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Cysts - Treatment, Procedure And Side Effects

What is the treatment?

The treatment depends on the patient’s age, nature, type of the cyst and the various symptoms.

The doctor may also advise the patient to wait and watch and not to undergo any treatment as sometimes, the cyst can resolve on its own within a few weeks to months’ time. Typically, watchful waiting is the option when the symptoms aren’t severe and the cyst is small and filled with fluid. Having said that, following up with ultrasound tests of the pelvis is required to detect any change in the size of the cyst.

Secondly, birth control pills reduce the possibility of the formation of new cysts in the subsequent menstrual cycles. The chances of suffering from ovarian cancer are also reduced with prolonged intake of oral contraceptives.

Eventually, surgery becomes the last line of defense if the cyst doesn’t appear to be a functional one, is growing in size with time and has persisted over 2-3 months. Otherwise, cysts that cause pain may need to be surgically operated on and removed.

Ovarian cystectomy is a procedure wherein the cyst is surgically removed but not the ovaries. On the other hand, oophorectomy is a technique wherein the cyst along with the affected ovary is removed but the other one is kept as it is.

How is the treatment done?

Laparotomy and laparoscopy are the two surgical techniques to remove ovarian cysts.

Laparoscopy is employed to treat most of the cysts. It is a keyhole surgical technique wherein tiny incisions are made on the stomach and gas is inserted to bloat up the pelvis that allows a doctor access the ovaries. A laparoscope (a thin tube with a camera and light fitted on one end) is inserted into the abdomen in order to allow the surgeon to see the internal organs clearly. The cyst is then removed through the tiny incisions. Laparoscopic removal requires a shorter downtime and causes considerably less pain.

A Laparotomy is preferred in case of a cancerous cyst or a cyst that is too big in size for a laparoscopy to be performed. In this case, a single but a comparatively larger incision is made to allow access to the surgeon to the cyst. The cyst along with the ovary may have to be taken out and then sent to the laboratory to check for malignancy.

Who is eligible for the treatment? (When is the treatment done?)

Surgery is carried out in the following scenarios:

  • Both the ovaries have been affected by cysts
  • The cyst exceeds 3 inches in size
  • The cysts (cyst) do not reduce in size or go away with time
  • The cyst is not a functional one
  • Development of a cyst despite the fact that the patient hasn’t started her menstrual cycle
  • If the cyst forms even post-menopause
  • The cyst grows in spite of the patient taking contraceptives
  • Possibility of ovarian cancer

Who is not eligible for the treatment?

There is no non-eligibility criterion as such. However, the first line of treatment would be to just wait and watch as maximum cysts often tend to go away on their own. Secondly would be to administer oral contraceptives that would take care of the problem. Only if the above-mentioned treatments don’t work, should one opt for a surgical removal of the growths.

Are there any side effects?

The possible elements of risk include:

  • the ovarian cysts might develop again even if a cystectomy has been carried out
  • The pain may not reduce completely
  • Chances of scar tissue at the site of the surgery; on the fallopian tubes, pelvis or the ovaries
  • Infections
  • Damage caused to the bladder or the bowel at the time of surgery

What are the post-treatment guidelines?

The post-treatment guidelines are:

  • One will have to take things easy for about 15 days
  • Some amount of pain near the stomach area is normal
  • In case of heavy and persistent bleeding, swelling or severe pain in the abdominal area, fever and thick vaginal discharge, one should contact his/her general physician without delay
  • Regular pelvic tests are a necessity in order to detect any further growth in the ovaries
  • In addition to these, any aberration in the menstrual cycle should be reported to the doctor immediately

How long does it take to recover?

If a laparoscopy has been performed, then the patient can resume their daily activities within 24 hours. However, any strenuous activity including exercising should be struck off the itinerary for about a week or possibly more (up to 10 days). On the other hand, post laparotomy, a 4-day hospital stay becomes necessary. Normal activities can resume only after a month or 6 weeks, as advised by the doctor.

What is the price of the treatment in India?

The average price for removal of ovarian cyst through a surgery is within the range of Rs.3,50,000-Rs. 4,30,000.

Are the results of the treatment permanent?

A cystectomy surgery helps remove the cyst without causing any harm to the ovary, leaving it unaffected, and thus preserving the patient’s fertility. Having said that, there always remains a possibility of a new growth on the other ovary post-cystectomy. An oophorectomy is the only way to ensure that such further growths are absolutely prevented; however, it would compromise on the patient’s fertility as both the ovaries need to be surgically removed during such a surgery.

What are the alternatives to the treatment?

Having discussed earlier, the alternatives to surgically removing s cyst are ‘waitful and careful watching’ as to what happens to the cyst or the intake of oral contraceptives.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: Rs. 3,50,000 - Rs. 4,30,000

Popular Health Tips

PCOD - Treat It With Ayurveda & Don't Let It Affect Your Life!

Bnchy Wellness Medispa 86% (304 ratings)
Bachelor of Naturopathy & Yogic Sciences (BNYS), in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of Physiotherapy
Ayurveda, Delhi
PCOD - Treat It With Ayurveda & Don't Let It Affect Your Life!
Are you suffering from polycystic ovarian syndrome and are looking for an ideal remedy? Polycystic ovarian disease or PCOD is a common female health condition. It is a complex disorder and involves several factors which include insulin resistance, obesity, irregular menstrual bleeding, insufficient ovum production, and abnormal menstrual cycles. PCOD commonly occurs during the reproductive age of a woman and accounts for being a major cause of infertility. According to Ayurvedic principles, PCOD occurs primarily due to the imbalance state of your doshas. The dosha vaishanmya is linked to the symptoms of PCOD, and the relationship between the doshas and lakshans is permanent. Treatment PCOD is associated with stri beeja and rajah formation, along with medhodhantu to some extent. These should be attended to while the condition is being treated. The Ayurvedic treatment of PCOD aims at providing ideal care by correction of the ama dosha. By this, you achieve koshta shuddi, which in turn regularizes your tridoshas. The way or approach towards Ayurvedic treatment for PCOD includes the following: Treatment of agnimandya at both dhatwagni and jataragni levels. The alleviation of sroto avarodha is an essential part of PCOD treatment using Ayurveda. You should undertake purificatory therapies which are based on the grade of your doshic vitialation, and the exact area of affliction. These should be followed by rasayana drugs, which are free radical scavenging agents. The regularization of the apana Vata is essential as well. You must firmly avoid vihara and kaphkara ahara. Yoga and meditation are very important for the Ayurvedic treatment of PCOD. You should perform yoga asanas regularly. Some of the ideal postures for PCOD management include sarvangasana, matyasana, and shavasana. It is also very important for you to work out regularly, undertake different physical exercises. This will make your overall life much healthier. You must follow a healthy, balanced diet regularly, which should consist of fresh vegetables and fruits. Ayurvedic herbs for the treatment of PCOD The varuna crataeva nurvala is an effective herb which helps in the clearance of channels, which reduces your cyst s size. You can try hareetaki because of its amazing laxative effects, which reduce the morbidity of your body. Bilva or aegle marmelos heps in reducing the size of your growth, via its digestive effect. Strotasshuddhi is required and herbs likes Punarnava, kaphhar medicines are advised. Phytooestrogen sources and female tonic Shatavari is very much advised. Agnimantha, similar to lions. Lake er dhareyjata Guduchi is another effective remedy for PCOD and has a rejuvenating effect. Kanchnar is the drug of choice for Thyroid as per AYURVEDA, Strotasshuddhi is done by using Trikatu, Punarnava and other medicines. Rasayan like Shatavari are advised for enhancing female hormones. If you are experiencing any symptom of PCOD, it is recommended for you to visit an Ayurvedic practitioner. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.
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Nasal Polyposis In Cystic Fiborsis

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MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
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Nasal Polyposis In Cystic Fiborsis
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Ovarian Cysts - 9 Symptoms You Must Not Ignore!

Dr. Shashi Agarwal 86% (16 ratings)
Gynaecologist, Bangalore
Ovarian Cysts - 9 Symptoms You Must Not Ignore!
Ovarian cysts are common and most women will have at least one during their life. In most cases they do not display any symptoms and are discovered only during routine physical exams and ultrasounds. In most cases, it is nothing to worry about but in rare cases it can lead to complications and hence it is best to get an ovarian cysts checked out by a doctor. Ovarian cysts usually affect women in their child bearing years. They can be described as fluid-filled sacs that develop in either of the ovaries. In an ultrasound image, these can look like small bubbles. Problems usually arise when these cysts grow larger or rupture. In such cases, you may experience symptoms that include: Pain in the lower abdomen Painful intercourse Irregular menstruation Painful urination and bowel movement Pelvic pain after exercising Nausea and vomiting Bloating Spotting between periods Heartburn and indigestion If the doctor suspects ovarian cysts, an ultrasound is usually used to confirm the diagnosis. A pelvic ultrasound or a sonograph as it is also known is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the body s internal structure. In some cases, an endovaginal ultrasound may also be required. This involves inserting a covered wand or probe into the vagina through which a clearer image of the ovaries can be seen. If the cyst does not trigger any of the above symptoms, it usually does not require treatment. Instead a pelvic ultrasound may be scheduled after a month to check on the size of the cyst. In most cases, these cysts resolve themselves within a month or two. In the case of larger cysts, a biopsy may be required to rule out the chances of the cysts being cancerous. Birth control pills may be prescribed to address the pain associated with this condition. These pills are also used to stop ovulation and reduce the risk of developing further cysts. Surgery is considered only if the cyst grows in size or continues to pain. In such cases, surgery can be of two kinds: laparoscopy or laparotomy. Laparoscopy involves the removal of cysts through a telescope like an instrument that is inserted through a small incision made in the abdomen. This is usually used to remove small cysts. Larger cysts and ovarian tumours are treated with a laparotomy. This involves making a bigger incision in the stomach and may also involve the removal of the ovaries, fallopian tubes and uterus depending on the tumour.
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How Panchkarma Can Help With Treating PCOD?

Dr. Ritesh Chawla 89% (1006 ratings)
B.A.M.S, M.D In Ayurvedic Medicine
Ayurveda, Amritsar
How Panchkarma Can Help With Treating PCOD?
Polycystic ovarian disease or PCOD is a disease of the ovary that is characterized by the larger size of the ovary, fluid-filled sacs in the ovary, multiple cysts etc. In this condition, the ovary is covered by a white, tough, and thick outer covering. PCOD can have many implications including hormonal imbalance, menstruation cycle related disorders, insulin production and its usage etc. Ayurveda explains PCOD as a Kapha disorder and aims at clearing the obstruction of Vatadosha of the pelvis, normalize the menstrual cycle and balance metabolism. Ayurvedic approach in treating PCOD Ayurveda looks at a holistic approach of treatment wherein the mind and the body are treated as one. The first step towards treating PCOS disorder is to reduce body weight along with lifestyle modification. The next step aims at countering the condition of PCOD with Panchakarma - a century-old treatment mechanism of Ayurveda. Some of the Panchakarma methods used in treating PCOD include Vamana, Vasthi, Virechana, Nasya etc. Before applying the Panchakarma therapy, oral administration of medicated oil is necessary. The flow of Panchakarma therapy for PCOD Administration of medicated oil: The oral medicated oil has fat burning capabilities. The medication is prepared using herbal decoction and suitable herbs. The oil clears the fat blockers created due to fat throughout the body. Vamana: Suitable herbal medication is prescribed to induce oral vomiting. It ensures that the toxin from inside the body comes out before the medication takes its effect on the source. Virechana: This is one of the cleansing methods that is prescribed in Panchakarma therapy. A patient is given herbal purgatives in the form of medicated oil to clear blockages of the Vata Dosha. Vasthi: This is the form of Panchakarma therapy that is meant for cleaning the alimentary canal. It has a calming effect on the Vata aggravation. This is the mode of medication where medicated herbal oil is injected through the anus. This procedure in Ayurveda is known as Anuvasana Vasthi. This is followed by another round of oil medication that has a mixture of herbal decoction, medicated oil, herbal paste, rock salt etc. This procedure is known as Nirooha Vasthi. Uthara Vasthi: This procedure is very different from normal Vasthi in terms of its administration, ingredients, and quantity. This medication is applied to the uterus through the vagina. This is one of the best therapy when it comes to treating the polycystic ovarian syndrome. Nasya: Once all the above medication is administered, Nasya is applied to both the nostrils. This is the last stage of Panchakarma medication and is extremely important to treat the underlying condition. This is given in a specific dosage for a certain duration. The fact that it directly involves the pituitary gland, makes this medication even more useful.
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Dietary Treatment And lifestyle Tips For Ovarian Cyst

Dt. Neha Suryawanshi 94% (10876 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Dietary Treatment And lifestyle Tips For Ovarian Cyst
Ovarian cysts are fluid-filled sacs or pockets in an ovary or on its surface. Many women have ovarian cysts at some time. Most ovarian cysts present little or no discomfort and are harmless. The majority disappears without treatment within a few months. However, ovarian cysts especially those that have ruptured can cause serious symptoms Dietary treatment for ovarian cyst:- Foods to eat Soy: soy foods like tofu, miso and tempeh; as well as beans, lentils, cauliflower and broccoli can help control estrogen levels. Indole-3-carbinol (i3c): eat more foods rich in i3c which helps eliminate excess hormones from the body. These include cabbage, brussels sprouts, broccoli and cauliflower. Magnesium rich foods like almonds, bananas, prunes, cashew nuts and broccoli help to reduce painful cramps associated with ovarian cysts. Dandelion coffee: a herbal substitute for coffee, helps support the liver so that it can remove excess hormones more easily. Omega-3: eat foods rich in omega-3 essential fatty acids because they help control hormone disruptions as well as insulin resistance (linked to pcos). Good options include flax seeds (linseeds), oil fish (salmon, anchovies, sardines, mackerel and herring) and hemp seeds. Go organic: stick to organic foods as much as possible as pesticides can disrupt hormone balances. Peel all vegetables and fruit if they are not organic. Foods to avoid Alcohol: reduce your intake of alcohol as it can elevate estrogen levels. If you do want to have a drink, red wine is the best option. Wheat: eat fewer wheat products because wheat contains phytic acid which binds minerals like magnesium and zinc, both of which are essential for hormone balance and preventing cramps. Caffeine: cut back on caffeine products, coffee, sodas, chocolate, energy drinks and tea because it can disrupt hormones. Sugar: avoid refined sugar, that is, the sort of sugar found in cakes, pastries, candy and cookies because it plays havoc with hormones. Other related resources: alternative treatment for endometriosis and natural treatment for pcos. Both conditions are characterized by excess estrogen levels, and natural therapies are aimed at restoring hormone balance. Supplements and remedies B-vitamins: take a good b-vitamin supplement as it is helps to balance blood sugar and hormone levels. If you already take a multi-vitamin, check it s b-vitamin content. If it is a good formula, it should contain 100 percent of your daily b vitamin dosage, so there is no need to buy an additional supplement. Brassica vegetable extract supplements: are helpful in balancing hormones. These contain extracts from cruciferous vegetables like cabbage, broccoli, cauliflower and brussels sprouts. You can purchase these easily enough on the internet from companies like life extension. Herbs: a cinnamon and rehmannia combination is a traditional treatment in china for ovarian cysts. The traditional recipe contains 30g of rehmannia, 9g of antler gelatin, 3g of cinnamon bark, 2g roasted ginger, 6g of sinapis, 2g of ma-huang and 3g of licorice. Lifestyle tips Weight loss: if you are overweight, lose a few pounds. Studies continually show that moderate weight loss helps to correct hormone imbalances and improves the chance of conception in women with fertility problems. Water: drink filtered water only. Tap water usually contains chemicals which can affect hormone levels. Also, be sure to check out our list of books on women's health for a healthy lifestyle. Plastic toxins: avoid cooking food in plastic containers. And above all avoid heating food in plastic containers in the microwave - always transfer the food to a glass bowel first. This is because the heating process releases toxic chemicals (dioxins) in the plastic which seep into your food. Stress: find ways to relax. Stress contributes to major hormone fluctuations - try adding rose, geranium or agnus castus essential oils to your bath. If you need a little motivation, read about the dangers of stress in women. Chemicals: remove chemicals from the house and use biodegradable products instead.

Popular Questions & Answers

In ultrasound, they said I have ovarian cyst. I have severe pain while passing urine or while coughing.

Dr. Anil Kumar Gupta 91% (33 ratings)
MD - Radio Diagnosis/Radiology
Radiologist, Delhi
No need to worry You have not mentioned the size of the cyst Small cysts are commonly seen which resolve by themselves in few months If the size of the cyst is bigger than 5 cms then you should consult a gynaecologist.
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Dear doctor yesterday I diagnosis my USG of my scrotum. The results are :- Right testis volume :- 3.0×2.4×3.1 cm=12. 2 ml Left testis volume :- 3.8×2.8×2.8 cm =11. 7 ml •Right epididymis simple cyst is seen, measuring ~ 3.8×3.8 mm. •Left spermatic cord is bulky and show heterogeneous echotexture. •EPIDIDYMIS- Bilateral epididymis are normal in size, shape,echo texture and vascularity. •SPERMATIC CORD- right cord is normal in size echo texture and vascularity. •No evidence of hydrocele or varicocele is noted. •Skin and subcutaneous tissue normally visualized. Conclusion:- •LEFT FUNICULITIS •RIGHT epididymis SIMPLE CYST Is this a big problem. Am I will be cured?

Dr. Bhagyesh Patel 96% (5161 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to I have evaluated your query thoroughly. Most important in any case is symptoms, which are not told here to co relate with the reports. As per the narration, it can be said that cyst on right epididymis is of no problem, does not require treatment. for rest issue, kindly consult in private with all details of symptoms please. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance.
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I have done my sonography. Their is a Nabothian cyst in the cervix. I don't want to go for operation. Is there any Homeopathy or Ayurvedic remedy for this. Please suggest.

Dr. Shriganesh Diliprao Deshmukh 88% (1664 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
Take Conium 3c 4tims day for 10days Thuja 200 once a day for 4days Sepia 200 once a day for 4days Puls 1m one dose
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Today it's my 9th day and done follicular study. Result was right 1.6*1.6 and left two eggs 1.5*1.5 and 1.6*1.5 and left cyst 21*21. Is everything normal and. Is there any problem with that cyst?

Dr. Shriganesh Diliprao Deshmukh 88% (1664 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
take sepia0 /2 one dose puls 30 one dos per dy for wk kali br 12c one dos a day for 10 days aur mur na. 12c sam abov apis 12c sam abov conium 3c 3tims aday for 5 days diet for u cruciferous vegetables, such as broccoli, cauliflower, and Brussels sprouts • greens, including red leaf lettuce and arugula • green and red peppers • beans and lentils • almonds • berries • sweet potatoes • winter squash • pumpkin inform me progres
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Health Quizzes

Ovarian Cysts - Can Bloated & Tender Abdomen Be A Sign?

Dr. Rupak Banerjee 92% (123 ratings)
Doctor of Medicine, DGO
Ovarian cysts are always a pathological condition. True or false? Take this quiz to know more.
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