How to treat physiological ovarian cysts

If it is a physiological ovarian cyst, it is a physiological phenomenon. Women do not need to worry too much about this situation. As long as the diagnosis is clear, treatment is generally not required and the condition can disappear on its own. However, attention should also be paid to examinations and follow-up. Diagnosis and differentiation between physiological cysts and pathological cysts must be made to avoid being misled by false impressions. If a physiological ovarian cyst is confirmed, no treatment is required.

Physiological cysts mainly occur during female ovulation, mainly due to ovarian stimulation. Most of them are follicular cysts or corpus luteum cysts, but they will disappear naturally with the changes in the normal physiological cycle. During ovulation, the follicles are much larger than usual, so the ovaries will enlarge accordingly. At this time, the ultrasound results are very similar to those of pathological ovarian cysts, which is very misleading and affects the doctor's judgment. However, this type of cyst usually disappears 2-3 days after menstruation. Therefore, the best way to judge is to re-perform B-ultrasound examination after the menstruation is over to rule out the possibility of pathological ovarian cysts.

Since ovarian cysts are a type of tumor, it is necessary to clearly distinguish whether they are benign or malignant, which plays a key role in the subsequent diagnosis and treatment.

How to distinguish benign tumors from malignant tumors? Malignant tumors grow relatively fast and are often accompanied by discomfort symptoms such as fever, while benign tumors grow relatively slowly and are often without discomfort symptoms; malignant tumors are more common in prepubertal girls, teenagers or postmenopausal women, while benign tumors are more common in women of childbearing age; in terms of specific symptoms, malignant tumors are mostly bilateral ovarian malignant changes, inactive, rough, accompanied by bloody ascites, while benign tumors are mostly unilateral, movable, and have a smooth surface.

When a lost mass is found, the first thing to do is to rule out the possibility of a physiological ovarian cyst. In addition, it is necessary to determine whether the ovary is benign or malignant.

For benign tumors, if the ovarian cyst is smaller than 4 cm, dynamic observation combined with other auxiliary laboratory tests can be adopted to make a correct judgment and cooperate with drug treatment. However, if the tumor continues to grow and becomes larger than 5 cm, surgical treatment is often considered, but the doctor will decide based on the patient's age. The scope of surgery is determined by fertility requirements and ovarian conditions, and oophorectomy and fallopian tube resection or cystectomy is performed to preserve as much normal ovarian tissue as possible. Patients who do not desire fertility can undergo total hysterectomy and bilateral salpingo-oophorectomy.