How should bilateral adnexal masses with ovarian cysts be treated?

Patient's question:

Previous; Main symptoms; Irregular menstruation, often with watery discharge, slight abdominal pain. MRI findings; Uterine position; Horizontal, Outline; Distinct, Size; 5.6475.5cm, Morphology; Regular, Solid echo; Moderate, Cavity condition; Endometrial thickness 0.9cm, Echoes relatively uniform, Adnexa; Left ovary; Not detected, Right ovary 2.61.7cm, Other; A 3.83.54.0cm fluid mass was detected on the left side of the uterus, with clear boundaries, regular shape, and visible capsule. The uterus was also found to have 3.52.83.5cm and 3.41.92.6cm fluid-based masses on the left and right sides, respectively, with clear boundaries, irregular shapes, and visible capsules. MRI interpretation; Impression; Uterine age size, left ovarian cyst, bilateral adnexal fluid masses.

Doctor's answer:

It is necessary to consider the actual situation. Based on your description, your lump is not very large, so conservative treatment can be considered first. Follow up and carefully observe for 1-2 months. If it disappears on its own, it may be functional. If it continues to shrink or does not disappear, treatment will be needed. For adnexal masses larger than 5 cm, surgical removal is the best approach. This can be done using minimally invasive laparoscopic surgery. With laparoscopic minimally invasive techniques, an ovarian cyst can be removed without the need for an open abdominal surgery. The doctor only needs to make three skin incisions of 0.5-1.0 cm in size on the patient's abdomen to serve as the entry point for the laparoscope into the body. All conditions inside the abdomen can then be clearly displayed on a television monitor one by one.

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