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PCOS and Ovarian Cysts: Surgical Solutions for Better Health

Aug 13, 2024

Women Reproductive Health

pcos and ovarian cysts pcos and ovarian cysts

Polycystic Ovarian Syndrome (PCOS) and ovarian cysts are prevalent conditions that can significantly impact women's health. Understanding these conditions is crucial for women to manage their health and well-being. This blog is here to provide a detailed analysis of surgical solutions for managing PCOS and ovarian cysts, highlighting the types of surgeries, their benefits, and considerations for women facing these health issues.

Understanding PCOS and Ovarian Cysts

Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Irregular menstrual periods, excess androgen levels, and polycystic ovaries characterise it. On the other hand, ovarian cysts are fluid-filled sacs that develop on the ovaries. They can vary in size and are often harmless but can cause pain and other complications if they rupture or grow large.

Common Symptoms and Effects on Women's Health

PCOS symptoms include irregular periods, excessive hair growth, acne, and obesity. Women with PCOS may also experience fertility issues and an improved risk of developing diabetes and heart disease. Ovarian cysts can cause pelvic pain, bloating, and discomfort during intercourse. In some cases, cysts can lead to severe pain and complications requiring immediate medical attention.

Prevalence and Impact

Polycystic Ovary Syndrome (PCOS) and ovarian cysts are two prevalent conditions affecting women's reproductive health. According to the WHO, an estimated 8–13% of reproductive age are diagnosed with PCOS, while ovarian cysts are seen in about 25% of women of reproductive age group in India. Both conditions can have significant impacts on physical health, such as infertility, metabolic issues, and increased risk of certain cancers. The emotional toll can include stress, anxiety, and decreased quality of life.

Surgical Solutions for PCOS and Ovarian Cysts

When non-surgical treatments are ineffective, surgical options may be considered for managing PCOS and ovarian cysts. Surgery can provide relief from symptoms, improve fertility, and prevent further complications. Here, we'll explain three common surgical approaches:

1. Laparoscopic Ovarian Drilling (LOD) for PCOS

Laparoscopic Ovarian Drilling (LOD) is a minimally invasive surgical procedure used to treat PCOS. It involves making small incisions in the abdomen and using a laser or electrocautery to destroy parts of the ovary. This helps to reduce androgen production and stimulate ovulation.

Procedure:

  • The patient is placed under general anaesthesia.
  • Small incisions are made in the abdominal area.
  • A laparoscope (a small camera) is inserted to guide the surgeon.
  • A laser or electrocautery is used to puncture the ovarian surface.
  • The incisions are closed with sutures.

Expected Outcomes and Benefits

LOD can help restore regular ovulation and menstrual cycles, reduce androgen levels, and improve fertility. It is suitable for women who have not responded to other treatments like medication.

Considerations

LOD is recommended for women who have been unable to conceive with other treatments. There is a minute risk of infection, bleeding, and damage to the ovaries. Recovery time is relatively short, with most women resuming normal activities within a few days.

2. Laparoscopic Cystectomy

Laparoscopic cystectomy is a minimally invasive surgery performed to remove ovarian cysts. This procedure is used when cysts are symptomatic, large, or suspected to be non-functional.

Procedure:

  • The patient is placed under general anaesthesia.
  • Small incisions are made in the abdomen.
  • A laparoscope is inserted to locate the cyst.
  • The cyst is carefully separated from the ovary and removed.
  • The incisions are closed with sutures.

Expected Outcomes and Benefits:

Laparoscopic cystectomy can relieve pain and other symptoms, prevent complications, and preserve ovarian function. It offers a quicker recovery and less postoperative pain compared to open surgery.

Considerations:

Ideal candidates are women with cysts causing significant symptoms or those that are suspicious. There is a slight risk of infection, bleeding, and recurrence of cysts. Most women recover fully within a week.

3. Abdominal Cystectomy

Abdominal cystectomy, also known as open cystectomy, is a surgical procedure to extract larger or more complex ovarian cysts. It involves making a more extensive incision in the abdomen compared to laparoscopic surgery.

Procedure:

  • The patient is placed under general anaesthesia.
  • A large incision is made in the lower abdomen.
  • The cyst is carefully removed from the ovary.
  • The incision is closed with sutures.

Expected Outcomes and Benefits

Abdominal cystectomy removes larger cysts that cannot be managed laparoscopically. It provides relief from symptoms and helps prevent further complications.

Considerations

This procedure is recommended for larger, more complex cysts. Risks include longer recovery time, infection, and scarring; full recovery may take several weeks.

Choosing the Right Surgical Option

Discussing surgical options with a gynaecologist is crucial. Cyst size, location, patient health, and the surgeon's expertise should be considered when choosing a surgical approach.

Post-Surgery Care and Recovery

Post-surgery care is important for a smooth recovery and long-term health. General guidelines include rest, avoiding strenuous activities, and following the doctor's instructions.

General Care Tips:

  • Rest and avoid strenuous activities.
  • Follow dietary guidelines and medication schedules.
  • Monitor for signs of complications like fever, severe pain, or unusual discharge.

Specific Care Tips:

  • Laparoscopic Ovarian Drilling: Watch for signs of infection and gradually resume activities.
  • Laparoscopic Cystectomy: Avoid heavy lifting and follow a balanced diet.
  • Abdominal Cystectomy: Allow for a longer recovery period and adhere to follow-up appointments.

Long-Term Management

A healthy lifestyle comprising a balanced diet and regular exercise supports recovery and maintains reproductive health. Regular follow-ups with a healthcare provider are crucial to monitor health and prevent complications.

Wrapping Up

Understanding and managing PCOS and ovarian cysts is vital for women's health. Surgical solutions such as laparoscopic ovarian drilling, laparoscopic cystectomy, and abdominal cystectomy offer effective treatments for better health. Proper post-surgery care and lifestyle changes enhance recovery and long-term well-being. Seeking professional medical advice ensures personalised treatment plans for optimal outcomes.

Contact Krishna Medical Centre for Expert Gynaecological Care

Are you experiencing symptoms of PCOS or ovarian cysts,? Contact Dr Chandravati at  Krishna Medical Centre. Her expertise in treating these conditions ensures you receive the best personalised advice and surgical solutions. Schedule a consultation today to analyse your options and advance towards better health.

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