Ovarian cysts keep causing pain

Ovarian cyst is a gynecological disease that troubles many female friends in daily life. Many female friends want to know what to do if the ovarian cyst keeps causing vague pain. Today we will give you a brief introduction to this issue. Let's have a simple understanding of this issue. I hope the following points will be helpful to everyone!

1. Good cyst treatment

(1) General medical treatment

If it is a simple cyst, without septa, intracystic papillae, thickening and other complex features, it is basically good and can be observed traditionally. The cyst will generally shrink or disappear when you return for follow-up 4-8 weeks later. If the cyst does not subside, but the ultrasound shows that it is still a simple cyst, you can still continue to observe it carefully. For physiological uterine and ovarian cysts combined with endocrine diseases such as menstrual disorders, oral medication can be used to relieve symptoms. However, for physiological cysts, no oral medication with definite efficacy has been found so far.

Ovarian cysts cause lower abdominal pain

(2) Surgical treatment

Ovarian cystectomy is often performed on young patients, especially premenopausal patients, while trying to preserve normal uterine and ovarian tissue.

Bilateral salpingo-hystero-oophorectomy: Very old (over 45 years old) or postmenopausal patients can undergo unilateral or bilateral salpingo-hystero-oophorectomy.

2. Treatment of malignant cysts

Considering the possibility of malignant transformation or undiagnosed cysts, the removed material should be sent for pathological examination after surgery to determine the characteristics of the cyst under a microscope before considering the next step of treatment. If an ovarian cyst shows complications such as twisting, rupture, bleeding, or infection, emergency surgery should be performed.

Most patients are already in the terminal stage when they seek medical treatment. Therefore, during treatment, every effort should be made to remove the primary cyst and visible pelvic and abdominal metastatic lesions. Currently, the uterus and tumor are often removed in one piece behind the pelvic peritoneum, such as removing the greater omentum, part of the intestine, part of the bladder, and the urethra. Consideration should also be given to leaving a flexible tube in the abdomen to facilitate the injection of chemotherapy drugs into the abdomen after surgery.