Cysts 1B

Question 1

what is a functional cyst

Answer 1

• Functional cyst = normal physiological functioning of the ovaries

Question 2

what are the 2 types of functional cyst

Answer 2

follicular & corpus luteum cyst

Question 3

when does most cyst occur

Answer 3

• between puberty and menopause

Question 4

what increases the risk of functional cyst

Answer 4

smoking

Question 5

what are follicular cyst

Answer 5

• Follicular cyst= often asymptomatic but large cyst can cause pelvic pain & dyspareunia  ovarian torsion
• Follicular cyst = <8cm

Question 6

what are Lutein cyst

Answer 6

pelvic pain, amenorrhoea or delayed menses

• Lutein cyst tend to be larger than follicular cyst, they are also more firm/solid on palpation

Question 7

what is seen on examination

Answer 7

a torsed cycst will cause pain and rebound tenderness

Question 8

how is diagnosis made

Answer 8

Pelvic ultrasound

Question 9

treatment

Answer 9

dependant on age and size of cyst
 If premenarchal > 2cm treat with exploratory laparotomy
 If in reproductive age and cyst < 6cm; observe for 6 weeks
 If in reproductive age and cyst >8cm; treat with exploratory laparotomy