* Pressure, fullness or pain in the lower abdomen or pelvic region * dull ache in the lower back and thighs * problems passing urine completely * pain during intercourse * weight gain * painful menstrual periods and abnormal bleeding * nausea or vomiting * breast pain * Weakness, dizziness or fainting, especially persistent fever br foot * Pelvic Exam "Since ovarian cysts cause no symptoms, usually found during a routine pelvic examination. During this test, the doctor can feel the swelling of the cyst in the ovary. If a cyst is suspected, an ultrasound is usually the next step. br A pelvic ultrasound Once the cyst is found, the doctor may do a transvaginal ultrasound is a painless procedure that resembles a pelvic exam. A thin, covered or wand probe is placed in the vagina, and the examiner directs the tube to the uterus and ovaries. This type of ultrasound produces an image better than a scan through the abdominal wall may be because the probe can be placed closer to the ovaries. With ultrasound, the doctor can see how the cyst, its size and location, and if filled with liquid, solid or mixed. brdiagnostic laparoscopy Laparoscopy is a surgical procedure that is performed when the doctor wants to see the cyst. A thin, lighted telescope called a laparoscope is inserted through a small incision in the abdomen. Laparoscopy can be used for the treatment and diagnosis. br Other AIDSCT imaging in the evaluation of disease extent. Although it is considered inferior to ultrasound and magnetic resonance imaging in defining ovarian cysts and pelvic masses. MRI is used to clarify the results of an ultrasound. Other evidencebr a pregnancy test is also done. Hormone levels (such as LH, FSH, estradiol and testosterone) may also be controlled. To determine if the cyst could be cancerous, the doctor may do a blood test to measure a substance in the blood called CA125. The amount of this protein is higher if a woman has ovarian cancer. However, some ovarian cancers do not produce enough CA125 to be detected by the test. There are also noncancerous diseases that increase the levels of CA125, like uterine fibroids and endometriosis. These noncancerous causes of increased CA125 are more common in women under 35, while ovarian cancer is rare in this age group. For this reason, the AC125 is especially recommended for women over 35 years of age who are at high risk of disease and have a cyst that is partially solid. br Functional ovarian cysts are the most common type of ovarian cyst. Usually disappear by themselves and rarely require treatment. However, some cysts may require medical or surgical intervention. So after the surgeon evaluates the full clinical history, is decided on the appropriate course of action. these are the three basic modes of action: br If you have no symptoms and the scan shows a small cyst filled with fluid, your doctor may just schedule another pelvic exam and ultrasound in six weeks. The patient waits and will be reviewed one to three months to see if the cyst has changed in size. It could also be an option for postmenopausal women. br The concept behind watchful waiting is not actively trying until the cyst does not disappear, as hormones change. An ovarian cyst unchanged or growing needs further investigation. br Oral contraceptives: If you have a functional cyst that is larger in size and causing some of the symptoms, birth control pills may be prescribed. The purpose of birth control pills can alter hormone levels so that the cyst will shrink. Birth control pills reduce the likelihood of other cyst growth. br Analgesics Antiinflammatory can help reduce pelvic pain. Prescription narcotic analgesics may relieve pain caused by ovarian cysts. br One of the advantages of laparoscopic cystectomy is that the incisions are smaller (1 / 2 inch) and much less uncomfortable than laparotomy. So people can resume normal activities in about 2 weeks. Thus laparoscopic cystectomy has many advantages: br * * Less postoperative pain may shorten hospital stay * May result in a quicker return to bowel function * faster return to normal activity Better cosmetic results br * However, the surgeon must have experienced in the procedure before these benefits can be viewed or most complications can occur. The disadvantages include a possible operation time of more (depending on the amount of the operation is performed laparoscopically), higher costs and greater risk of damage to the urinary tract. br br
