Doctors Lounge - Oncology Answers
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Forum Name: Ovarian Cancer
Question: Fertility after ovarian cystectomy
|AllyT - Tue Sep 16, 2008 5:33 am||
I have recently undergone laparoscopy to treat large ovarian cysts on both ovaries. I had a very large cyst drained on my right ovary and a cystectomy to remove two large cysts off left ovary. One of which was a dermoid cyst. Both ovaries have been left in tact. I am on birth control for a couple of months to rest my ovaries. I am worried whether my ovaries will work again after all they have been through. I am planning to start a family but am so scared they will not work. Do ovaries tend to work after undergoing such procedures?
|Dr. Safaa Mahmoud - Mon Oct 13, 2008 5:26 pm||
Any collection of fluid, surrounded by a very thin wall, within an ovary is known as ovarian cyst. Most ovarian cysts are functional and not harmful. They affect women of all ages but mainly during their childbearing periods. Small cysts causing no symptoms are usually kept under follow up and some types are expected to disappear in few months.
Larger (>5cm), complicated cysts and commonly dermoid cysts (benign cysts that usually develop at young age) are treated surgically and most cysts can be removed with laparoscopic surgery. Cysts are decompressed laparoscopically, so that the cyst wall is removed and the normal ovarian tissue is saved to preserve normal function and conserve fertility.
Removing cysts (cystectomy) without removing the ovary or removing one ovary completely (oophorectomy) by skilled surgeon allow preserving fertility. Following surgical removal of ovarian cysts, it is recommended to suppress ovarian function for a short period of time as you mentioned allowing them to rest.
I advise you to follow up with your doctor; he will also recommend some investigations during the follow up period to ensure that everything is within expectations. I advise you also to remind him with your positive family history of cancer (type was not specified) so he can recommend the best follow up plan.
Hope you find this information useful.
Please keep us updated.
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