How to check for ovarian cysts?

Written by Xia Hu
Obstetrics and Gynecology
Updated on November 20, 2024
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There are two methods for examining ovarian cysts. Firstly, through a gynecological examination, especially in cases of sexual activity, a bimanual examination can be conducted. Under bimanual examination, a mass in one of the adnexal areas can be palpated, where the nature of the mass such as whether its boundaries are clear can be observed, as well as checking for tenderness. This allows for the examination of ovarian cysts. Another method involves an ultrasound. Generally, if performing an abdominal ultrasound, it is necessary to hold urine to view the ovaries clearly. If performing a vaginal ultrasound, especially in cases of sexual activity, this can be chosen; thus, the ultrasound can provide a clearer view. It is closer to the uterus and ovaries, and thus under ultrasound, the masses in the ovaries can be detected. Therefore, both of these methods are viable.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to check for ovarian cysts?

Firstly, in gynecological outpatient clinics, an ovarian cyst requires examination through a gynecological color ultrasound, which can clearly determine the presence of an ovarian cyst, or evaluate the size and echo of the ovarian cyst to assess the severity of the condition. Additionally, a gynecological examination can also be performed to confirm the presence of an ovarian cyst. The main purpose is to assess the severity of the ovarian cyst disease through palpation.

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

The majority of ovarian cysts are physiological. If an ovarian cyst is detected for the first time during an ultrasound, it can be observed temporarily. Generally, such cysts will gradually shrink or disappear naturally after two to three months. If the cyst is relatively large, exceeding 5cm, and the ovary has not shrunk after two to three months of observation, but instead the cyst has grown, it is likely an ovarian tumor, which requires surgical treatment. If an ovarian tumor occurs, there is a potential for malignancy or torsion, so timely surgical intervention is necessary.

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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 Hou Jie
Obstetrics and Gynecology
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Causes of ovarian cysts

The cause of ovarian cysts is unclear, with many factors that can lead to ovarian cysts. The most common type of physiological ovarian cyst is the follicular cyst. The most common pathological causes are chronic inflammation or abnormalities in hormone secretion and endocrine factors, but most causes are unclear. If an ovarian cyst is discovered, it is recommended to regularly check with a color Doppler ultrasound, which is a common gynecological test for tumor markers. If the results are abnormal, timely surgical treatment is recommended to more directly understand the nature of the ovarian cyst. If the cyst is smaller than five centimeters in diameter and has good internal sound transmission, it can be observed regularly; otherwise, aggressive surgical treatment is advised.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to eliminate ovarian cysts?

Currently, most ovarian cysts in clinical practice require surgical removal. However, not all ovarian cysts need to be removed surgically. For some ovarian cysts, such as pelvic inflammatory cysts, anti-inflammatory treatment can be given first. After one course of anti-inflammatory treatment, the treatment effect should be evaluated. If the treatment effect is unsatisfactory, surgical treatment can be considered again. Furthermore, if the ovarian cyst is not large, it is also not indicated for surgical removal. Therefore, the severity of the condition needs to be assessed before treating an ovarian cyst.