Gyn ovarian cysts

Question 1

Conservative management of ovarian cysts

Answer 1

anaglesia and observe if rupture
Adress bleeding disorder
and follow up TVUSS for resolution

if find simple cyst - repeat USS 4-6w later

Question 2

Medical management of simple ovarian cyst

Answer 2

COCP - or anything that stops ovulation - can stop ovarian cysts from developing

Question 3

Surgical Managment of ovarian cysts

Answer 3

TVUSS is vital for the RMI (risk of malignancy index ( featuresxCA125xmenopause)

if malignant- gyne onc

laproscopic sugrery if heamodynamic compromise, likely torsion, sx not improve after 48h

AND, in young - if 5cm or bigger can consider removing
in old, remove all because shouldnt have them post menopause