Does a physical examination reveal ovarian cysts and require surgery

Whether surgery is necessary for ovarian cysts detected through physical examination depends on the nature and symptoms of the cyst. Most physiological cysts do not require surgery, while surgery is usually recommended for pathological cysts or when severe symptoms occur. Ovarian cysts are divided into two categories: physiological and pathological. Physiological cysts such as corpus luteum cysts and follicular cysts are related to the menstrual cycle, with a diameter often less than 5 centimeters, and often resolve on their own within 2-3 menstrual cycles. If there are no symptoms such as abdominal pain or abnormal bleeding in this type of cyst, regular follow-up ultrasound monitoring is only needed to monitor changes. Avoid vigorous exercise or abdominal pressure in daily life, and during observation, use hot compress to alleviate mild discomfort. Pathological cysts include teratoma, serous cystadenoma, etc. Caution should be exercised when the diameter exceeds 5 centimeters or continues to increase. If accompanied by severe abdominal pain, nausea and vomiting, difficulty urinating and other acute abdominal symptoms, cyst torsion or rupture may occur, requiring emergency surgical intervention. Surgical exploration is also necessary for postmenopausal women who develop new cysts or have imaging features such as papillary protrusions and abnormal blood flow signals within the cysts. The surgical method is selected based on the patient's age and reproductive needs. Laparoscopic cystectomy is suitable for most benign cysts, with minimal trauma and preservation of ovarian function. Unilateral oophorectomy is commonly used in postmenopausal women or those with suspected cystic properties. postoperative pathological examination is required to confirm the diagnosis, and malignant cysts require further expansion of the surgical scope. Untreated patients should have ultrasound re examination every 3-6 months to monitor changes in cysts. Sudden severe lower abdominal pain or fever requires immediate medical attention. Maintaining a regular schedule and balanced diet can help regulate the endocrine system and reduce the probability of functional cysts. Avoid abusing hormone drugs and keep your abdomen warm during menstruation. Postoperative patients should follow medical advice for regular check ups and avoid lifting heavy objects and engaging in sexual activity for one month after surgery. If there is abnormal vaginal bleeding or wound exudate, it is necessary to return to the clinic in a timely manner.