Oral contraceptives for functional ovarian cysts

Expectant management of adnexal masses in selected premenopausal women: a prospective observational study

“…Ultrasound diagnosis of most of these lesions was simple cyst, hemorrhagic cyst or endometrioma. These findings would suggest that many functional cysts might persist longer than expected 6,7 and resolve later. It is also possible that a significant number of lesions diagnosed as endometriomas were actually hemorrhagic cysts.…”

A 5 Year Retrospective Study of Ovarian Tumours and Tumour-like Lesions in a Tertiary Referral Centre, Gandhi Medical College, Bhopal

“…Many of these ovarian lesions are functional ovarian cysts and they can be treated with minimal intervention. 1,2 The prevalence of ovarian cysts and Tumour-like lesions has been reported to be between 2 to 4% among gynaecological admissions. 3 A few of the benign lesions can be confused with neoplasm clinically, intraoperatively or on histopathological examination.…”

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

“…reported that spontaneously appearing functional ovarian cysts and functional ovarian cysts evolving after ovulation induction during the cycle prior to study enrollment resolved equally well within 12 weeks, independent of contraceptive or gestagen treatment. In the Cochrane Database, 19 it is specified that oral contraceptives are invalid in the treatment of functional ovarian cysts and watchful waiting may be conducted for a few cycles, but if cysts persist, surgical treatment is appropriate. Some publications point out high dose oral contraceptives to be more effective compared to low doses in the treatment of benign ovarian cysts in reproductive women; nevertheless, there are studies that advocate contrary approaches.…”