Ovarian Cysts - Treatments
What treatment has been effective for your ovarian cysts?
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How are ovarian cysts treated?
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 these 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.
See what others are saying
I found that I had a basketball-sized ovarian cyst a few years ago and had surgery to remove it shortly after diagnosis. Fortunately it was benign. I thought that I had been gaining weight, even though I was exercising more and trying to watch what I eat. I didn't have pain except on a couple of occasions, when the site of the ovary was extremely painful, like very bad period cramps or labor pains, but then the pain would go away. When the pain became too much to bear at one point, I went to the ER, thinking I had some sort of GI problem, and found out that I had the cyst.
On February 1, 2010 I had emergency surgery to have my left ovary and tube removed. My ovary was the size of a soft ball and was covered in 5x7 cm cysts. I went to the hospital after ignoring the pain for several months. Now after having the ophorectomy things seemed okay until last year. Now I'm having the same issues with my right side and I'm on my second round of Lupron to help with the cysts. It seems to be helping as of right now.
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