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Although most cases of ovarian cysts are monitored and stabilize or resolve without surgery, some cases require surgery. [35] Common indications for surgical management include ovarian torsion, ruptured cyst, concerns that the cyst is cancerous, and pain; [ 11 ] some surgeons additionally recommend removing all large cysts.
Ovarian drilling and ovarian wedge resection are treatment options to reduce the amount of androgen producing tissue in women with polycystic ovarian syndrome (PCOS). [4] PCOS is the primary cause of anovulation, which results in female infertility. [5] The induction of mono-ovulatory cycles can restore fertility. [6]
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
The mainstay of treatment is surgery to remove the residual ovarian tissue. Women with ORS with a pelvic mass should have appropriate evaluation for malignancy . Hormonal therapy to suppress ovarian function is an alternative treatment for those who refuse surgery, or those who are not candidates for surgery. [3]
The best way to evaluate for an ovarian cyst is usually an ultrasound of the pelvis." Dr. Staci Tanouye , a board-certified ob-gyn, agrees, saying that most ovarian cysts don't cause symptoms.
At times, these can go unnoticed without pain or visible symptoms. A cyst may develop in either of the ovaries that are responsible for producing hormones and carrying eggs. Ovarian cysts can be of various types, such as dermoid cysts, endometrioma cysts, and the functional cyst. [medical citation needed] Symptoms: Abdominal bloating or swelling.
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