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Treatment of Functional Ovarian Cyst
Posted under cyst on ovary
In most of the cases treatment is not needed as the functional ovarian cyst does not cause symptoms, is not harmful and can go away by its own. In rare cases treatment is needed and the therapy focuses on helping the patient not to suffer of pelvic pain any more and to prevent reoccurrence of other functional cysts by preventing ovulation. In this case birth control pills are prescribed.
Most of the functional ovarian cysts disappear after 1 or 2 menstrual cycles and this is why the doctor will not prescribe any treatment in the beginning and will just take a period of observation too see if the ovarian cyst’s status is changing or not. After a few months another pelvic exam will be performed by the doctor to see whether the cyst has disappeared of has continued to grow.
In case the functional ovarian cysts did not go away then treatment will be prescribed. In some cases the doctor will do more tests to see whether the symptoms are caused just by a functional ovarian cyst or another ovarian growth is present.
Treatment can be based on medication or surgical. At first the patient will be recommended to try birth control pills to see if there is noted any change in the ovarian cyst’s status or not and if symptoms go away. In case no change is seen then the doctor will recommend a GnRH-A treatment, meaning that gonadotropin-releasing hormone agonists are used in decreasing the brain’s production of the hormone responsible with stimulating the ovary’s egg production. Because this treatment has many side effects it will only be used for a few months.
If no results are seen even after this treatment, the doctor will recommend the surgical procedure. This means that with the help of the laparoscope a small incision will be done and the functional ovarian cyst will be removed. In case the ultrasound exam shows that the cyst looks unusual then the functional cyst will be removed by classical surgery, meaning that a larger incision will be made in order to remove the functional cyst.
If a functional cyst appears in a woman who has reached menopause, the situation changes a bit. The cyst will be tested to see if it is cancerous or not and many doctors suggest that the problem has to be resolved by removing the ovary. Until now this is the most adequate solution because doctors are not 100% sure that one ovarian cyst is non cancerous and they do not want to risk the health of the patient.
As long as a woman is ovulating the ovarian cysts can not be prevented. Birth control pills, pregnancy and breast feeding in the first 6 months after pregnancy can reduce the risk of developing an ovarian cyst later.
For more info about ovarian cysts treatment or even about ovarian cyst symptoms please review this page http://www.ovarian-cysts-center.com/
Groshan Fabiola
http://www.articlesbase.com/health-articles/treatment-of-functional-ovarian-cyst-138673.html
Complex Ovarian Mass – Endometrioma or Functional Cyst?
Hi,
I was hoping that someone could provide me with some advice. Below are my reports, this has been going on for more than 10 months. I saw one Gynecological Oncologist and she said that the reports show functional cysts (despite having them for 10 months) that will go away by themselve and no treatment is needed. That was last week.
I saw another Gynecological Oncologist this morning for a second opinion and she said that they are Endometrioma. She has scheduled an Trans-vaginal ultrasound for Jamuary 21, and I will get those results from her on February 4, 2009.
I am completely confused. I do not know which one to trust. Worse still – will these continue to grow? What if they are neither? My CA125 was 63. My father died of colon cancer and my paternal Aunt of Breast Cancer.
My first report dated February 8, 2008 states:
Endometrium double layer thickness is just over 7mm.
The uterus is anteverted with overall diameters 37×40x76mms. There
appears to be a fibroid subserosal posterior at the fundus 24×19x14mms.
In the cervix, there is a little cyst 8mms.
The right ovary is 34×28x22mmx. Here we find 2 follicles or a
biloculted cyst with a thick septum, more likely that these represent 2
adjacent follicles.
The septation between the two are little hyper vascular.
The left ovary is 30×30x28mms contains a follicle 13×8mms.
The cul-de-sac is clear and the bladder appear normal.
Report 2 dated Sept 22, 2008:
The uterus measures 7.7×4.8×3.7cm. There is a fibroid at the fundus
measuring 2.2cm. Endometrial lining is 0.4cm. In both
adnexa there are abnormalities. On the left there is a complex
primarily solid but inhomogeneous irregular mass measuring
6.1×4.1×3.7cm. On the right there is one measuring 2.5×2.4×2.3cm.
Sorry, should have mentioned that I am 37 years old, have never had kids, and got my period when I was 13. Symptoms: bloating pelvic tenderness, lower back and leg pain, headaches, constant need to urinate (sometimes a lot, sometimes a false call!) and extremely tired. Very heavy and painful menses.
Hi. Sorry to hear about all this trouble you’ve been having. I had ovarian cancer some years ago. Of course I can’t say what exactly is wrong with you, if two gyn oncs who examined you are both unsure what you have. So I can’t make any judgment one way or the other. But if I were you, I’d schedule an appointment with another gyn onc for a third opinion. You can bring your scans. It sounds like the second gyn onc isn’t too worried, or she’d have scheduled further testing immediately rather than in a month.
Your symptoms could mean a variety of things–that’s one of the difficulties of ovarian cancer. Its symptoms are also the symptoms of many common and not terribly dangerous ovarian problems. Likewise your CA-125. This test, while used for detection of ovarian cancer, is actually testing something that rises in your body in the presence of any abdominal inflammation. So the things you currently have–a cyst, maybe uterine fibroids–could cause a rise in CA-125 all on their own, with no need for them to be cancerous.
Good luck!
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