Oral contraceptives for functional ovarian cysts

Grimes, David A.; Jones, LaShawn B.; Lopez, Laureen M; Schulz, Kenneth F.

doi:10.1002/14651858.cd006134.pub5

Cited by 49 publications

(24 citation statements)

References 34 publications

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“…It can occur at any age including the fetus (in uterus). 1 In the present study, the patients were of all ages, the youngest 3-months-old, and the eldest 77 years old. 7 Treatment of ovarian cysts with laparoscopy was found to be a safe and effective method in young females provided that features of the cyst was benign and malignancy was not suspected clinically.…”

Section: Discussionmentioning

confidence: 83%

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Review of 244 cases of ovarian cysts

Abduljabbar

Bukhari

Hachim

et al. 2015

SMJ

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Objectives:To review cases of ovarian cysts managed at a University Hospital, and to identify the factors necessitating the use of laparotomy over laparoscopy.Methods:We carried out a retrospective chart review of all cases of ovarian cysts diagnosed and managed at the Department of Obstetrics & Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2010 and August 2014. All data collected from medical record charts, patents details, clinical presentations, ovarian cysts description, and pathology type were recorded, and management by laparoscopy or laparotomy was identified. Ethical approval was obtained from ethical hospital committee.Results:There were 244 cases of ovarian cysts during the study period. The age ranged from 3 months to 77 years of age. The parity from 0-6. The height range from 37-180 cm. The weight range from 3-161 kg, and calculated body mass index ranged from 12-47. Out of 244 patients diagnosed, 165 were married (67.4%). Of those, only 16 patients were pregnant (6.6%). The most common presentation was abdominal pain in 142 patients (58.2%). Only 79.9% were ovarian cysts, and 17.5% were either para-ovarian or retroperitoneal. The right ovaries were affected in 63.1%, and only 18.9% were bilateral. The types of ovarian cysts included functional cysts 33.2%, benign cyst-adenoma 19.3%, and dermoid cysts 12.3%.Conclusion:Factors associated with laparotomy management rather than laparoscopy included older age >35, single, pregnant, or patients presenting with abdominal pain, and more than one cyst.

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Section: Discussionmentioning

confidence: 83%

“…An ovarian cyst is a common gynecological problem and is divided into 2 main categories; physiological and pathological. 1 Physiological cysts are follicular cysts and luteal cysts. Pathological cysts are considered as ovarian tumors, which might be benign, malignant, and borderline.…”

mentioning

confidence: 99%

Review of 244 cases of ovarian cysts

Abduljabbar

Bukhari

Hachim

et al. 2015

SMJ

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“…It is estimated that, in the United States, 250 thousand women per year are hospitalized due to adnexal masses. 7 According to a population-based cohort with 11,595 patients from 1991 to 2014, 8 the incidence of ovarian cysts increases exponentially with age. There is an incidence plateau around the age of 26, reaching 152 cases per 100 thousand women per year at 35 years old, which is maintained throughout the menacme.…”

Section: Discussion Epidemiologymentioning

confidence: 99%

Practical Recommendations for the Management of Benign Adnexal Masses

Rocha

Barcelos

2020

Rev Bras Ginecol Obstet

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Objective To perform a comprehensive review to provide practical recommendations regarding the diagnosis and treatment of benign adnexal masses, as well as information for appropriate consent, regarding possible loss of the ovarian reserve. Methods A comprehensive review of the literature was performed to identify the most relevant data about this subject. Results In total, 48 studies addressed the necessary aspects of the review, and we described their epidemiology, diagnoses, treatment options with detailed techniques, and perspectives regarding future fertility. Conclusions Adnexal masses are extremely common. The application of diagnosis algorithms is mandatory to exclude malignancy. A great number of cases can be managed with surveillance. Surgery, when necessary, should be performed with adequate techniques. However, even in the hands of experienced surgeons, there is a significant decrease in ovarian reserves, especially in cases of endometriomas. There is an evident necessity of studies that focus on the long-term impact on fertility.

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“…Cystic follicles and follicular cysts are functional cysts and contain estrogen in their luminal fluid, especially follicular cysts, 29 , 30 but non-functional ovarian cysts do not secrete estrogen. 31 …”

Section: Discussionmentioning

confidence: 99%

Role of benign ovarian cysts in the development of adenomyosis

Alam

Ahmad

Khan

et al. 2016

SMJ

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Objectives:To assess the association of adenomyotic foci with co-existing benign ovarian cysts.Methods:This prospective cross-sectional study consisted of 100 consecutive hysterectomy specimens referred to Histopathology Section of Pathology Department, Peshawar Medical College, Peshawar, Pakistan by its attached teaching hospitals from January 2011 to December 2012. Hematoxylin and eosin stained sections were examined for adenomyotic foci and the presence of co-existent ovarian cysts. For evaluation of estrogen receptor (ER) status immunohistochemical stains were applied and H-scoring system was used with a score >50 as positive.Results:Out of the 100 hysterectomy specimens, 25 cases had both adenomyosis and ovarian cysts. The ER status of adenomyotic foci was positive in 20% cases and negative in 80% cases. The commonest type of ovarian cyst was hemorrhagic luteal cyst (28%), followed by serous and mucinous cystadenoma (20%) each. Out of the 28% cases of functional cysts, 71.5% were ER positive and 28.5% were ER negative. The p-value for association of ER status of adenomyotic foci with functional cysts was 0.0004; however, p-value was not significant in comparing cases with controls. All 72% cases of nonfunctional cysts were ER negative. However, 44% of functional cysts were not associated with adenomyotic foci.Conclusion:This study concludes that besides functional ovarian cysts, other local factors may be responsible for the development of adenomyosis.

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Oral contraceptives for functional ovarian cysts

Cited by 49 publications

References 34 publications

Review of 244 cases of ovarian cysts

Review of 244 cases of ovarian cysts

Practical Recommendations for the Management of Benign Adnexal Masses

Role of benign ovarian cysts in the development of adenomyosis

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