| Ovarian cysts can still occur after menopause even | | | | effective in the evaluation of a tumor as benign or |
| though this is less frequent than before. Women after | | | | malignant to examine the cytological fluid from an |
| menopause with an ovarian cyst that does not | | | | ovarian cyst. In this case the sensitivity is only around |
| respond to conservative management may need to | | | | 25 percent and the danger is greater that the cyst will |
| undergo an oophorectomy. In this case the ovaries are | | | | break open. |
| removed within a clinical bag so that the system | | | | The recommendation for women after the |
| cannot rupture inside the cavity of the peritonea. The | | | | menopause when laparoscopic management of |
| recommendation for women after menopause is to | | | | ovarian cysts is done is frequently not for cystectomy |
| take a sonography test for CA 125 using a | | | | but in fact for oophorectomy. Trying to use ovarian |
| transvaginal grayscale. Doppler scans, computed | | | | cyst fluid for a cytological assessment is a common |
| tomography (CT) and magnetic resonance imaging | | | | error when trying to evaluate system malignancy. The |
| (MRI) are all less useful for system detection after | | | | accuracy factor is only 25 percent with an increased |
| menopause. The best solution to understand the | | | | risk of cyst rupture. The higher risk malignancy index |
| situation with ovarian cysts is transvaginal ultrasound | | | | indicates all ovarian cysts suspected of malignancy in |
| because of the increased sensitivity and detail with this | | | | post-menopausal women. If laparoscopy indicates |
| method. Nonetheless, transabdominal assessment | | | | suspicious clinical evidence, then a full laparotomy and |
| should be used for larger cysts. | | | | subsequent staging procedures are to be employed. A |
| After menopause, ovarian cysts are contracted by | | | | certified surgeon within a cancer center team that is |
| about 17 percent of women. No optimal management | | | | multidisciplinary is required. For this reason, it may be |
| solution for cysts exists. Many cysts will be | | | | said that aspiration does not have a role to play after |
| reabsorbed by themselves without major difficulty. | | | | menopause for asymptomatic ovarian cysts |
| Malignancy and ovarian cysts do not appear to have | | | | management. Notwithstanding, it might still form a part |
| much correlation, but ovarian cancer is showing a | | | | of the pre-surgical management together with |
| disturbing rise in older women. Survival is statistically | | | | laparoscopy and laparotomy. The incision under |
| unlikely, if the cancer spreads beyond the ovary. To be | | | | extension of the midline should include the cytology in |
| completely sure it is necessary to do a full laparotomy | | | | the form of ascite washings, laparotomy that is well |
| and staging procedure, even though it is well to be | | | | documented, and biopsies from adhesion and areas |
| suspicious of the possible malignancy of all ovarian | | | | that are suspect. It should also include infra-colic |
| cysts in women after the menopause. From a sample | | | | omentectomy as well as BSO and TAH. In the case |
| of 226 women recent research on post-menopausal | | | | of a malignant cyst, this may have grave |
| ovarian cysts suggests that ovarian cysts that are | | | | repercussions on the probability of survival of the |
| smaller than 50mm in diameter are benign and can be | | | | patient. |
| treated with safe management involving regular | | | | Similar to a number of other chronic complaints, |
| monitoring of the cyst size and the CA 125 levels. | | | | ovarian cysts after menopause are not caused by |
| There are two main questions concerning ovarian | | | | one factor only. Conventional medicine that only acts |
| cysts for women after menopause: what is the best | | | | on a particular symptom will therefore not be |
| management; and where the treatment should take | | | | successful in curing ovarian cysts. Several factors |
| place. A gynecologist generalist should be able to | | | | need to be treated in the formation of an ovarian cyst. |
| manage low-risk cases, but intermediate-risk cases | | | | Some of these are directly responsible for the |
| should be referred to a cancer unit and those women | | | | generation of such cysts, whereas others will act to |
| who represent high-risk cases should go to a cancer | | | | worsen cysts that already exist. A primary cause |
| center. Management changes should be revised | | | | might perhaps be dealt with by conventional medicine, |
| accordingly when used with an index to determine | | | | but the indirect factors will remain and cause |
| malignancy risk. Measurement of CA 125 which is | | | | complications. A holistic program is the only possibility |
| used in more than four out of every five studies is a | | | | to fully relieve yourself from ovarian cysts after |
| typical test here. Usually a cutoff of 30 u/ml is used | | | | menopause. The treatment needs to be |
| with test specificity of 75 percent and sensitivity of 81 | | | | multi-dimensional because of the multiple factors |
| percent. Using ultrasound has demonstrated 73 | | | | involved in ovarian cysts. This is the only way of |
| percent specificity and 89 percent sensitivity. To | | | | getting to the underlying problems and eliminating cysts |
| usefully evaluate ovarian cysts, Doppler sonography | | | | forever. |
| with color flow has also proven its worth. It is less | | | | |