If it is a functional cyst, you usually do not need therapy. Usually it remains small and regresses on its own. However, to rule out the possibility of it becoming very large and therefore causing discomfort, you should have it checked regularly. This is especially true if you are going through menopause or menopause.
Surgical procedure with laparoscopy
However, if the ovarian cyst grows suddenly, causes pain or other discomfort, we can remove it with laparoscopy, sparing the ovarian tissue. The minimally invasive procedure is performed under anesthesia during a short inpatient stay. If the ovarian cysts are very large, then sometimes an abdominal incision is needed to retrieve the cysts.
Removal of the ovaries is almost never necessary in young women
Only in very rare cases does one ovary or even both ovaries need to be removed. This may be the case if cancer is suspected. Removal of both ovaries has a particularly strong impact on women of childbearing age, as they enter menopause immediately after the procedure. For this reason, this is avoided whenever possible. In post-menopausal women, if there are changes in the ovaries, it is advisable to remove both ovaries, as more often a tumor is the cause of the cysts. After menopause, bilateral oophorectomy does not cause any hormonal symptoms, because the function of the ovaries has already ceased beforehand. On the other hand, in younger women before menopause, flushing, dizziness or sleep disturbances are possible in the case of bilateral oophorectomy. If cysts are prone, recurrence may occur during the course. Birth control pills can be used as a preventive measure.
Some gynecologists recommend treating ovarian cysts with birth control pills. The pill does inhibit the production of hormones in the ovaries and thus prevents ovulation. However, the assumption that cysts disappear more quickly as a result has not been confirmed in studies.