At the age of 18, I got married and have an ovarian cyst. How can it be removed?

Patient's question:

After the ultrasound examination, it was found to be a 3.32.2 ovarian cyst, with a thick endometrium of 1.5 cm. Currently, she is experiencing abdominal distension and abdominal pain, especially when sleeping at night, which is particularly severe. Is this related to her early sexual activity? What is the cause of this? I am very worried, but I don’t know how to treat it. Please help me, teachers and doctors present. Moreover, she is a carrier of hepatitis B (HBsAg positive), what should be done about her future fertility issues? What kind of tests are needed in this situation? Our family’s financial situation is not good, and I really don’t know whether surgery or medication is better. I’ve heard that medication cannot remove cysts either. Please, masters, please help quickly.

Doctor's answer:

Hello, don't worry. Ovarian cysts can be physiological or pathological. Physiological cysts do not require treatment and will disappear on their own within a few weeks. Pathological cysts generally need surgical treatment.
It is recommended to first take Guizhi Fuling capsules for treatment. After two months, follow up for a check-up. If the cyst has not disappeared, it is more likely to be pathological. Regular follow-ups can be conducted, and if the cyst size exceeds 5.0 cm, laparoscopic surgery may be considered for treatment.

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