What can be done for an ovarian cyst?


Question:
I have a friend who is in pain and thinks it is an ovarian cyst but does not want to go in for surgery.

Answers:
How are cysts treated?

Watchful waiting. The patient waits and gets re-examined in one to three months to see if the cyst has changed in size. This is a common treatment option for women who are in their childbearing years, have no symptoms, and have a fluid-filled cyst. It also might be an option for postmenopausal women.

Surgery. If the cyst doesn’t go away after several menstrual periods, has gotten larger, looks unusual on the ultrasound, causes pain, or you’re postmenopausal, the doctor may want to remove it. There are two main surgical procedures:

* Laparoscopy—if the cyst is small and looks benign on the ultrasound, your doctor may perform a laparoscopy. This procedure is done under general anesthesia. A very small incision is made above or below the navel, and a small instrument that acts like a telescope is inserted into the abdomen. If the cyst is small and looks benign, it can be removed.
* Laparotomy—if the cyst is large and looks suspicious, the doctor may perform a procedure called a laparotomy. This procedure involves making bigger incisions in the stomach to remove the cyst. While you are under general anesthesia, the doctor is able to have the cyst tested to find out if the tissue is cancerous. If it is cancerous, the doctor may need to remove the ovary and other tissues that may be affected, like the uterus or lymph nodes.

Birth control pills. If you frequently develop cysts, your doctor may prescribe birth control pills to prevent you from ovulating. This will lower the chances of forming new cysts.

Other Answers:
She really should go see a doctor, and surgery may not be necessary. Her doctor may suggest that she try birth control pills for several months to see whether her symptoms get better or go away.
If severe symptoms persist despite using birth control pills, gonadotropin-releasing hormone agonists (GnRH-As) may be used to decrease the brain's production of the hormone that stimulates the ovary's egg production (therefore making functional ovarian cysts unlikely). GnRH-A treatment has significant side effects and can only be used for a few months. Surgery may be needed if a painful functional ovarian cyst does not go away despite medical treatment. On a personal note I have scrubbed in for a number of surgeries that were for ovarian cysts and it is a pretty straightforward surgery. These days they use a scope more often then not, and all she will have in 2 or three areas that have a couple stitches, covered with a baid aid, one of which is through the bellybutton.
Source(s):
I am a nurse for over 20 yrs



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