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Year : 2015  |  Volume : 28  |  Issue : 4  |  Page : 960-964

Different modalities in the management of functional ovarian cysts

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Menofiya University, Menofiya, Egypt
2 Department of Obstetrics and Gynecology, Shobra Hospital, Cairo, Egypt

Correspondence Address:
Adham Mostafa
26-St.masr w elsodan, Elmahala Elkobra, Elgharbia, 11672
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.173686

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Objective The aim of this work is to compare the different modalities in the management of functional ovarian cysts. Background A functional ovarian cyst is a growth on an ovary that develops during a woman's ovulation cycle. Women who develop a functional ovarian cyst generally remain asymptomatic and only learn of its presence during their annual female examination. Most functional ovarian cysts are small and benign, require no treatment, and dissolve on their own. If the cyst is small to moderate in size and causes no symptoms, a watchful approach will usually be adopted. Materials and methods This study included 80 patients with functional ovarian cysts: 40 patients followed up by transvaginal ultrasound only (expectant group) and 40 patients who received combined oral contraceptive pills (oral contraceptive group) and followed up by transvaginal ultrasound for 3 months. Persistent functional ovarian cysts will be managed by transvaginal ultrasound-guided needle cyst aspiration and then followed up by transvaginal ultrasound for 3 months. Results There was no statistically significances between different modalities of management as regards short-term expectant management (31\40) and combined oral contraceptive management (34\40) for functional ovarian cysts. Persistent functional ovarian cysts were managed by transvaginal-guided ultrasound needle aspiration, which showed a high recurrence rate in both groups, 5\9 and 3\6, respectively, after short-term follow-up. Conclusion The results of the study suggest that optimal management for functional ovarian cysts in reproductive age is expectant management.

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