Functional Ovarian Cysts (cont.)
IN THIS ARTICLE
Treatment with medicine may be useful if you have recurrent, painful functional ovarian cysts.
Birth control pills (oral contraceptives) are used to prevent ovulation. Without ovulation, the chance that ovarian cysts will form is reduced and your symptoms may be relieved. Although birth control pills do not make ovarian cysts go away any faster, their use may prevent new cysts from forming.
What to think about
Birth control pills have not been shown to get rid of or shrink ovarian cysts that have already formed. Some studies show that the cysts shrink at the same rate with or without birth control pill use.1
Surgery may be needed to confirm the diagnosis of an ovarian cyst or to evaluate ovarian growths when ovarian cancer is possible. Surgery does not prevent ovarian cysts from coming back unless the ovaries are removed (oophorectomy).
Surgery may be needed in the following situations:
Goals of surgical treatment for an ovarian cyst are to:
Laparoscopy may be used to confirm the diagnosis of an ovarian cyst in a woman of childbearing age. Persistent, large, or painful ovarian cysts that have no signs of cancer risk can be removed during laparoscopy, leaving the ovary intact.
Laparotomy is used when an ovarian cyst is very large, ovarian cancer is suspected, or other problems with the abdominal or pelvic organs are present. If cancer is found, the larger incision lets the surgeon closely examine the entire area and more safely remove all cancerous growth.
What to think about
For the most part, functional ovarian cysts stop forming when menopause occurs (in rare cases, a functional ovarian cyst will occur or persist within 5 years of menopause). Relieving symptoms with medicine until menopause is complete may be an option.
Some women prefer the risks of surgery to symptoms that reduce their quality of life. If your doctor recommends surgery, ask whether laparoscopic surgery or laparotomy would be the best choice for you.
Unless the ovaries are removed, surgery does not prevent the formation of new functional ovarian cysts.
eMedicineHealth Medical Reference from Healthwise
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