Endometrial Thickness & Ovarian Cyst: What Does It Mean?

Question
hi.i am 22yrs virgin. i am having problems in my periods. i always start my periods by spotting that continues for 2 to 3 days and then the regular flow starts. this confuses me to count my cycle.
secondly, i went through a pelvic scan which has shown a cyst of 2cm on the right ovary and also the endometrium was thick by 1cm.is it normal thickness for my age? i have done my scan before getting my periods.
my gynac has told me to go on contraceptive pills from the 5th day of cycle and continue it for 2months. but as i start from spotting so how do i count my cycle?
will it be difficult for me to conceive if i will be taking contraceptive pills in this age before marriage??
please help.

Answer
Most ovarian cysts in women of childbearing age are follicular cysts (functional cysts) that disappear naturally in one to three months. Although they can rupture (usually without ill effects), they rarely cause symptoms. They are benign and have no real medical consequence. They may be diagnosed coincidentally during a pelvic examination in women who do not have any related symptoms. All women have follicular cysts at some point that generally go unnoticed.

A follicular cyst in a woman of childbearing age is usually observed for a few menstrual cycles because the cysts are common, and ovarian cancer is rare in this age group. Sometimes ovarian cysts in menstruating women contain some blood, called hemorrhagic cysts, which frequently resolve quickly.

Ultrasound is used to determine the treatment strategy for ovarian cysts because it can help to determine if the cyst is a simple cyst (just fluid with no solid tissue, seen in benign conditions) or a compound cyst (with some solid tissue that requires closer monitoring and possibly surgical resection).

In summary, the ideal treatment of ovarian cysts depends on the woman's age, the size (and any change in  size) of the cyst, and the cyst's appearance on ultrasound.

Treatment can consist of simple observation, or it can involve evaluating blood tests such as a CA-125 to help determine the potential for cancer (keeping in mind the many limitations of CA-125 testing described above).

The tumor can be surgically removed either with laparoscopy, or if needed, an open laparotomy (using an incision at the bikini line) if it is causing severe pain, not resolving, or if it is suspicious in any way. Once the cyst is removed, the growth is sent to a pathologist who examines the tissue under a microscope to make the final diagnosis as to the type of cyst present.