Here is an explanation of ovarian cysts and why doctors generaly "wait and see" Many women with Lupus have suffered with ovarian cysts. It has been found that there are hormonal influences in autoimmune disease, particularly in systemic lupus. Also, the use of oral contraceptives, could, on occasion, be associated with flares of the disease. Multiple cystic disease of the ovaries was present in 40 of 100 women studied in a particular case. Another case study reorted the following:
"Polycystic ovarian disease causes a continuing estrus in young females, and there is unopposed action of the feminizing oestrogens. These cause an exaggerated immune response. It has been shown that clinical activity of the disease varies according to the levels of these oestrogens. There is no correlation with other hormone levels. Of 360 patients with SLE, 100 had multiple ovarian cysts and are currently being studied. In addition, endometriosis was present in 123 of the 149, and 88 of the 360 patients appeared to have both multiple ovarian cysts as well as endometriosis. In addition to increased prolactin levels, there is a decrease in luteotrophic hormone production. It is of interest that increased amounts of 16-OH metabolites are also associated with breast carcinoma and liver cirrhosis. The administration of thyroid hormone, excessive exercise, smoking, alcohol, and a strict vegetarian diet may shift the metabolism of oestrone to the other metabolites, which then results in an increase of osteoporosis."
Ovarian cysts are fairly common -- on one hand, you could say every women who ovulates gets a small cyst every month, just before the egg is released. Often cysts have no symptoms and are only discovered as an aside on a routine exam. Sometimes cysts cause pain, pelvic pressure or even nausea.
One type of ovarian cyst is a called a functional cyst. This occurs when the egg is not released and the follicular fluid that surrounds the egg remains. Functional cysts range in size, most commonly being only a centimeter or so in diameter but occasionally as large as 8-10 centimeters (grapefruit-sized). These usually disappear by themselves within a few cycles, although the larger ones may cause enough pain to warrant removal.
Another common benign cyst is a hemorrhagic cyst; this is one that fills with blood in the process of ovulation and, again, will most often go away without any intervention. If a hemorrhagic cyst leaks, it may cause significant pain, requiring a laparoscopy ("belly-button surgery" that uses small tools inserted through one or more tiny slits in the abdomen).Sometimes cysts are complex, either containing partly fluid elements and partly solid elements or having septations (walls) within a fluid-filled cyst. In general, complex cysts are evaluated further, as some complex cysts may be cancerous. Your age and symptoms must be taken into account. Depending on exactly how the cyst looks on ultrasound, your doctor may recommend blood work, a CT or MRI scan to get a better look at the cyst, or even surgery to remove the cyst. Many times a complex cyst can be evaluated via laparoscopy, but sometimes a large abdominal incision is required.
Peace and Blessings