Dr. Says Multiple Cysts Cause of Pain with Intercourse
Question
I am 24 years old, my husband and I had a baby last May. Recently, I went in to my OB/GYN (very NFP friendly) because I had been having pelvic pain (jabbing) during intercourse. Pap smear was clear but they discovered that I have multiple cysts on my ovaries, and that my ovaries are enlarged because of them. My doc said that I did not present with all of the usual symptoms of PCOS, so he didn’t give me that diagnosis. We really would like to have another child and are going to start trying.
Fortunately, I did not have any trouble conceiving our first. Last year, about two months post-partum I did have a fibroid removed successfully. I think it’s strange that around that time there were no other cysts causing ovarian enlargement.
If this is not PCOS, is it something that could resolve relatively quickly? Why the rapid onset? Is there anything I can do?
Thanks so much!
Stephanie
Answer
Last Updated: December 12, 2021
There are ovulation disorders that do not fit the criteria of PCOS that may prevent pregnancy. You might have abnormalities of thyroid function or prolactin. Insulin resistance can cause poor ovulation or failure to ovulate. I am assuming you have monthly cycles. If you had your baby this year or are still breast feeding this might cause impaired ovulation with multiple small cysts. Physicians trained as medical consultants with the FertiityCare natural family planning method could help you see if there were a serious issue through charting your cycles and blood tests of hormone levels.
Mary Davenport, MD
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