What treatment has been effective for your ovarian cysts?
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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.