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How is it possible to have an ovarian cyst while on hormonal birth control?

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How is it possible to have an ovarian cyst while on hormonal birth control?

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A 4 cm ovarian cyst exists while on either birth control pills, or nuvaring. The doctor says it is a follicular cyst, yet all my research shows that hormones prevent and shrink ovarian cysts. Pelvic pain/pressure has existed for several years, and many tests and procedures show nothing other than 1 cm fibroid & the cyst.

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