Management of functional ovarian cysts after induction of ovulation

Abstract

To investigate the need for hormonal treatment in patients with functional ovarian cysts after induction of ovulation, a randomized prospective study was performed. Fifty-four patients who were found to have ovarian cysts after induction of ovulation were randomly assigned to two groups: a) Treatment with estrogen/progesterone. b) Expectant management. The main outcome measure was resolution of ovarian cysts. There was no significant difference between the groups. We conclude that hormonal treatment is not necessary in cases with functional ovarian cysts after induction of ovulation.

Treatment of clomiphene citrate‐related ovarian cysts in a prospective randomized study. A single center experience

“…The authors of several studies have stated that spontaneous observation is as effective as oral contraceptives, which is consistent with the present study 5,14–16 . If hormonal treatment and expectant management is compared for the treatment of functional ovarian cysts occurring due to ovulation induction, some conceptions point out hormonal treatment to be ineffective.…”

“…'s 23 study 449, and Ben‐Ami et al . 's 5 study 2102 candidates should have been enrolled for each group. Because achieving such a sample size was impossible in a fixed period of time, 62 candidates were taken into each group in order to put forward a preliminary study.…”

“…Mild ovarian hyperstimulation syndrome (OHSS) is relatively common, but severe OHSS is rarely observed 4 . During induction of ovulation with CC, several women may develop ovarian cysts 5 . Functional and persistent ovarian cysts can be easily established by transvaginal ultrasonography and treated with oral contraceptives or expectant management.…”

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

“…Ovarian cysts that persist or increase in size after several menstrual cycles are unlikely to be functional [50][51][52], for example mature cystic teratoma (dermoid cysts) has been shown to grow over time, increasing the risk of pain and ovarian accidents (torsion, rupture) [10,53].…”

¿son Útiles Los Anticonceptivos Orales en El Tratamiento De Los Quistes Ováricos Funcionales?

“…Durante años se han indicado anticonceptivos orales para el tratamiento de los quistes ováricos funcionales y para diferenciarlos de los tumores ováricos ya que éstos últimos persisten en el tiempo. Por otro lado, estudios aleatorios controlados de mujeres bajo inducción de ovulación sugieren que la resolución de los quistes ováricos no se ve afectada por el uso de anticonceptivos orales combinados (6,7). Pese a los resultados de estos trabajos, el uso de preparados de estrógenos y progestágenos se ha vuelto común y aceptado en la práctica clínica para el manejo de mujeres con quistes ováricos con características ultrasonográficas de benignidad (8).…”