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Simple, smooth ovarian cysts, smaller than 3 cm and apparently filled with water, are considered normal. [8] Large cysts that cause problems occur in about 8% of women before menopause. [1] Ovarian cysts are present in about 16% of women after menopause, and have a higher risk of being cancer than in younger women.
Ovarian drilling is a surgical alternative to CC treatment or recommended for women with WHO Group II ovulation disorders. [6] Other non-surgical medical options in the treatment of PCOS include the oestrogen receptor modulator tamoxifen , aromatase inhibitors , insulin sensitising drugs, and hormonal ovarian stimulation. [ 9 ]
Polycystic ovary syndrome, or polycystic ovarian syndrome (PCOS), is the most common endocrine disorder in women of reproductive age. [14] The syndrome is named after cysts which form on the ovaries of some women with this condition, though this is not a universal symptom and not the underlying cause of the disorder.
There are four types of ovarian cysts — functional cysts, PCOS cysts, benign ovarian tumor and malignant ovarian tumor — that range from harmless to fatal.
The mainstay of treatment is surgery to remove the residual ovarian tissue. Women with ORS with a pelvic mass should have appropriate evaluation for malignancy . Hormonal therapy to suppress ovarian function is an alternative treatment for those who refuse surgery, or those who are not candidates for surgery. [3]
Partial oophorectomy (i.e., ovarian cyst removal not involving total oophorectomy) is often used to treat milder cases of endometriosis when non-surgical hormonal treatments fail to stop cyst formation. Removal of ovarian cysts through partial oophorectomy is also used to treat extreme pelvic pain from chronic hormonal-related pelvic problems.
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