Patient's question:
A 4-centimeter cyst has grown in my ovary. How should I treat it?,,,I don't want to have surgery, because after the surgery, I won't be able to have children.,,This is unbearable.,,,,,Is there any other treatment method? Can this thing go away on its own? Or should I exercise??? Please answer, doctor!!!!!! I'm begging you!@@! I'm currently in great distress!!! I'm so suffering!!!!!!Doctor's answer:
An ovarian cyst refers to a cystic mass formation within the ovary, which can be categorized into two types: tumorous and non-tumorous. Typically, when people refer to ovarian cysts, they are referring to the non-tumorous type. Any tumorous cyst, regardless of whether it is benign or malignant, requires surgical removal!Non-tumorous ovarian cysts are also known as non-neoplastic ovarian cysts. Most of them are functional cysts of the ovary, including follicular cysts, corpus luteum cysts, luteinized cysts, inflammatory ovarian cysts, polycystic ovaries, and endometrioma cysts (also known as chocolate cysts of the ovary). Most ovarian cysts are non-tumorous and rarely exceed 5 cm in diameter. These cysts are not tumors, and the majority are benign and can resolve on their own without the need for surgery. However, if the cyst is large, progressively enlarging, or ruptures, surgical removal may be necessary.
Generally, if the cyst diameter is less than 5 cm and there is no evidence of malignancy, it is often a functional cyst. Close follow-up is recommended, such as checking every 2-3 months, and the follow-up interval can be adjusted based on the situation. If the cyst shrinks or does not grow within 4-6 weeks, the likelihood of it being a functional cyst is higher. If the cyst continues to enlarge, especially if it is larger than 5 cm, or if sudden lower abdominal colicky pain occurs, it may indicate a tumorous cyst, torsion, or rupture of the cyst. In such cases, surgical exploration should be performed to determine its benign or malignant nature, and surgical removal may be necessary if needed.