Conventional Ovarian Cyst Treatment


Treatment for a ruptured ovarian cyst varies on a few factors: how you are feeling when you go to the hospital, how much damage was caused by the cyst rupturing, and whether there are any complications from the rupture.  The more severe the rupture, the greater the need for medical intervention.

After a cyst ruptures, almost every hospital will start you on IV antibiotics.  This is to prevent the risk of infection from the rupture, which is one of the biggest causes of complications.  Afterwards, the doctor will assess how much damage was caused by the cyst.

Damage can be caused from the fluid that leaked out of the cyst.  If not quickly absorbed by the body, it may cause scarring.  If the cyst was a chocolate or endometrial cyst, blood may have leaked into the abdomen as well.  This also can cause complications.  To determine what is going on, the doctor will likely order an ultrasound.  In some cases, if your symptoms are severe, exploratory surgery may be recommended.  This is to rule out the chance of internal bleeding.

If you are having trouble breathing, have unusually high or low blood pressure, or other severe symptoms, the physician will order a culdocentesis.  This is a way to measure the type and amount of fluid in the abdomen.

A ruptured ovarian cyst causes a great deal of pain, so the doctor is likely to prescribe you pain medication.  For high levels of pain, the doctor is likely to use morphine or Vicodin. For moderate pain, you may just be given Tylenol.  The type and amount of pain medication prescribed depends on any preexisting medical conditions and what type of antibiotics you are on.

After you are released, the doctor is likely to want to see you again in the office.  He or she will do an ultrasound to make sure everything is healing properly.  Also, you may be started on birth control pills to prevent any ovulation.  This is to prevent any additional cysts from forming while your body is still recovering.

In some cases, the presence of a cyst necessitates an ovary removal, also known as a Oophorectomy.  Doctors do try to avoid this, as there is evidence that having your ovaries removed can cause problems later in life.  However, there sometimes is no other option to successfully treat a large or recurrent ovarian cyst.
When it is removed, doctors attempt to only remove the ovary affected by the cyst.  This way, you still have an ovary producing hormones.  However, if cancer is suspected, both ovaries are removed, along with the fallopian tubes and the uterus.

Who Ovary Removal Affects

Generally, ovary removal is avoided.  However, if the cyst is large, causes ovarian torsion, or is suspected to be cancerous, the ovary is generally removed along with the cyst.
When you go in for a cystectomy, the doctor may tell you they will try to leave the ovary.  However, you should know there is a chance they will have to remove it once they are operating.  If the doctor suspects cancer, the uterus and fallopian tubes may be removed as well.

Risks of Ovary Removal

While the surgery itself is a relatively safe procedure, there are some risks involved.  First, there is always the danger of bleeding, infection, and damage to nearby organs.  There is also a small chance that some ovarian cells could be left behind, continuing to form cysts and cause pain even after the ovary is removed.
After an ovary is removed, a woman is at risk for premature menopause.  This can cause symptoms such as hot flashes, depression or anxiety, heart disease, memory problems, decreased sex drive, osteoporosis, and even premature death.  Some of these side effects may be avoided by taking hormone replacement therapy.  However, hormone replacement can carry risks of its own.

How Ovary Removal is Performed

Generally, ovaries are removed during laparascopy.  However, if you have a large, solid cyst greater than 2 ½ inches in diameter, traditional surgery will need to be performed.  Also, a laparascopy can change into traditional surgery during the procedure if cancer is suspected.

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