How to deal with ovarian cysts

Ovarian cysts can be treated through regular review, drug treatment, surgical treatment and other methods. Ovarian cysts may be related to endocrine disorders, inflammatory stimulation, genetics and other factors, and usually manifest as lower abdominal distension, menstrual disorders and other symptoms.

1. Regular review

Smaller physiological cysts usually do not require special treatment, and gynecological ultrasound examinations are recommended every 3-6 months to monitor changes. During the review period, avoid strenuous exercise or heavy physical labor to reduce abdominal pressure. If the diameter of the cyst does not exceed 5 cm and there are no signs of malignant transformation, most of the cysts can be absorbed by themselves.

2. Drug treatment

For hormone-dependent cysts such as corpus luteum cysts, you can use Guizhi Fuling Capsules to regulate endocrine, or short-acting contraceptives such as drospirenone and ethinylestradiol tablets to suppress ovulation as directed by your doctor. In case of combined infection, antibiotics such as cefixime dispersible tablets need to be used in combination. Liver and kidney function need to be tested regularly during drug treatment.

3. Laparoscopic surgery

Laparoscopic cyst removal is recommended when the diameter of the cyst exceeds 5 cm or there is a risk of torsion and rupture. This surgery is less invasive and can preserve ovarian function. You can get out of bed and move about 24 hours after the surgery. Please note that you should avoid heavy lifting and sexual intercourse for 3 months after surgery.

4. Laparotomy

Suspected malignant or giant cysts may require traditional laparotomy, and intraoperative rapid pathological examination will determine the scope of surgery. Drainage tubes need to be left in place for 2-3 days after surgery and hospitalized for 5-7 days of observation. People with scarring constitution need to prevent incision hyperplasia.

5. Traditional Chinese Medicine conditioning

For the type of qi stagnation and blood stasis, Shaofu Zhuyu Granules can be used to activate blood circulation and remove blood stasis. For the type of spleen deficiency and excess dampness, Shenling Baizhu Powder can be used. For acupuncture, acupuncture points such as Guanyuan and Sanyinjiao are selected and treated 2-3 times a week. It should be noted that the course of Chinese medicine treatment is long and should be carried out simultaneously with modern medical examinations.

Keep your vulva clean and dry every day and choose breathable cotton underwear. Avoid estrogen-containing foods such as royal jelly, and increase the intake of cruciferous vegetables such as broccoli and cabbage in an appropriate amount. It is recommended to record changes in the menstrual cycle and seek medical attention immediately if you experience sudden severe abdominal pain. Postoperative patients should undergo annual gynecological examinations, including tumor marker testing.