Do ovarian cysts require the removal of the ovary?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 26, 2024
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When women discover ovarian cysts, it is not necessarily required to remove the entire ovary. For example, in women of childbearing age, the ovary can continue to ovulate, aiding in normal conception and secreting hormones to maintain normal endocrine function. In such cases, surgery to remove the ovarian cyst while preserving the healthy ovarian tissue can be performed. However, if a woman is nearing menopause or has already undergone menopause and discovers a large ovarian cyst, the function of the ovaries may have gradually declined or already ceased. If surgery is performed to remove the ovarian cyst, there is a possibility of recurrence, and the function of the ovary may already be lost. In this case, it might be appropriate to proceed with the removal of the ovary.

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Written by Shen Li Wen
Obstetrics and Gynecology
58sec home-news-image

Do ovarian cysts require the removal of the ovary?

When women discover ovarian cysts, it is not necessarily required to remove the entire ovary. For example, in women of childbearing age, the ovary can continue to ovulate, aiding in normal conception and secreting hormones to maintain normal endocrine function. In such cases, surgery to remove the ovarian cyst while preserving the healthy ovarian tissue can be performed. However, if a woman is nearing menopause or has already undergone menopause and discovers a large ovarian cyst, the function of the ovaries may have gradually declined or already ceased. If surgery is performed to remove the ovarian cyst, there is a possibility of recurrence, and the function of the ovary may already be lost. In this case, it might be appropriate to proceed with the removal of the ovary.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Are ovarian cysts easy to treat?

Most ovarian cysts are physiological. If it's the first time an ovarian cyst is detected, it can be observed, and a re-examination can be conducted after two months. If the cyst disappears or reduces in size, it is physiological and there is no need for concern or treatment. However, if the ovarian cyst has not reduced but has increased in size after two months, this is pathological, indicating an ovarian tumor. In this case, surgical treatment is necessary. This is because if an ovarian tumor persists for a long period, it may become malignant or lead to ovarian torsion, both of which can affect the body adversely.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Do ovarian cysts hurt?

Most ovarian cysts do not cause abdominal pain, especially when they are small and benign. However, some patients with ovarian cysts may experience abdominal pain symptoms. For example, endometriotic cysts, also known as chocolate cysts, can cause severe lower abdominal pain, particularly manifesting as menstrual-like abdominal pain. When these pain symptoms occur, the primary reason patients initially visit local hospitals is to undergo medical examination for the condition.

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Written by Jia Rui
Obstetrics and Gynecology
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How to prepare for pregnancy with ovarian cysts

If you have ovarian cysts and the cysts are relatively large, it is recommended to control the cysts before considering pregnancy. If the cysts are not very large and do not have a significant impact on the body, you can also consider pregnancy and preparing for pregnancy, which generally proceeds as per the normal preparatory process. During the preparation period, try to avoid eating particularly stimulating foods, and abstain from drinking and smoking, as these may likely impact the fetus. It is also important to pay attention to regular exercise, strengthen the body, and maintain a robust constitution, which is conducive to the conception of a healthy fetus.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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malignant symptoms of ovarian cysts

Malignant ovarian cysts, commonly known as ovarian cancer, often present with no symptoms in most people. Patients generally do not exhibit any specific symptoms. In advanced stages, however, symptoms such as ascites and abdominal swelling or pain may occur due to the cyst pressing on other organs in the abdomen. Initially, these symptoms might be mistaken for gastrointestinal issues, hence the importance of undergoing a gynecological ultrasound examination. In early stages, ovarian tumors may not show any symptoms, so it is recommended that women undergo tumor marker tests, such as CA125 and HE4, as well as routine ultrasound examinations.