Managing Contraceptive Pill Patients

What is the most appropriate management of ovarian cysts? Management of ovarian cysts should be done carefully to avoid subsequent effects. In general, the cysts can be treated medically with birth control pills or drugs that affect the pituitary gland. If a patient happens to have an ovarian cyst when it is being evaluated for tubal reversal surgery, the cysts can be removed during surgery for tubal reversal. If the patient is being evaluated for tubal reversal surgery, and surgery is not an option, medical treatment must be exhausted before surgery is considered.



Medical versus surgical ways of managing ovarian cyst:

Women who do not take oral contraceptives, women who are at a reproductive age who suffer no pain, and women who are candidates for tubal reversal or have had a tubal reversal should proceed to 'conventional medical approach. This will avoid any potential complications of surgery, and is the safest way to proceed first.



Conventional surgery:

For a non-malignant cyst, conventional surgery may be an option. This may allow a patient to keep her ovaries and the cysts were simply deleted. This is called an ovarian cystectomy. Gynecologists will hold the tissue damage to a minimum, with precise control of bleeding during surgery. Side effects may include the development of pain and / or painful "adhesions" on the ovaries, infertility, or excessive sensitivity during intercourse.



method laparoscopic

This is the most common modality for ovarian cystectomy. Small cuts are made in the abdomen rather than conventional surgical techniques. It is an advance that avoids large incisions, reduces pain and allows quicker healing. If one of the ovaries has been seriously affected by the cysts, while the other was intact, the affected ovary may be completely removed.



Hysterectomy:

Surgery allows the gynecologist to see if a cyst was the result of edometriosis and results in a collection of old blood. For a woman who has already given birth to her children, if "chocolate cysts" or an endometrioma can not be cured by a hysterectomy and removal of both ovaries. This is usually required rather than optional in order to solve the problem forever. Depending on the severity of the disease, the patient's age and the potential of other pelvic complaints, removal of the ovary may be the best solution. Surgery is also required for cancer of the ovarian cancer patients have a low survival rate otherwise.