert such as London female gynaecologist Miss Amanda Tozer, your specific fertility problem can be diagnosed and, in many cases, a treatment plan prescribed.

The first step is to ascertain what lies behind your conception difficulties; to this end, Amanda Tozer will run a series of diagnostic tests, including a pelvic ultrasound. With the results in hand, she will then talk you through your treatment options. While it is important to bear in mind that not every instance of infertility can be explained or treated, there are many that can.

By offering the full range of fertility treatments – from endometrial scratching and ovulation induction to IVF and ICSI – Miss Tozer has helped many London couples achieve their dream of having a baby.

Can recurrent miscarriage be treated?

The term ‘recurrent miscarriage’ is used when a woman has three or four miscarriages in a row At this point, she will usually be referred to a specialist to investigate what might be behind it. Affecting approximately one in 100 women, recurrent miscarriage may be caused by various problems or conditions; however, there may be no tangible cause and it would then be called an ‘unexplained miscarriage’.

What causes recurrent miscarriage?

A possible cause of recurrent miscarriage is a genetic one. You or your partner may have a chromosomal abnormality, or the combination of your chromosomes creates an abnormality; while it does not adversely affect you, it may cause problems when passed on to your baby – this is called an ‘unbalanced translocation’. Blood disorders – antiphospholipid syndrome (APS), blood clotting problems and some inherited blood clotting disorders – can also be a cause. Other areas to     investigate are the uterus – abnormal uterine shape, fibroids and cervical weakness can all play a part in recurrent miscarriage – and hormones: conditions such as polycystic ovaries can affect fertility.

What treatments for recurrent miscarriage are available?

New findings and developments help specialists such as London female gynaecologist Amanda Tozer to understand why recurrent miscarriages occur; that knowledge informs a fertility treatment plan. For example, if the diagnosed cause is a translocation problem and you are considering IVF, the embryos can be screened for abnormalities before implantation. If carrying a baby to term is threatened by a weak cervix, a simple cervical stitch procedure may help. It is important to bear in mind that a cause may not be found; if it is, it may not be treatable, or the treatment of miscarriage may not be successful. However, at Miss Amanda Tozer’s London fertility clinic, you can be confident of receiving personalised and compassionate care from a specialist with years of experience in this field.

Can polycystic ovarian syndrome affect fertility?

Polycystic ovarian syndrome (PCOS) is a very common menstrual disorder affecting around 1 in 10 women. It is diagnosed when a woman has two of the three following symptoms: ovaries with many small cysts, a raised level of the male hormone testosterone and irregular periods.

Why is my fertility affected?

The exact cause of polycystic ovarian syndrome is not known; several factors are likely to be involved including insulin resistance and a high level of luteinising hormone. What is known is that one symptom is the abnormal development of the follicles in the ovaries: they often fail to develop fully, causing problems with ovulation and therefore irregular periods. Ovulation is essential to the conception process: a reduction in periods tends to result in reduced fertility.

What are my treatment options?

Polycystic ovarian syndrome is often associated with being overweight or obese. If this is the case, then the first step is to lose weight as this can significantly improve your chances of regular menstruation. After this point, you may be a suitable candidate for fertility treatment or, in some cases, surgical intervention.

During a consultation at the London Clinic, female gynaecologist Miss Amanda Tozer will take your full medical history before conducting a pelvic ultrasound and running blood tests. Diagnosing your individual case, Miss Tozer will then advise you on the most appropriate treatment. Many women with polycystic ovarian syndrome respond well to fertility drugs such as Clomiphene whereby a more predictable window for conception is created by inducing ovulation.

Miss Tozer is a Consultant Gynaecologist and Sub-Specialist in Reproductive Medicine. She has treated the whole spectrum of menstrual disorders, helping many women to achieve the family they desire. Testimonials from her previous patients in London credit her for her attentive, personal and encouraging care.