Benign ovarian cysts in reproductive-age women undergoing assisted reproductive technology treatment

Abstract

The scope of this review is to focus on the management of benign ovarian cyst in the reproductive-age group of women undergoing ART. Ovarian cysts are a common occurrence in this patient population. The differential diagnosis includes functional cysts, dermoid cysts, endometrioma. The appropriate evaluation includes medical history and physical examination, laboratory tests and imaging. The treatment options include conservative follow-up, medical treatment and surgery. This review will explore the differential diagnosis, appropriate work-up and treatment options to the various cyst types encountered. [10] Caspi, B., et al. (1997) The growth pattern of ovarian dermoid cysts: A prospective study in premenopausal and postmenopausal women. Fertility and Sterility, 68, 501-[37] Stein, S.M., et al. (1995) Differentiation of benign and malignant adnexal masses: Relative value of gray-scale, color doppler, and spectral doppler sonography.

Review of 244 cases of ovarian cysts

“…If pressing on the bladder it may also cause frequency of urination. 3 The signs and symptoms of ovarian cysts may include; pelvic pain, dysmenorrheal, and dyspareunia. Other symptoms are nausea, vomiting, or breast tenderness, fullness and heaviness in the abdomen and frequency and difficulty emptying of the bladder.…”

Untitled

“…3 At the time of clinical examination of patients suspected of gynecological pathology of ovarian origin can be found palpable adnexal masses in bimanual examination 15 to 51%, which should be considered as warning signs of malignancy if besides the abdominal mass HE is abdominal distension, early satiety and ascites, it is always important to consider ovarian masses different differential diagnoses as ovarian cysts functional, neoplastic lesions and lesions no gynecological origin. 5 medical monitoring in cystic lesions of 50mm to 70mm is suggested, and in which is larger 70mm surgical resection of the lesions given the difficulty of ultrasound monitoring as stated in the recommendations of American college of radiology recommend When defining the treatment should take into account the characteristics and size of lesions, being the Medical treatment of choice COCs and larger lesions or suspected neoplasia surgical treatment will be conservative in women of childbearing age, it should also be taken into account when defining surgical handling cysts that have increased size, have increased pain or risk of twisting. is recommended laparoscopy lesions 60-70mm 5 vrs laparotomy as recovery times, less pain and decreased evidence comorbidities, converting laparoscopy to laparotomy is recommended when suspected neoplasia 6 within the usual complications of adnexal mass is the compression of nearby anatomical structures when they are smaller in size or mass effect displacement of the abdominopelvic organs in larger, in the case reported one right hydronephrosis secondary was evident to large cystic mass in left ovary; within the normal anatomy ureter this comes at the level of the renal pelvis having an abdominal and pelvic downstream region having an anterior relation to the iliac vessels and runs behind the ovary to subsequently cross near the uterine vessels so sagittal reached the base of the broad ligament of the ureter to finally arrive with the neurovascular bundle to the bladder, 7 hydronephrosis contra lateral, considering that there is increased risk of ovarian cystic lesions hydronephrosis those in which size is 5cm and still more likely in giant lesions considered which are greater than 15cm 8 which are able to perform a compressive effect displacement intrapelvic or abdominal organs often causing compression on the contra lateral ureter to the location of the lesion which is evidenced in the case presented, in the moment recognizes that full or partial obstruction of the ureter generate urinary flow reduction being caused hydronephrosis, urolithiasis and chronic infections that can lead to progressive deterioration of renal function by progressive increase pyelocalyceal pressure.…”

Occasional diagnosis of ovarian cyst during percutaneous occlusion procedure of atrial septal defect

“…Functional cysts account for 24% of OC, benign cysts for 70%, and malignant cysts reach 6%. 3 As one of the congenital cardiopathies with greatest incidence among us, ASD can be associated with other malformations. In this report, we describe an incidental diagnosis of OC during a percutaneous occlusion procedure for ASD.…”