Mary Parker asked:


Most ovarian cysts are asymptomatic, disappear without medication and cause no harm. Medications for ovarian cysts, whenever prescribed, alleviate pain and pressure in the pelvic region and prevent the forming of more cysts by stopping the process of ovulation if it is a chronic problem. The best way to stop ovulation is to take birth control pills.

Initial medications for ovarian cysts

Since most ovarian cysts disappear within a couple of menstrual cycles, the medical practitioner might not prescribe any medication and keep the patient under observation to see if the ovarian cyst is getting bigger or disappearing on its own. An examination of the pelvis might be recommended after a few months to record any variations in size.

After a few menstrual cycles if the ovarian cyst still does not improve, the doctor could carry out tests to see whether any other type of growth in the ovary is causing this problem. At such times over the counter medication to relieve pain and the application of heat could reduce some of the annoying symptoms.

Ongoing medications for ovarian cysts

An ovarian cyst which persists through more than two menstrual cycles should be checked out. If an ultrasound shows the there is something amiss or you start exhibiting symptoms of cysts in the ovary, treatment has to start on you through medications or through surgery. Your gynaecologist could suggest that you keep using birth control pills for some time so that more cysts do not get to form.

Surgery as a Medication

If, despite medical treatment, an ovarian cyst which is functional but is causing a good deal of pain, refuses to go away, a surgery (cystectomy) through the use of laparoscopy (causing an incision which is small) could have to be done to remove it. However if an ultrasound brings out something unusual or the gynaecologist feels that there could be a risk of ovarian cancer, a surgery by way of a bigger incision in the abdomen through laparotomy may require to be carried out.

Surgery could also be needed to confirm the presence of ovarian cysts. And if ovarian cancer is suspected, surgery will also be required for gauging the state of ovarian growths. You must realise however that surgery does not provide a permanent solution in the matter of ovarian cysts. It can only work if it is used to remove the ovaries altogether.

What would require surgery are situations where the cyst or the ovary have been ruptured or twisted (torsion), where there is severe pain or bleeding, where the cyst is more than 3 inches or is pressing on some of the other abdominal organs, the cyst not going away although two or three months have elapsed since its detection and where these months have covered a couple of menstrual periods and finally, where the ultrasound has discovered something suspicious.

But although the application of surgery could prove effective for the treatment of ovarian cysts, some studies have also shown that it could lead to complications as well. These complications could include problems of access, of operative procedures and physiological complications involving pneumoperitoneum.

Surgery Choices

Whether the incision is small, such as in Laparoscopy or large, such as in Laparotomy, a cut will have to be made on the area of your stomach. Laparoscopy could be used for confirming the presence of ovarian cysts in women of child bearing age. And, at the time of the Laparoscopy, large, painful ovarian cysts could easily be removed, even though they might not be cancerous, without taking out the ovary.

Laparotomy, on the other hand, might have to be used if the cysts are too large to manage through Laparoscopy. Laparotomy would also have to be used if the woman has been diagnosed with ovarian cancer or some problems relating to the abdomen or the pelvic organs occur. If indeed cancer has been detected, the larger incision allows the surgeon to observe the affected area closely and, where necessary, remove the affected portion of the abdomen.

Factors to be thought of

A major consideration in the treatment of ovarian cysts is whether the woman concerned is menopausal or not, because the risk of cancer in the ovaries increase significantly in such women. So it is necessary to be extra careful when checking the ovarian growths of women past this stage.

In fact, many doctors would immediately suggest that the ovaries be removed i.e. oophorectomy if they find that cysts have developed on any ovary of a menopausal woman. However, the current trend of thought in medicine is not to perform surgery on women past menopause if the cysts are small and simple. Among cysts which are dangerous are the Unilocular cysts which are housed in compartments and have thin walls. These could be cancerous after menopause.

Holistic approach

The holistic approach is simple and causes the least amount of pain amongst the various forms of medication used to cure ovarian cysts and all sufferers would be better served if they followed this approach from the initial stages of discovery of these cysts. What the holistic approach believes in is “Prevention is better than cure”. What this means is that the holistic approach lays stress on the approach which attempts to root out the problem of ovarian cysts at the very nascent stages. This is done by stressing on a person`s physical fitness and an increase in his optimism. The holistic approach has given a new meaning to ovarian cysts medication.



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Groshan Fabiola asked:


It is known that as a result of ovulation, there can appear cysts, which are called functional cysts and are completely normal. In about 1 to 3 months, these cysts shrink, and if you have this type of cysts, it is good to do a check after 1-3 months to see if the cyst became smaller. In some cases, it is possible that the doctor will prescribe birth control pills, to stop ovulation and in this way the forming of the cysts will stop.

In what concerns menopausal women, they shouldn’t form functional cysts. The doctor will perform a sonogram, and after that he will decide what must be done, depending on what he sees on the sonogram, on the age of the patient, and on the symptoms that can be present ( like pain, bloating, constipation, and other).

It is good to know that a sonogram uses sound waves that will give the doctor information about the size and the appearance of your cyst. The sonogram lasts about 30 minutes, it can be done through the abdomen or ****** and is not painful.

In order to see if a woman’s cyst can be cancerous, the doctor may perform a test that measures the level of a protein called CA-125 in the blood. It is known that a normal CA-125 level is less than 35, but this test is not very accurate. Sometimes, women who have ovarian cancer have a normal level of CA-125, that is why this test is recommended usually only for women who are at high risk for ovarian cancer.

Depending on the age of the patient, whether is having periods, the size of the cyst, its appearance and symptoms, the doctor will decide if surgery is needed. If the cyst is functional, probably surgery is not necessary, but if it doesn’t disappear after several menstrual periods, it gets bigger, or it doesn’t look like a functional cyst on the sonogram, the doctor may decide that it is best to surgically remove it. Usually, there are a lot of type of ovarian cysts in women of childbearing age that require surgery, but, fortunately, at this age, cysts are almost always benign.

Women 50 to 70 years of age are at greater risk of developing ovarian cancer, and if there is found an ovarian cyst, probably the doctor will want to remove it.

If the cyst looks benign on the sonogram and is small, laparoscopy seems to be the right choice. A small incision is made just above or just below your navel and a laparoscope, which is like a slender telescope is put into the abdomen. With it, the doctor can see the organs.

If the cyst is too big to be removed with the laparoscope, or because of another reason, the doctor can suggest laparotomy. This involves bigger incisions to remove the cyst or possibly the entire ovary. While the patient is under general anesthesia, the cyst can be tested to see if it is cancerous, and if it proves it is, the doctor may need to remove both of the ovaries, the uterus, omentum and some lymph nodes. It is very important that before the surgery, women to talk with the doctor about the situations that can appear.

For more info about pain from ovarian cyst or even about ruptured ovarian cyst please review this page http://www.ovarian-cysts-center.com/



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Groshan Fabiola asked:

Ovarian cysts usually appear in younger women, on one ovary or on both ovaries, but they can appear after the menopause as well. It is known that most of the cysts are benign, although some are “tumors” or growths,  these do not turn into cancer.  Although in the past the solution was surgery to remove the cyst, nowadays, in most of the cases monitoring of the cyst, using ultrasound scan and blood tests is possible.

It is known that the CA125 protein which can be found normally in the blood has an increased level in women with ovarian cancer. That’s why, the doctors may want to measure the level of CA125 in the blood if it is suspected a woman has ovarian cancer. But, it was seen that the level of CA125 can rise because of other factors too, like inflammation of the liver, pregnancy, pelvic or abdominal infection, and endometriosis.

When treating women past their menopause who have ovarian cysts, doctors are advised to monitor these women using the ultrasound scan and the CA125 test. However, this can vary, depending on the size of the cysts, what they look like on a scan and how they behave over time.

It is known that if there are present small cysts on one ovary, more than half of these cysts will disappear on their own in about 3 months. It is recommended that at 4 months after the cysts disappeared an ultrasound scan to be performed.

The peritoneum is a sheet of body tissue that lines the inside of the abdomen. It helps to protect the contents of the abdomen, and also produces a lubricating fluid that helps the organs to move smoothly inside the abdomen as we move around. When there appears a cancer of this tissue, we say we are dealing with primary peritoneal carcinoma.

It was seen that the primary peritoneal cancer behaves like the epithelial cancer, the most common type of ovarian cancer, that’s why, the treatment is very similar.

Especially when this disease is in its early stages, the symptoms are vague and hard to spot, and many of the symptoms are very similar to other conditions, which are much more common. It is important to know that this type of cancer can appear even if the ovaries were removed.

It is necessary for every woman to go periodically to the doctor and do tests, because in early stages of the disease the treatment is more effective.

For more info about ovarian cysts/ or even about ovarian cyst surgery please review this page http://www.ovarian-cysts-center.com/

Mary Parker asked:


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.

Septation may be seen in pathologic cysts, meaning the development of partitions of tissues. Different compartments of fluid can then be ascertained. Growths in the tissue may well also be developed in pathologic cysts, which then roughen the walls. Another name for these growths is excrescences. Doctors often use the technique of ultrasound in order to understand the situation of the cysts and to measure its dimensions precisely. However in physiologic cysts, neither septations nor excrescences are present. It is in the case of pathologic cysts that surgical operations may be required.

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 ***********.

Laparoscopic methods may be used for such an ovarian cystectomy. This means using small cuts rather than conventional surgical techniques. It is an approach that avoids leaving marks on the body, reduces pain and allows for more rapid recuperation. If one of the ovaries has been seriously impacted in the cystic process but the other has stayed intact, then advice may be given to simply take out the affected ovary.

Third Alternative

There is a possibility of using endometriosis to see if a cyst has been the result of a collection of old blood. This is typically for a woman who has already given birth to her children and represents a case called chocolate cysts or endometria. Surgical intervention is usually necessary rather than optional in order to resolve the problem forever, when endometriosis is present elsewhere in the pelvis as well. According to the kind of disease, the patient’s age and possible other pelvic complaints, removal of the ovary and hysterectomy may be the right move. Surgery is also required for ovarian cancer. The justification for this is that patients have a low rate of survival otherwise.

Needle Aspiration and Possible Factors

About six percent of women contract ovarian cysts after the menopause. Information exists to indicate that in the majority, the cysts are benign or functional. Factors such as menopausal status, age, and the size and type of a cyst will then indicate the appropriate management of such ovarian cysts. Needle aspiration of ovarian cysts is then the best option compared to either laparoscopic or classical surgical operation when the cysts are considered to be functional. The physician should therefore take action in order to prevent the case of cancer that statistically affects 61 out of 100000 women whose ages are 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.

Diagnosis

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

Reliability still has to be proven for ovarian cytology. Nonetheless, it has been proven that in responding to the situations of de Brux, such as instant fixation so as to avoid double configuration and uninterruptible cells, that this technique can in fact be effective.

Final Alternative

There is always the risk of side effects and problems linked to either medication or surgery. A holistic treatment using only natural components is the best one that you can follow in order to completely remove problems of ovarian cysts. Having read this information on ovarian cyst management, it is still necessary to understand that it is the underlying problem that must be solved for any lasting remedy. Until this is accomplished, the problem will persist.



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