Patient's question:
My menstrual cycle has been irregular since I had my child, with low volume. Sometimes it's three months, sometimes one month. It has been like this for three or four years now. I am from Kaifeng, Henan. I had B checks at two gynecology hospitals, and the results showed a cystic mass in the left adnexal ovary, predominantly solid. I then went to the 155 Hospital for a B, which was normal (no mass was found, and I initially didn't tell the doctor). I went to the Huai River Hospital for another B, and the result confirmed the cystic mass in the left adnexal ovary was a teratoma. Later, at the First People's Hospital, the check was normal, but an internal examination revealed a mass.I would like to ask if my condition requires surgery.
I also know
Doctor's answer:
It is recommended to have a follow-up dynamic vaginal four-dimensional color Doppler ultrasound after the next menstrual period to understand the size, nature, location, and other conditions of the cyst. Once an ovarian cyst is diagnosed, surgical treatment should be performed as soon as possible. If the size exceeds 5 cm, surgery is mandatory, as there is a risk of rupture or pedicle torsion at any time, which could even be life-threatening. Drug treatment is ineffective. A painless minimally invasive procedure can be adopted, such as laparoscopic ovarian cystectomy, which involves a small 0.5 cm incision in the abdomen to remove the cyst. During the surgery, medication and biological anti-adhesion membranes are used, which can prevent recurrence. The hospital stay ranges from three to five days. This approach avoids laparotomy, recurrence, and oophorectomy, thereby maximizing the preservation of the patient's reproductive organ integrity and fertility.