Case Studies

Case 2: Cystic mass in left ovary - Medical treatment information

Medical condition - Cystic mass in the ovary

Brief description - An ovarian cyst is any fluid-filled sac within the ovary, there are many types of cysts namely follicular cysts, endometrial cyst, dermoid cysts, cystadenomas, and other cysts due to pelvic inflammatory diseases. Rarely these cysts may form into ovarian cancer.

Signs & Symptoms

  • Abdominal pain. Dull aching pain within the abdomen or pelvis, especially during intercourse.
  • Uterine bleeding. Pain during or shortly after beginning or end of the menstrual period, irregular periods, or abnormal uterine bleeding or spotting.
  • Fullness, heaviness, pressure, swelling, or bloating in the abdomen.

When a cyst ruptures from the ovary, there may be a sudden and sharp pain in the lower abdomen on one side.

Change in frequency or ease of urination (such as the inability to fully empty the bladder), or difficulty with bowel movements due to pressure on adjacent pelvic anatomy.

Constitutional symptoms such as fatigue, headaches, Nausea or Vomiting, Weight gain.

Treatment - Cysts associated with hypothyroidism or other endocrine problems are managed by treating the underlying condition.

Pain associated with ovarian cysts may be treated in several ways:

Pain relievers such as acetaminophen, non-steroidal anti-inflammatory drugs or opioids can be used.

While hormonal birth control prevents the development of new cysts in those who frequently get them, it is not useful for the treatment of current cysts.

Some cases require surgery. This may involve removing the cyst, or one or both ovaries. Features that indicate the need for surgery are

1. Persistent complex ovarian cysts

2. Persistent cysts that are causing symptoms

3. Complex ovarian cysts larger than 5 cm

4. Simple ovarian cysts larger 10 centimeters or larger than 5 cm in postmenopausal patients

5. Women who are menopausal or perimenopausal

Case Primer - A 37 year old female suffering from a large cyst in left adnexa measuring about 116 x 138 x 102 mm in size (870cc in volume) (reports attached) and Has the complaint of PCOS since 10 years and have been under various treatments which were not fruitful.

Treatment given - Panchakarma: Virechana treatment was given as a first line of treatment followed by medicines and herbs specific to uterine health.

Results - USG scan revealed drastic reduction in the side of the cyst (reports attached) and became asymptomatic within 3 months of treatment.

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