Ovarian Cysts: Doing The Right Management

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 Management

General solutions for managing ovarian cysts require a few remarks. The first one is that classical treatment and medical surveillance is enough for a woman who is not a user of oral contraceptives, whose cystic structure is less than the dimensions of plum, who is still at an age where reproduction is possible, and who does not suffer pain (pain could be a element requiring obligatory 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 possibility

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

A number of factors including age, menopausal status, and the structure and size of the cyst will determine how ovarian cysts are managed. Ovarian cysts occur in some six percent of women after the menopause. It is known that the majority of such cysts are benign or functional. The doctor should therefore intervene in order to prevent the development of any cancer that affects 61 out of 100,000 women aged around 68. Needle aspiration of ovarian cysts is then the best alternative to conventional and laparoscopic surgical intervention when the cysts are believed to be functional.

Needle aspiration can be done using purely with local anaesthetic, which already gives it an advantage over other forms of surgical removal. It is not necessary to be admitted into hospital for this method. However several questions have arisen in the minds of people concerning the use of needle aspiration and its success rate.

Diagnosis

The first thing to be identified is whether the cyst is malignant or benign. Methods of discovering this nowadays include ultrasonography, concentrations of CA 125 serum and clinical examination. The least effective method is clinical examination, as between 30 and 65 percent of ovarian tumours are typically not identified. A more satisfactory method is vaginal ultrasonography. Benign tumours are predicted in as much as 96 percent of all cases. Detection relies on identifying the presence or absence of vegetations. The concentrations of CA 125 serum were shown to be normal in around 97 percent of women who apparently had ovarian cysts, meaning that their cysts were benign. This research was done some years ago. In the case of tumours that were malignant, the concentrations of serum were found to be stronger.

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 possibility

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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