How do gynecologists in Lucknow treat ovarian cysts?
Not all ovarian cysts demand medical or surgical treatment, and in many cases, ovarian cysts go away on their own without treatment. Because of this, your gynecologist may suggest a period of watchful waiting in order to monitor your ovarian cyst and see if it goes away after 1 or 2 menstrual cycles. But usually, treatment for ovarian cyst depends on the symptoms, type of ovarian cyst and its size.
Treatment options for ovarian cysts include-
Watchful waiting- If your ultrasound shows small, simple, fluid- filled ovarian cysts and you have no symptoms, your gynecologist will wait and monitor the ovarian cysts as they may go away on their own. Your gynecologist will also recommend that you get follow-up with a pelvic ultrasound at some intervals to see if the ovarian cyst changes in size. In such a case, you will be re-examined in a few months to confirm if the cyst or cysts have gone.
Medication- If you have functional ovarian cysts, your gynecologist may prescribe hormonal contraceptives for you. While medications can help in preventing new functional cysts from forming, they will not help in shrinking an existing ovarian cyst.
Surgery- If you experience severe pain and discomfort due to ovarian cysts, your gynecologist medications to help with pain relief. But if medications and other nonsurgical treatments are not much effective, an ovarian cyst removal surgery might be required. Our gynecologists in Lucknow usually recommend minimally invasive methods like laparoscopy for ovarian cyst removal. However, more invasive conventional surgery might be necessary if the cyst is very large in size or if the doctor suspects cancer.
To know the most suitable treatment for your ovarian cysts, meet our expert gynecologists and find relief from pelvic pain and other uncomfortable symptoms.
Do I need surgery for ovarian cysts?
The most suitable treatment option for ovarian cysts for your case will depend on several factors, including your age, whether or not you are having regular periods, the size of the ovarian cyst, its appearance (in the ultrasound), and associated symptoms.
You might need surgery for an ovarian cyst if the cyst-
- Does not go away after a few menstrual cycles.
- Is large in size (>5 to 10 cm) or continues to grow
- Causes severe pain and persistent pelvic pressure
- May rupture or twist
- Appears to be caused by endometriosis in the ultrasound.
- Appears suspicious of cancer.
In addition, if you are past menopause and have an ovarian cyst, your gynecologist will probably suggest you have surgery to remove the ovarian cyst. Though ovarian cancer is rare, females of- 50 to 70 years of age are at higher risk. Females who are diagnosed with cancer at an early stage have a better outcome and prognosis than females who are diagnosed at advanced stages of cancer.
Will ovarian cyst surgery affect fertility?
For young females (who are in their reproductive age) and have not been through the menopause, the surgeon will try to preserve as much of the reproductive system as they can.
Depending on the severity and complexities of the condition, it is often possible to just remove the ovarian cyst and leave both ovaries intact. This will not affect the female’s fertility in any way.
If one of the ovaries are to be removed during ovarian cyst surgery, the remaining ovary will still be functional and will normally release hormones and eggs. The female’s fertility should not be affected, though she may find it slightly difficult to get pregnant. Occasionally, it may be necessary to remove both the ovaries, even if the female has not been through menopause. This will trigger an early menopause, which means that the female can no longer produce any eggs or become pregnant.
However, it may still be possible to get pregnant with fertility options. If needed, discuss this with our fertility specialists who specialise in assisted reproduction techniques. You should discuss your fertility concerns with your gynecologist before your surgery.
Advantages of undergoing laparoscopic ovarian cyst surgery over open surgery
- Shorter hospital stay
- Quick recovery
- Reduced bleeding and tissue handling during the surgery
- Minimising risk of scar-tissue (adhesion) formation after the surgery
- Better visualisation and access to the internal organs for the surgeon
- Less postoperative discomfort and pain
- Reduced risk of infection and thromboembolism (blood clot in the legs or lungs)
- Minimal scar after recovery.
- Faster return to office work and normal life
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Schedule your consultation with us for the best ovarian cyst treatment in Lucknow
You can book an appointment at the clinic for ovarian cyst treatment in Lucknow by calling at our number or filling out the appointment form. You can also consult our gynecologist online from the comfort of your home by booking an online consultation. You can make your appointment with our expert gynecologists from the Pristyn Care mobile application, which is free and available to download both on android and iOS.
How to prepare for ovarian cyst removal surgery
In most cases, ovarian cyst removal surgery is an elective surgery that’s scheduled through your doctor’s office in advance. You should expect to take a few days off from the work for this procedure and the recovery period after completing the process.
You need to keep in mind the following points when preparing to undergo ovarian cyst removal surgery.
- You may be asked to stop taking certain medications such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), and other blood thinners.
- Ask your doctor which drugs you should take on the day of the surgery.
- Take the medicine your doctor has told you to take with a small sip of water.
- Inform your doctor if you have a bleeding disorder or any medical conditions.
- You will have blood samples taken if you need a blood transfusion post-procedure. However, it depends on the surgical procedure used to remove the cysts.
- Stop smoking and drinking alcohol as they may lead to certain complications.
- After midnight or the night before your surgery, you will be asked not to eat or drink anything.
- Your doctor or hospital staff will inform you when to reach the hospital on the day of your surgery.
Possible risks of ovarian cyst removal surgery
Like any other surgery, ovarian cyst removal surgery also has certain possible risks such as:-
- Scar tissue (adhesions) may form at the surgical site, ovaries, fallopian tubes, or pelvis.Infection
- Damage to the bowel or bladder
- The pain post-procedure may not be controlled.
- Ovarian cysts may return after surgery.
What to expect after the ovarian cyst removal surgery
After undergoing ovarian cyst removal surgery, you may experience a little pain and discomfort in your stomach that goes away in the next few days. The time for recovery after ovarian cyst removal surgery varies from case to case.
The following are the things you can expect after undergoing ovarian cyst removal surgery:-
- Hospital StaySince ovarian cyst removal surgery is a major procedure, you may need to stay in the hospital for 1-2 days. The doctor will monitor your blood pressure, urine output, etc., to ensure that everything is normal.
- After-effects of anesthesiaYou may feel sleepy for the first 24 hours after your surgery.
- Stitches & DressingThe surgeon closes the incisions with stitches or staplers. Glue and dissolvable stitches dissolve by themselves, and other stitches may be removed within five to seven days of the surgery.
- ScarsIn the case of laparoscopic surgery, you may have one to four small keyhole scars on your stomach.
- Washing & ShoweringYou can take a bath and shower after the removal of the dressing. Pat the scar and dry it after taking a bath with clean disposable tissues or dry it in the air. Make sure that you keep the wounds clean and dry for fast healing.
- Pain & DiscomfortYou may experience mild pain and discomfort in your lower tummy for the first few days after surgery. Your doctor will prescribe you certain painkillers such as codeine or dihydrocodeine to manage the pain.
- Mild Bleeding From VaginaYou may experience slight bleeding from the vagina for the first 1-2 days after the surgery. However, consult your doctor immediately in case of heavy bleeding or unexpected symptoms.
- Eating & DrinkingOnce you are awake after completion of the surgery, you can start taking sips of drinking water or a cup of tea and something light to eat before going home.
- Hormone Replacement TherapyIf your ovary or ovaries are removed during the surgery due to complications, your doctor may start hormone replacement therapy.
- Sexual IntercourseDon’t resume sexual intercourse until your doctor gives the final clearance. Complete recovery with internal healing takes around 4-6 weeks. Wait until your incisions are fully healed that takes approximately 3-5 days to several weeks.
Apart from all the above, you must avoid strenuous activities including exercise for about a week. You can expect to resume your office work 2-4 weeks after the surgery.
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