Ovarian Cyst Management: Getting it RIGHT

Management of ovarian cysts should be done carefully so as to avoid any subsequent effects. Ovarian cysts as a subject have been on the minds of women for quite some time. Often they are not problematical, it just means everybody needs to know what a cyst is to be able to then avoid much of the worrying.

Ovarian Cyst and Ways of Management

In general it is wise to make a few comments about overall methods for ovarian cyst management. The first one is that for women who are not taking oral contraceptives, who have a cystic structure which is no bigger than the size of an apricot, who are still at a reproductive age, and who suffer no pain, then conventional medical tracking and treatment will be enough. Note that the pain might be a factor triggering necessary surgical intervention.

To evaluate the cyst situation and to measure cyst size exactly, most doctors would use an ultrasound technique. Pathologic cysts may also exhibit septations, which is the development of partitions of the tissues. When this happens several different fluid compartments can be seen. Pathologic cysts might also develop growths in the tissue, which prevents the cyst wall from being smooth. These growths are also called excrescences. Septations as well as excrescences are never present in physiologic cysts. Surgical intervention may be justified in the case of pathologic cysts.

Second alternative

For a non-malignant cyst, conventional surgery may be a choice. This may also allow a patient to keep the ovary concerned. In this case the operation is termed an ovarian cystectomy. Any techniques of surgery should in general keep any injury to tissues at a minimum. Also important are the precise control of any bleeding and the possibility of employing adhesion barriers. Regrettably, the development of pain or painful “adhesions” may be the result of surgical operations on the ovaries. Other side effects may be infertility, or excessive sensitivity when having intercourse.

If one of the ovaries has been severely affected in the cystic process but the other one has remained normal, it may be advised to take out the affected ovary. Such an ovarian cystectomy may be done in a laparoscopic way, that is to say using small incisions, or by using conventional surgical methods. The first approach avoids disfigurement, and pain and also leads to faster recuperation.

Third option

According to the type of disease, the age of the patient and possible other pelvic diseases, hysterectomy and removal of the ovary may be the appropriate solution. For a woman already having given birth to her children, it may be possible to see via endometriosis if the cyst is caused by the collection of old blood, a case also known as chocolate cysts or endometria. When endometriosis is also present elsewhere in the pelvis, then this surgical intervention is typically required instead of optional in order to solve the problem permanently. Ovarian cancer is a condition that in all cases must be dealt with by surgery. The reason for this is the low rate of survival otherwise.

Needle Aspiration and Different Factors

Ovarian cysts develop in some six percent of post-menopausal women. It is a fact that most of these cysts are benign or functional. Certain factors including age, menopausal status, and the nature and dimensions of the cyst will determine how to manage ovarian cysts. Needle aspiration of ovarian cysts is then the best choice compared to classical or laparoscopic surgical intervention when the cysts are considered to be functional. The doctor should thus act in order to stop the development of any cancer that impacts 61 out of 100,000 women aged around 68.

Nonetheless, in people’s minds several interrogations have arisen concerning the success rate and use of needle aspiration. Note that needle aspiration can be done with local anaesthetic only, which gives it an advantage compared to other types of surgical intervention. A patient does not need to go to hospital for this solution.


The priority first of all is to understand if a cyst is benign or not. Identification of this state is done by identifying the presence or not of vegetations. Concentrations of CA 125 were proven to be normal in approximately 70 percent of women who it seems had ovarian cysts, which indicates that their cysts were benign. The research on this was done some years back. For tumours that were malignant, there were stronger concentrations of serum that were identified. Ways to find this out today include ultrasonography, clinical examination and identification of CA 125 serum concentrations. Clinical examination is the least effective way, as some 30 to 65 percent of ovarian tumours are typically not found. Vaginal sonography is more satisfactory. In this case in as much as 96 percent of all cases, the prediction of benign tumours is accurate.

Ovarian Cytology

Ovarian cytology has not yet proved its reliability. However it has been shown that meeting the situations of de Brux, such as instant fixation so as not to have uninterruptible cells and double configuration, will allow this procedure to be effective.

Final solution

Medication or surgery also has the risk of secondary effects and associated difficulties. A holistic agenda using all natural elements is the best one that you can use to entirely eradicate the problems of ovarian cysts. Following this information on how to manage ovarian cysts, it is still imperative to understand that the basic problem must be remedied for any lasting solution. This must be done or there will be no change.

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