Ovarian Cyst Surgery / Treatment Overview
Ovarian cysts are fluid-filled sacs that can form in women during their reproductive years or after menopause in rare cases. The initial step in treating ovarian cysts is to identify the type of cyst using ultrasound and blood tests. Unless the cyst is huge or causing symptoms, the most usual treatment is to observe and wait. Ovarian cysts usually disappear on their own within a few weeks.
The frequency of cyst monitoring will be determined by our doctor at Diyos Hospital. Hormonal birth control may be used in addition to pain medication for women with chronic, painful cysts.
Diagnosis of Ovarian Cysts at Diyos Hospital
During a pelvic exam, a cyst on your ovary might be discovered. Your doctor will likely propose testing to establish its nature and whether you require treatment based on its size and whether it’s fluid filled, solid, or mixed. The following are some examples of possible tests:
- Pregnancy Test: A positive test may indicate the presence of a corpus luteum cyst.
- Ultrasound of the Pelvis:On a television screen, a wand-like instrument (transducer) transmits and receives high-frequency sound waves (ultrasound) to build a picture of your uterus and ovaries. Your doctor examines the picture to establish whether a cyst exists, where it is located, and whether it is solid, filled with fluid, or mixed.
- Laparoscopy: Your doctor can inspect your ovaries and remove the ovarian cyst using a laparoscope, which is a thin, illuminated equipment put into your belly through a tiny incision. This is a surgical technique that necessitates the use of anaesthetic.
- CA 125 blood Test: In women with ovarian cancer, blood levels of a protein called cancer antigen 125 (CA 125) are frequently high. Your doctor may prescribe this test if your cyst is partly solid and you have a high risk of ovarian cancer.
Noncancerous diseases include endometriosis, uterine fibroids, and pelvic inflammatory disease can cause elevated CA 125 levels.
Treatment for Ovarian Cysts at Diyos Hospital
Treatment is determined on your age, cyst kind and size, and symptoms. Your doctor may advise you to:
Watchful Waiting: In many circumstances, you can wait and be re-examined in a few months to check if the cyst has gone away. If you have no symptoms and an ultrasound reveals a basic, tiny, fluid-filled cyst, this is usually an option — regardless of your age.
Your doctor will most likely recommend that you get periodic pelvic ultrasounds to check if your cyst grows or shrinks.
Medication: To prevent ovarian cysts from returning, your doctor may prescribe hormonal contraceptives such as birth control tablets. Birth control drugs, on the other hand, will not diminish an existing cyst.
Surgery: A cyst that is big, does not appear to be a functioning cyst, is growing, persists for two or three menstrual cycles, or causes discomfort may be removed by your doctor.
It is possible to eliminate certain cysts without removing the ovary (ovarian cystectomy). Your doctor may recommend removing the problematic ovary while keeping the other intact in some circumstances (oophorectomy).
Your doctor would most likely send you to a gynecologic cancer expert if the cystic tumour is malignant. Your uterus, ovaries, and fallopian tubes may need to be removed (complete hysterectomy), as well as chemotherapy or radiation. When an ovarian cyst forms after menopause, your doctor is likely to prescribe surgery.
When Is Ovarian Cyst Surgery Required?
Ovarian cyst surgery may be considered for patients with big cysts, severe symptoms, or worrisome imaging. Ovarian cyst surgery involves removing cysts from the ovaries by a series of tiny incisions (laparoscopically) or a single larger incision (laparotomy) in the abdomen. Approximately 8% of women with ovarian cysts develop cysts that require treatment.
Purpose of Ovarian Cyst Surgery
The purpose of ovarian cyst surgery is to remove the cysts that are either causing symptoms or are cancerous. Removing the cysts does not mean they will not return over time. It’s important to discuss fertility with your doctor prior to surgery because removing the ovaries or damaging the ovaries during surgery can affect your ability to get pregnant naturally. However, even if both ovaries are removed due to cysts, it’s still possible to carry a baby using in vitro fertilization.
When a woman is diagnosed with ovarian cancer, her uterus, ovaries, and fallopian tubes are usually removed, making conception impossible. Ovarian cancer risk rises with age, particularly for women who develop ovarian cysts after menopause or have a family history of breast or ovarian cancer.
During a woman’s reproductive years, cysts form naturally during her menstrual cycle. Many women are unaware they have a cyst until it causes discomfort or symptoms, or until a diagnostic test reveals it.
Endometriosis, in which the tissue lining the interior of the uterus grows outside of it, and polycystic ovarian syndrome (PCOS), a hormonal ailment that causes enlarged ovaries with tiny cysts, are two more conditions that can induce cysts. When cysts are produced by either of these conditions, it might affect fertility.
Risks to Consider
Ovarian cyst removal surgery carries the same risks as any other operation, including:
- After surgery, ovarian cysts may reappear.
- Pain may be unmanageable.
- Adhesions (scar tissue) might develop at the surgery site, on the ovaries or fallopian tubes, or in the pelvic.
- Damage to the bowels or bladder is a common ailment.
Within a week, most people are back to their typical activities and habits. The recovery time for laparotomy operations is lengthier, with most patients returning to regular activities after 12 weeks. Following a laparoscopy, you may have the following symptoms:
- Shoulder pain
- Cramps in the abdomen
- Feeling bloated or gassy
- If a breathing tube was used during the treatment, you may experience a sore throat.
Ovarian cysts normally go away on their own, but they should be monitored by your doctor. Ovarian cyst removal surgery is the next step in therapy if the cysts rupture, cause symptoms, or are considered to be malignant (though this is unusual). Before having this operation, you should talk to your doctor about your fertility. To know more about ovarian cysts or any fertility related issues visit Diyos Hospital or Talk to our Doctors at +91 9910 12 0836