Patient's question:
I am 27 years old. In January 2005, I went to the hospital because I hadn't had my period for two months. The examination revealed a cystic mass of about 4 centimeters in the right adnexa. After taking medication, my menstrual cycle returned to normal. During several follow-up checks in 2006, the size of the mass remained about the same. In August of this year, during another follow-up, the mass showed some enlargement. The report stated: the left ovary is 2.61.6 centimeters in size, and the right adnexa shows a cystic echo area, approximately 6.34.5 centimeters in size, with dense speckles inside. The ultrasound suggests: the uterus is of normal size, no abnormalities are seen in the left adnexa, and a cystic mass is present in the right adnexa. The doctor recommended surgical treatment. However, a friend of mine at the hospital told me that since I'm not experiencing any discomfort, I can wait until after having children to consider surgery. What should I do? I'm very worried, and I don't plan to have children in the next two years. I'm really anxious.Doctor's answer:
Ovarian cysts refer to a general term for true ovarian tumors and ovarian-like lesions, which have similar appearances. True tumors are classified as benign or malignant and require surgical removal. Ovarian-like lesions, also known as non-neoplastic ovarian cysts, include follicular cysts, corpus luteum cysts, lutein cysts, chocolate cysts, and inflammatory ovarian cysts, most of which can resolve on their own without the need for surgery. Therefore, early detection of ovarian cysts, followed by differentiation and timely management, is crucial. With the widespread implementation of gynecological screening and B-mode ultrasound examinations, the detection rate of ovarian cysts is very high, and they must be treated correctly. Moreover, since you are young, you can undergo an ovarian cystectomy, which will not affect your fertility.