I had lump on 6th of Aug Upto negative on 16 Sept Usg reveals left ovarian hypoechoic cyst measuring about 5 cm with increased endometrial thickness Dr. prescribed duphaston for three days And advice to repeat upto after few days Is it a pregnancy or a delayed period because of ovarian cyst.
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Increased and continuous production of oestrogens causes endometrial hyperplasia. And sudden stoppage of oestrogen formation & release caused endometrial shedding resulting into menses. After ovulation, if pregnancy does not occur, there is sudden decrease in synthesis & release of oestrogens and progesterone which causes menses. If pregnancy is settles, progesterone continues to be made by chorionic membranes and pregnancy is maintained by progesterone. In your case, ovarian tissue has overgrown as cyst and there is no ovulation, no progesterone but only continuous synthesis and release of oestrogen hormone with or without enhanced androgen production. So it is a delayed period because of ovarian cyst. You should take 5-6 course of contraceptive pills to regularize menses and prevent endometrial hyperplasia which may predispose to endometrial carcinoma. As follicle (containing egg) in the ovary progresses, it makes some progesterone as well which prevents growth of other follicles and other ovarian tissue as well. After ovulation (spillage of egg from follicle and from ovary in fimbria of fallopian tube, the remaining follicle starts making progesterone in higher amounts.
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I would advice you to get a serum b-Hcg done to confirm.
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It's delayed periods due to ovarian cyst.
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Repeat usg and put after 1 week.
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