Ovarian Cysts - Treatments

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HHow are ovarian cysts treated?

Most ovarian cysts in women of childbearing age are follicular or corpus luteum cysts (functional cysts) that disappear naturally in one to three months, although they can rupture and cause pain. They are benign and have no long-term 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.

Ultrasound is useful to determine if the cyst is simple (just fluid with no solid tissue, suggesting a benign condition) or compound (with solid components that often required surgical resection).

In summary, the ideal treatment of ovarian cysts depends on what the cyst is likely to be. The woman's age, the size (and any change in size) of the cyst, and the cyst's appearance on ultrasound to help determine the treatment. Cysts that are functional are usually observed unless they rupture and cause significant bleeding, in which case, surgical treatment is required. Benign and malignant tumors require operation.

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 abdominal incision (laparotomy) 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.

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See what others are saying

Comment from: Lacy, 19-24 Female (Patient) Published: December 05

Birth control has been my saving grace with my ovarian cysts. I began my period at 10, and I started to have extremely painful cramps. At 14, I had an ultrasound done and the doctors realized I was forming ovarian cysts on my ovaries during menstruation. I've been on birth control since, and am now 20. I barely have any pain at all during my period now!

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Comment from: JustDucky, 35-44 Female (Patient) Published: February 26

Vitex (chasteberry tree) has utterly helped me control the horrible pain, and has helped to shrink my ovarian cysts considerably. I"ve been taking 800mg once or twice per day for a year now, and can verify the benefits. I still experience some bleeding, particularly while stressed, but the pain is no longer an issue and I can sleep in any position I like without feeling the pain of the cysts.

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