OVARIAN CYST (3): WHAT TREATMENT?

Dr. Claude Allouche, GynecologistKyste ovarien 3 engl

Ahuza Clinic, Raanana
📞 058 726 02 64

1. Monitoring Functional Cysts Without Complications

In most cases, a functional ovarian cyst without complications does not require specific treatment:

  • Ultrasound monitoring: to ensure it disappears after three menstrual cycles.
  • Oral contraceptives or levonorgestrel IUD: no need to change contraception methods.
  • Tamoxifen treatment: continued with regular monitoring.

2. Surgical Removal: Cystectomy or Salpingo-Oophorectomy

When is surgery needed?

  • In emergencies (torsion, hemorrhage).
  • For an organic cyst or a functional cyst that persists after three cycles.

Surgical methods:

  • Laparoscopy: a minimally invasive procedure with small incisions.
  • Laparotomy: used in complex cases (malignant cysts).

Techniques by age group:

  • Before menopause: Cystectomy to preserve fertility.
  • After menopause: Salpingo-oophorectomy (removal of the ovary and fallopian tube).

3. Aspiration of a Serous Cyst

An alternative for patients with surgical risks:

  • Fluid is extracted using a needle guided by ultrasound.
  • Limited indications (not performed in adolescents, solid cysts, or suspected malignancy).

4. Post-Operative Care and Recovery

  • Initial rest, followed by a gradual return to activities.
  • Report any abnormal symptoms to your doctor: fever, pain, hematomas, hardened calf.

Recommendations:

  • Walk to reduce the risk of thrombosis.
  • Follow prescribed medications.
  • Return to physical activities:
    • 1 week after laparoscopy.
    • 2-3 weeks after laparotomy.

Returning to work:

  • Recovery time depends on the type of surgery and occupation:
    • 1 week for sedentary jobs after laparoscopy.
    • Up to 6 weeks for physical jobs or after laparotomy.

For more information, visit claude-allouche.com.

Source: Ameli.fr