Tuesday, October 28, 2008

Ovarian Cysts Medications Don't Work In The Long Run

By Mary Parker

In most cases involving ovarian cysts, there are no symptoms and virtually no threat to one's health. They also get cured on their own without any medication or special treatment. Conventional ovarian cyst medications and treatment primarily aim to provide relief from the various symptoms associated with the condition such as pelvic pain or pressure and prevent further development of cysts by preventing ovulation from taking place. Pills for birth control are often resorted to for putting a check on ovulation.

Initial medications for ovarian cysts

As far as functional cysts are concerned, the medical professional usually recommends a period of observation without medications. The idea is to find out whether the ovarian cyst is growing or not and whether it is going away on its own. This would be followed by a pelvic exam in about 2 months time to find out whether there is any change in the size.

After a few menstrual cycles if the ovarian cyst still does not improve, the doctor could carry out tests to see whether any other type of growth in the ovary is causing this problem. At such times over the counter medication to relieve pain and the application of heat could reduce some of the annoying symptoms.

Ongoing medications for ovarian cysts

Any ovarian cyst that persists for more than 2 or 3 menstrual cycles needs to be investigated thoroughly. When using 'Ultrasound' tests, the cyst will appear to have a weird look. This should be taken seriously because if it is left untreated, the cyst may give rise to the need for medications or surgery for its removal ultimately. You will probably be advised to continue taking 'Birth Control Pills' for preventing ovulation and thus, stopping more cysts from forming. On the flip side, too much of birth control medication may adversely affect your chances of getting a healthy pregnancy later on.

Surgery as relief

If, despite medical treatment, an ovarian cyst which is functional but is causing a good deal of pain, refuses to go away, a surgery (cystectomy) through the use of laparoscopy (causing an incision which is small) could have to be done to remove it. However if an ultrasound brings out something unusual or the gynaecologist feels that there could be a risk of ovarian cancer, a surgery by way of a bigger incision in the abdomen through laparotomy may require to be carried out.

To confirm the diagnosis of ovarian cyst, surgery might become necessary. It might also be useful to evaluate the growth related to cancer of the ovary. However, surgery does not guarantee that the cysts will not reappear though it can successfully remove a cancerous ovary for the benefit of the patient. Surgery can for sure work only if the ovaries are removed. Surgery is needed when there is pain or bleeding, the cyst either twists or may rupture, and its size is more than 3 inches and thus it is pressing on the abdomen or other organs. Surgery is also recommended when there has been no treatment and the cyst does not go away even after 2 to 3 months and after a couple of periods. Surgery is called for if the ultrasound shows the cyst after this.

Surgery confirms the presence of the cyst and also should rule out the ovarian cancer's presence. It should also remove the pain, and offer relief from the pressure when the size is greater than 3 inches.

But although the application of surgery could prove effective for the treatment of ovarian cysts, some studies have also shown that it could lead to complications as well. These complications could include problems of access, of operative procedures and physiological complications involving pneumoperitoneum.

Surgery Choices

There is either a large cut (laparotomy) or there is a small cut (laproscopy) in the pelvic region. Laparoscopy also can confirm the presence of the cyst in a woman who can have a child. Those cysts that are large, cause pain and are not cancerous can be done away with using laparoscopy quite easily, and this process does not disturb the ovary. But when the size is too big, laparotomy is prescribed. Laparotomy is also the way to go when there is cancer and other problems in the abdomen or the pelvic region. The larger cut in case of a cancer lets the surgeon examine the area minutely and remove the growth (cancerous) as well.

Factors to be considered

One of the most important points to ponder and take up for consideration before initiating a treatment is if you get cysts once menopause has set in. There is an increased risk of cancer in the ovary after menopause. Thus, all the 'Postmenopausal Ovarian Growths' should be carefully checked and investigated for signs of cancer. Doctors often would advise on removing the affected ovary or both, viz. oophorectomy, if cysts develop after menopause on an ovary. Interestingly, there is a growing trend of moving away from surgery, particularly when the cyst is small in size and quite simple for postmenopausal women, and medication is strongly favoured to it. But beware, certain postmenopausal cysts in the ovary like unilocular cysts have thin walls and a compartment and can lead to cancer.

Holistic approach

The problem can be solved easily if holistic approach is selected at an early stage. It is actually the least painful and the simplest solution as well for treating cysts in the ovary. 'Prevention is better than cure' - this is what this approach believes in. The holistic approach tries to identify the main causes why the cyst is getting formed and tries to stop them. This is done through optimism and physical fitness. The holistic approach offers new hope for ovarian cysts. - 15255

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