I had an ultrasound yesterday after 18 months on HRT (Oetrogel 1 to 2 pumps daily and 100 to 200 Utrogestan and testogel 1 sachet applied daily over 8 days) the womb lining is fine but I have a 6cm cyst on my left ovary. So I wonder is that caused by stopping the mini pill 2 months ago or does the testosterone contribute to this? Also, could the cyst be the reason for the morning cramping, constant spotting/intermittent heavy bleeding, IBS type symptoms and daily loose stools? I'm considering the Mirena, can I have that while I've got a cyst and could it help or worsen the situation? I wish I could just get things balanced and feel comfortable again. Any help and advice gratefully received. Thanks in advance.