Ovarian cysts can be treated as follows:Watchful waiting: If you have a cyst, you may be told to wait and have a second exam in 1 to 3 months. Your doctor will check to see if the cyst has changed in size. This is a common treatment option for women who:
- Are in their childbearing years
- Have no symptoms
- Have a fluid-filled cyst
It may be an option for postmenopausal women.
Surgery: Your doctor may want to remove the cyst if you are postmenopausal or if it:
- Doesn't go away after several menstrual cycles
- Gets larger Looks odd on the ultrasound
- Causes pain
The two main surgeries are:
- Laparoscopy — done if the cyst is small and looks benign (noncancerous) on the ultrasound. While you are under general anesthesia, a very small cut is made above or below your navel. A small instrument that acts like a telescope is put into your abdomen. Then your doctor can remove the cyst.
- Laparotomy — done if the cyst is large and may be cancerous. While you are under general anesthesia, larger incisions are made in the stomach to remove the cyst. The cyst is then tested for cancer. If it is cancerous, the doctor may need to take out the ovary and other tissues, like the uterus. If only one ovary is taken out, your body is still fertile and can still produce estrogen.
Birth control pills: If you keep forming functional cysts, your doctor may prescribe birth control pills to stop you from ovulating. If you don't ovulate, you are less likely to form new cysts. You can also use Depo-Provera®. It is a hormone that is injected into muscle. It prevents ovulation for 3 months at a time.
This answer is based on source information from the National Women's Health Information Center.