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Pregnancy / Gynecologywomen health

Management and Treatment of Ovarian and Adenxal mass

Ovarian Cysts
Management of Adnexal Massovarian cyst
Adnexal masses may be found as the result of a patient complaint or an incidental finding on an exam or an imaging study (ultrasound, computed tomography [CT], magnetic resonance imaging [MRI]). The etiology can be determined through consideration of the patient’s age, history, exam, ultrasound findings, and possibly tumor markers. The presence of ovarian cysts is more worrisome
in peripubescent girls and post-menopausal women, as they are more likely to be malignant in these age groups. Other causes of adnexal enlargement on examination, besides ovarian lesions, include ectopic pregnancy and pelvic abscess.

Management of Painful Ovarian Cysts
Unilateral pelvic exam in the luteal half of the cycle is a common problem among menstruating women and is often due to a hemorrhagic luteal cyst. The diagnosis can be confirmed by pelvic ultrasound, which should reveal a complex cyst. Repeating the ultrasound after the next cycle (preferably in the early follicular phase, 3-7 days after the last menstrual period [LMP]) should show resolution of the cyst.
Management consists of nonsteroidal anti-inflammatory agents and/or oral contraceptive pills, as well as reassurance that symptoms will resolve at the onset of the new cycle.
If symptoms don't resolve then further examination is indicated.
Remember that enlargement of any structure in the body in rare circumstances can be malignant in nature but not necessarily. Abdominal pain should be assessed properly, and the proper cause should be found.
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