Ovarian Cyst
| Discussion in 'All Categories' started by Pramila - Oct 17th, 2025 7:11 am. | |
Pramila
|
I have a cyst on my ovary. My doctor suggested a laparoscopic cystectomy to remove it. I'm 28 years old and have no children. Can you advise whether I should undergo surgery or if the cyst can be managed with medication? |
|
re: Ovarian Cyst
by Dr. B. S. Bhalla -
Oct 17th, 2025
7:14 am
#1
|
|
Dr. B. S. Bhalla
|
At the age of 28 and with future fertility considerations, the decision to proceed with laparoscopic cystectomy versus medical management depends mainly on the type, size, and symptoms of your ovarian cyst. Here’s the general approach: Observation and Medical Management: If the cyst is small (usually 5–6 cm) or persistent after several menstrual cycles. You have pain, pressure symptoms, or menstrual irregularities. The cyst appears complex (solid areas, septations, or internal echoes) on ultrasound, which could indicate an endometrioma, dermoid cyst, or rarely, malignancy. The cyst interferes with fertility or there’s a risk of ovarian torsion (twisting of the ovary). About Laparoscopic Cystectomy: It is a minimally invasive procedure with a quick recovery (usually discharged the next day). It aims to remove only the cyst while preserving healthy ovarian tissue—important for women who wish to conceive later. Fertility is generally well-preserved after this surgery. In summary: If your cyst is small, simple, and symptom-free, your doctor may suggest observation and repeat scans. However, if it is large, complex, painful, or persistent, laparoscopic cystectomy is the recommended and safe option, especially for preserving fertility and preventing complications. |